Crosswalk of NISVS Instrument Revisions

Attachment B.

Crosswalk of NISVS Instrument Revisions – Dropped and Revised Questions

1. Control Form

• Revised items are marked in red font.

• Minor edits to reflect a change in contractor and updating of CATI instructions due to renumbering (shown below).

NISVS 3		NISVS 4.0
Original Question		New Question		Justification for Revision
CF_INTRO_2	SAY, IF NEEDED: • I just have a few questions to see if someone in your household is eligible to participate. • Not all households are selected to participate due to some being nonresidential, age ineligible or living outside of the USA. • I am an interviewer with RTI International and am part of the research team. • In addition to preventing diseases, the CDC also focuses on a range of health topics, including injuries. • This is not a sales call. • Your phone number has been chosen randomly to represent thousands of others in the country.	CF_INTRO_1	SAY, IF NEEDED: • I just have a few questions to see if someone in your household is eligible to participate. • Not all households are selected to participate due to some being nonresidential, age ineligible or living outside of the USA. • I am an interviewer with {Contractor} and am part of the research team. • In addition to preventing diseases, the CDC also focuses on a range of health topics, including injuries. • This is not a sales call. • Your phone number has been chosen randomly to represent thousands of others in the country.	Minor edit. Required revision due to change in contractor (the entity that would be contacting prospective respondents).
CF5	{FILL: “Including the number I just dialed” (CF2=2: LANDLINE)} “How many telephone numbers do you have in your household that are used for talking, EXCLUDING cell phones or telephone lines that are used only for machines like faxes and computers?	CF5	{FILL: “Including the number I just dialed” (CF1=2: LANDLINE)} “How many telephone numbers do you have in your household that are used for talking, EXCLUDING cell phones or telephone lines that are used only for machines like faxes and computers?	Minor edit; change in numbering of question (CF1 to CF 2).
NUM_ADULTS	{IF CF2=2, FILL: “I need to randomly select one adult who lives in your household to be interviewed.} How many members of your household, including yourself, are 18 years of age or older?	NUM_ADULTS	{IF CF1=2, FILL: “I need to randomly select one adult who lives in your household to be interviewed.”} How many members of your household, including yourself, are 18 years of age or older?	Minor edit; change in numbering of question (CF1 to CF 2).
CF_INTRO1a	Hello, I am calling on behalf of the Centers for Disease Control and Prevention, the CDC. The CDC is conducting a study on health and injuries. My name is __________. I am an interviewer with RTI International and I am part of the research team. Let me assure you that this is not a sales call.	CF_INTRO1a	Hello, I am calling on behalf of the Centers for Disease Control and Prevention, the CDC. The CDC is conducting a study on health and injuries. My name is __________. I am an interviewer with {CONTRACTOR}, and I am part of the research team. Let me assure you that this is not a sales call.	Minor edit. Survey required revision due to change in contractor (the entity that would be contacting prospective respondents).
CF_INTRO1b	You have been randomly chosen to participate in an important study. This call may be monitored or recorded for quality assurance purposes. The Centers for Disease Control and prevention (CDC) is doing a telephone study of up to {fill: 13,000 / 16,000 (Option Year)} people. Men and women age 18 and older will be asked questions about their health and injuries they may have experienced. The data we are collecting are very important, and will be used to inform prevention efforts. The survey will take approximately 25 minutes, on average. Since some of the questions are personal, we suggest that you be in a private setting during the survey.	CF_INTRO1b	You have been randomly chosen to participate in an important study. This call may be monitored or recorded for quality assurance purposes. The Centers for Disease Control and Prevention (CDC) is doing a telephone study of up to {fill: (# OF INTERVIEWS)} people. Men and women age 18 and older will be asked questions about their health and injuries they may have experienced. The data we are collecting are very important and will be used to inform prevention efforts. The survey will take approximately 25 minutes, on average. Since some of the questions are personal, we suggest that you be in a private setting during the survey.	Minor edit. This paragraph will be updated with the number of respondents sampled in this data year.
CF_INTRO1c	There are minimal benefits or risks to being in this voluntary study. In order to keep your information private, the answers you give us will be combined with the answers from other people who are in the survey. No information that could personally identify you will be given to the CDC or anyone else. You can skip any question or stop the survey at any time. If you complete the survey, as a token of our appreciation we will send you a check for {FILL: $10 / $40 (NON-RESPONSE FOLLOW-UP PHASE)}	CF_INTRO1c	There are minimal benefits or risks to being in this voluntary study. In order to keep your information private, The answers you give us will be combined with the answers from other people who are in the survey. No information that could personally identify you will be given to the CDC or anyone else. You can skip any question or stop the survey at any time. If you complete the survey, as a token of our appreciation we will send you a check for {FILL: $10 / $40 (NON-RESPONSE FOLLOW-UP PHASE)}	Minor edit. Phrase removed to reduce length and redundancy.
CF_INTRO1d	If you choose to receive the money, I will go to a separate computer file after we finish the survey and collect your name and address so that we can mail the check to you. Your name and address will not be connected to the information you provide in the survey, and will be erased from our files at the end of this study. You may want to have a pen or pencil and paper available to write down a few phone numbers. If you have questions or concerns about participating in the study, you may call the Survey Manager, Jessica Williams, at 866-800-9181. If you have any questions about your rights as a research participant, please contact RTI’s Office of Research Protection toll-free at 866-214-2043.	CF_INTRO1d	If you choose to receive the money, I will collect your name and address so that we can mail the check to you. Your name and address will not be connected to the information you provide in the survey, and will be erased from our files at the end of this study. You may want to have a pen or pencil and paper available to write down a few phone numbers. If you have questions or concerns about participating in the study, you may call the Survey Manager, {NAME}, at ###-###-####. If you have any questions about your rights as a research participant, please contact {CONTRACTOR} Office of Research Protection toll-free at ###-###-####.	Minor edit. Survey required revision due to change in contractor (the entity that would be contacting prospective respondents).

2. Respondent Characteristics

   • Renumbered the questions – replaced A with R to make variable names more intuitive (R = respondent).

   • ADDED Interviewer instruction to end interview if respondent did not provide their age. (RC1c: I'm sorry, for this survey we need to know your specific age. I will have to end the interview now. Thank you for your interest, and have a nice day/evening.). The age is necessary in order to verify that the respondent is an adult (a requirement for participation).

   • REVISED graduate education response option (RC2). Changed parenthetical examples in “POSTGRADUATE DEGREE (MASTER’S, MA, MS, DOCTORATE, PhD, MD, JD)” to “(MASTER DEGREE, DOCTORATE DEGREE, MD, JD).” This minor edit was requested by Westat’s IRB.

   • REVISED sexual orientation response option from “Straight, that is, not gay” to “Straight, that is, not lesbian or gay.” This minor edit was requested by Westat’s IRB.

3. Health Conditions

   • Renumbered the questions – replaced B with HC to make variable names more intuitive (HC = health conditions).

   • Dropped 9 health condition questions (see below).

   • Added 3 questions to address Center priorities (suicide, prescription drug misuse); HC06-HC08.

NISVS 3		NISVS 4.0
Original Question		New Question		Justification for Revision
Stem	Have you ever been told by a doctor, nurse, or other health professional that you had … ?
B03	Diabetes		DROPPED	Previous data years (2010-2012) showed no significant association with violence victimization.
B04a	High Blood Pressure		DROPPED	Previous data years (2010-2012) showed no significant association with violence victimization.
B04b	HIV/AIDS		DROPPED	Analyses of 2016-2017 data indicated a low n for this question, too low to run analyses of association with violence (males, 1.06% and females, 0.23% weighted percentage).
B08	serious difficulty hearing		DROPPED	This question is part of a disability module that was collected in NISVS 2016-2018; those data aren’t yet analyzed. Program will evaluate whether to include individual items from the module after examining their associations with violence. Combined estimates for 2010-2012 showed a significant difference, for U.S. women and men, between those without a history of violence victimization on the following conditions potentially related to disabilities: activity limitations, poor physical health, and poor mental health. We believe these associations justify the inclusion of disability-oriented questions, but the program would like to explore a smaller set in order to shorten the survey.
B09	Are you blind or do you have serious difficulty seeing, even when wearing glasses		DROPPED	(see justification above in B08)
Stem	Do you have … ?
B10	serious difficulty walking or climbing stairs		DROPPED	(see justification above in B08)
B11	difficulty dressing or bathing		DROPPED	(see justification above in B08)
Stem	Because of a physical, mental, or emotional condition, do you have difficulty… ?
B12	concentrating, remembering or making decisions		DROPPED	(see justification above in B08)
B13	doing errands alone such as visiting a doctor’s office or shopping		DROPPED	(see justification above in B08)
	(not asked in previous data collection)	HC06	Have you ever, even once, taken any prescription pain medicine (like OxyContin, Vicodin, Lortab, or Percocet) without a prescription or differently than how a doctor told you to use it?	(Removed HC06 for cognitive testing purposes but will explore a similar item for a NISVS survey revision).
	(not asked in previous data collection)	HC07	Have you ever been told by a doctor, nurse, or other health professional that you had any type of depression?	This question was added to produce national level estimates regarding the relationship between violence victimization and depression and to ease the respondent into the next question about suicide attempts. A meta-analysis published in 2010 (Chen, Murad, Paras, Colbenson, Sattler, Goranson, et al.) found that both adolescent and adult victims of rape and other forms of SV and IPV experience depression at a higher rate than their counterparts who have not been victimized. Additionally, a 2017 review and meta-analysis (Dworkin, Menon, Bystrynski, and Allen) also found that sexual assault was associated with increased risk of depression and that samples that reported more severe sexual assaults evidenced more psychopathology. Posing this question about whether respondents have ever been told by a healthcare professional that they have any type of depression in combination with questions that assess SV, IPV, and stalking victimization will allow NCIPC staff to better understand the connection between these violence and injury outcomes among a nationally representative sample. This question has also been added so that Behavioral Risk Factor Surveillance System (BRFSS) data on a corresponding question can be used as a benchmark to help establish data validity. Will be cognitively tested.
	(not asked in previous data collection)	HC08	Have you ever attempted suicide?	The purpose of adding this question is to produce national level estimates regarding the relationship between violence victimization and suicide attempts. A meta-analysis published in 2010 (Chen, Murad, Paras, Colbenson, Sattler, Goranson, et al.) found that both adolescent and adult victims of rape and other forms of SV and IPV experience suicide attempts at a higher rate than their counterparts who have not been victimized. Further, a more recent review and meta-analysis (Dworkin, Menon, Bystrynski, and Allen, 2017) found that while sexual assault was associated with increased risk for all psychopathologies included in the study, effects were largest and most robust for post-traumatic stress disorder and suicidality, underlining the need to better understand the relationship between SV, IPV, stalking, and suicidality. Posing this question about whether respondents have ever attempted suicide in combination with questions that assess SV, IPV, and stalking victimization will allow NCIPC staff to better understand the connection between these violence and injury outcomes among a nationally representative sample, which to our knowledge, has not been done before. Will be cognitively tested.

4. Stalking

   • Renumbered the questions – replaced C with ST to make variable names more intuitive (ST = stalking).

   • Revised and combined items after consultation with federal partners (ST01, ST03, ST04, ST05, ST06), and dropped 2 stalking tactic questions (see below).

   • Shortened 1 relationship question to reduce length and repetitiveness (ST14).

NISVS 3		NISVS 4.0
Original Question		New Question		Justification for Revision
Stem	Has anyone ever … ?	Stem	Has anyone ever … ?
C01	followed you around and watched you when you did not want them to?	ST01	followed you around, watched, or spied on you when you did not want them to?	Combined with former C06 to reduce number of questions. Consulted with federal partners (NNEDV and SPARC) on the wording. Will be cognitively tested.
C03	used GPS technology or equipment to monitor or track your location when you did not want them to? This includes GPS technology used in a phone or in social media, such as Facebook. IF NECESSARY: We are talking about times when you knew or you thought someone was using GPS technology to monitor you. IF NECESSARY: GPS is Global Positioning Tracking.	ST03	used technology, such as hidden cameras, computer software, apps, or GPS to monitor or track your location without your permission. This includes GPS used in a phone or in social media, such as Facebook. IF NECESSARY: We are talking about times when you knew or you thought someone was using GPS technology to monitor you. IF NECESSARY: GPS is Global Positioning Tracking.	Combined with former C06 to reduce number of questions. This question focuses on technology as a stalking tactic. Consulted with federal partners (NNEDV and SPARC) on the wording. Will be cognitively tested.
C04	left strange or potentially threatening items for you to find?		DROPPED	Dropped to reduce the number of questions and after consultation with federal partners (NNEDV and SPARC). Low prevalence of this item and inability to report at the state level (2010-2012 NISVS State Report) impacted the decision to drop this item. Analyses indicate that removal of this item has a negligible influence on the estimated U.S. prevalence of combined 2016-2017 NISVS data (absolute difference of 0.1% for women and 0.0% for men).
C05	sneaked into your home or car and did things to scare you by letting you know they had been there?	ST04	sneaked onto your property, such as your home or car, and did things to scare you by letting you know they had been there?	Revised after consultation with federal partners (NNEDV and SPARC) to better capture experiences of victims. Will be cognitively tested.
C06	used technology such as a hidden camera, recorder, or computer software to spy on you from a distance?		DROPPED	Dropped to reduce the number of questions and after consultation with federal partners (NNEDV and SPARC). This question was combined with other existing questions.
C07	made unwanted phone calls to you, including hang-ups and voice messages?	ST05	made unwanted phone calls, sent emails, voice, or text messages?	Revised after consultation with federal partners (NNEDV and SPARC) to better reflect the current use of mobile devices. Will be cognitively tested.
C08	sent you unwanted text messages, photo messages, emails, or messages through Facebook, Twitter, or other social media?	ST06	sent you unwanted messages through social media, such as Facebook, Instagram, and chat rooms?	Revised after consultation with federal partners (NNEDV and SPARC) to incorporate more recent social media platforms. Will be cognitively tested.
C14a	Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
C14b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to C14a.
C16	What was your relationship to the first romantic or sexual partner who did any of these things to you?	ST14	What was your relationship to this person?	Shortened to reduce repetitiveness based on feedback in 2016-2018. This question is only asked of respondents who answered “no” to the preceding question which confirmed the specific type of intimate partner relationship. Will be cognitively tested.
C18a	Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139,) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
C18b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to C18a.

5. Noncontact Sexual Violence, Unwanted Sexual Contact, and Sexual Coercion

   • Renumbered the questions – replaced D with SC to make variable names more intuitive (SC = sexual coercion).

   • ADDED 2 questions to address workplace sexual harassment (SC01, SC02).

   • Minor edit (capitalization) to SC03 to distinguish from SC01 and SC02.

   • Shortened 2 relationship questions to reduce length and repetitiveness (SC10, SC21).

   • DROPPED 8 questions pertaining to perpetrator age and 2 questions on 12-month frequency of victimization (see below).

NISVS 3		NISVS 4.0
Original Question		New Question		Justification for Revision
		SC01	In your lifetime, how many people in your WORKPLACE made unwanted sexual remarks, sexual jokes, or offensive comments about your body or appearance? Please include people you work with or come into contact with through your job.	The program has received multiple requests for these data, but we didn’t have a question that covered the topic in previous data years. Additionally, recent media attention and the progression of the #MeToo movement have shed light on how pervasive sexual harassment in the workplace may be, yet to our knowledge, no other nationally representative survey assesses workplace sexual harassment in a behaviorally-specific manner. Thus, to create a behaviorally specific question, we combined sexual harassment items included in (1) an Association of American Universities campus climate survey on sexual assault and sexual misconduct (conducted by Westat) and (2) the 2014 RAND survey of sexual assault and sexual harassment in the U.S. military. Because the items are usually asked individually, we will cognitively test this question
		SC02	How many people in your WORKPLACE have done this to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}?	Companion question to SC01. This question collects information on 12-month experiences.
D01	While you were in a public place, how many people have ever verbally harassed you in a sexual way that made you feel uncomfortable?	SC03	While you were in a PUBLIC place, how many people have ever verbally harassed you in a sexual way that made you feel uncomfortable?	Minor edit. Added capitalization to emphasize harassment that occurs in public (to distinguish from SC01). Will be cognitively tested.
D07a	Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
D07b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to D07a.
D09	What was your relationship to the first romantic or sexual partner who did {FILL: “this” (JUST D03) / “any of these things”} to you?	SC10	What was your relationship to this person?	Shortened to reduce repetitiveness based on feedback in 2016-2018. This question is only asked of respondents who answered “no” to the preceding question which confirmed the specific type of intimate partner relationship. Will be cognitively tested.
D11a	Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
D11b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to D11a.
D14	Approximately how many times in total did {FILL: “this” (IF JUST D03) / “these things”} happen to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “I just need an approximate answer”; IF “R” DOES NOT KNOW: “Would you say …” READ RESPONSE OPTIONS 1-5 BELOW. IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (IF JUST D03) / “these things”} to you in the past 12 months.		DROPPED	Dropped to reduce respondent burden and reduce survey length. The question required respondents to think about experiences across multiple perpetrators. The response options were categorical which limited the usefulness of the data.
D20a	Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
D20b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to D20a.
D22	What was your relationship to the first romantic or sexual partner who did {FILL: “this” / “any of these things”} to you?	SC21	What was your relationship to this person?	Shortened to reduce repetitiveness based on feedback in 2016-2018. This question is only asked of respondents who answered “no” to the preceding question which confirmed the specific type of intimate partner relationship. Will be cognitively tested.
D24a	Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
D24b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to D24a.
D29	Approximately how many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “I just need an approximate answer” IF “R” GIVES A RESPONSE THAT SPANS CATEGORIES: “Would you say …” READ AFFECTED RESPONSE OPTIONS BELOW IF “R” DOES NOT KNOW: “Would you say …” READ RESPONSE OPTIONS 1-5 BELOW. IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months.		DROPPED	Dropped to reduce respondent burden and reduce survey length. The question required respondents to think about experiences across multiple perpetrators. The response options were categorical which limited the usefulness of the data.

6. Completed Alcohol/Drug-Facilitated Rape and Made to Penetrate

   • Renumbered the questions – replaced E with AD to make variable names more intuitive (AD = alcohol/drug).

   • NISVS questions retain behaviorally specific language, an approach recommended by the IPV/SV research field for decades. NISVS has used this approach since its inception in 2010, and the approach was also used in the National Violence Against Women Survey (1995-1996) which was co-sponsored by CDC and NIJ. Note that the alcohol/drug-facilitated made to penetrate items are not asked in other national surveys (NISVS was the first national violence survey to incorporate this experience of predominantly male victims).

   • Revised item based on low endorsement of behavior (AD01).

   • Combined 2 items (original E04 and E05) to created AD04, and DROPPED E05.

   • Combined perpetrator sex types (male and female) of original E08, E10a to enable asking behavior only once (now AD06), and DROPPED E10a.

   • DROPPED questions due to low endorsement (original E09, E10b, E12).

   • Combined 2 items (original E11a and E11b) to create AD08, and DROPPED E11b.

   • Shortened 2 relationship questions to reduce length and repetitiveness (AD14, AD22).

   • Revised 2 questions to reduce length and offer an open-ended response option (AD18 and AD26).

   • DROPPED 8 questions pertaining to perpetrator age (see below).

NISVS 3		NISVS 4.0
Original Question		New Question		Justification for Revision
E01	When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many PEOPLE ever did the following when you did not want them to? [IF FEMALE] Put their mouth on your vagina or anus?	AD01	When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many PEOPLE ever did the following when you did not want them to? [IF FEMALE] Put their mouth on your vagina?	For female respondents only. Low prevalence of mouth to anus behavior based on analysis of unpublished NISVS 2012 data (unweighted estimate, 0.29%), so the behavior was dropped from the question. This version (mouth on your vagina) of the question was used successfully in 2011, 2012, and 2015.
E04	When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many MALES ever did the following when you did not want them to … [IF FEMALE] Put their penis in your anus?	AD04	When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many MALES ever did the following when you did not want them to … [IF FEMALE] Put their penis in your mouth or anus?	For female respondents only. Former E04 was combined with former E05 (now AD04) because both behaviors measure rape. Combining questions reduces survey length and respondent burden. The former questions, E04 and E05, were cognitively tested for the 2016 NISVS survey.
E05	When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many MALES ever did the following when you did not want them to … [IF FEMALE] Put their penis in your mouth?		DROPPED	For female respondents only. Combined with E04 (now AD04). The deletion reduces survey length and respondent burden.
E08	When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many FEMALES ever did the following when you did not want them to … [IF MALE] Put their mouth on your penis?	AD06	When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many PEOPLE ever did the following when you did not want them to … [IF MALE] Put their mouth on your penis?	For male respondents only. Revised question to ask about both male and female perpetrators at the same time (instead of separately) in order to reduce survey length and repetitiveness. Combined with former E10a.
E09	When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many FEMALES ever did the following when you did not want them to … [IF MALE] Made you put your mouth on their vagina?		DROPPED	For male respondents only. Based on analyses of 2012 NISVS data, there was low prevalence of males being made to put their own mouth on a female’s vagina or anus (0.77%) and an estimated 0.26% absolute difference in the effect on U.S. lifetime prevalence of overall made to penetrate of men, based on analysis of 2016-2017 data. Dropped question.
E10a	When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many MALES ever did the following when you did not want them to … [IF MALE] Put their mouth on your penis?		DROPPED	For male respondents only. Combined with former E08 question (now AD06) to ask about both male and female perpetrators at the same time in order to reduce survey length and repetitiveness.
E10b	When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many MALES ever did the following when you did not want them to … [IF MALE] Made you put your penis in their anus?		DROPPED	For male respondents only. Based on analyses of 2012 NISVS data, there was low U.S. prevalence for men (0.47%) and an estimated 0.12% absolute difference in the effect on U.S. lifetime made to penetrate prevalence for men, based on analysis of 2016-2017 data. Dropped question.
E11a	When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many MALES ever did the following when you did not want them to … [IF MALE] Put their penis in your mouth?	AD08	[IF MALE] Put their penis in your mouth or anus?	For male respondents only. Combined with former E11b because both behaviors measure rape. Combining questions reduces survey length and respondent burden. The former questions, E11a and E11b, were cognitively tested for the 2016 NISVS survey.
E11b	When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many MALES ever did the following when you did not want them to … [IF MALE] Put their penis in your anus?		DROPPED	For male respondents only. Combined with E11a (now AD08). The deletion reduces survey length and respondent burden.
E12	When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many MALES ever did the following when you did not want them to … [IF MALE] Put their mouth on your anus?		DROPPED	For male respondents only. Based on analyses of 2012 NISVS data, there was low U.S. prevalence for men (0.20%) and an estimated 0.05% absolute difference in the effect on U.S. lifetime rape prevalence for men, based on analysis of 2016-2017 data. Dropped question.
E17a	Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
E17b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to E17a.
E19	What was your relationship to the first romantic or sexual partner who did any of these things to you?	AD14	What was your relationship to this person?	Shortened to reduce repetitiveness based on feedback in 2016-2018. This question is only asked of respondents who answered “no” to the preceding question which confirmed the specific type of intimate partner relationship. Will be cognitively tested.
E21a	Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
E21b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to E21a.
E24	Approximately how many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “I just need an approximate answer” IF “R” GIVES A RESPONSE THAT SPANS CATEGORIES: “Would you say …” READ AFFECTED RESPONSE OPTIONS BELOW IF “R” DOES NOT KNOW: “Would you say …” READ RESPONSE OPTIONS 1-5 BELOW. IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months.	AD18	Think about the {person / all of the people} who did {FILL: “this” (one behavior)/”these things”} to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}. How many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months? IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months.	The question was shortened and changed to an open-ended response (i.e., changed from categorical response to the participant providing a number). Because it would be rare for a respondent to have multiple rape/made to penetrate perpetrators in a 12-month period, using an open-ended response is appropriate. This change is thought to improve the usability of the data. Will be cognitively tested.
E27a	Approximately how old was “this person” the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700,) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
E27b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to E27a.
E27d	What was your relationship to the first romantic or sexual partner who did any of these things to you?	AD22	What was your relationship to this person?	Shortened to reduce repetitiveness based on feedback in 2016-2018. This question is only asked of respondents who answered “no” to the preceding question which confirmed the specific type of intimate partner relationship. Will be cognitively tested.
E29a	Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
E29b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to E29a.
E32	Approximately how many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “I just need an approximate answer”; IF “R” GIVES A RESPONSE THAT SPANS CATEGORIES: “Would you say …” READ AFFECTED RESPONSE OPTIONS BELOW; IF “R” DOES NOT KNOW: “Would you say …” READ RESPONSE OPTIONS 1-5 BELOW. IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months.	AD26	Think about the {person / all of the people} who did {FILL: “this” (one behavior)/”these things”} to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}. How many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months? IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months.	The question was shortened and changed to an open-ended response (i.e., changed from categorical response to the participant providing a number). Because it would be rare for a respondent to have multiple rape/made to penetrate perpetrators in a 12-month period, using an open-ended response is appropriate. This change is thought to improve the usability of the data. Will be cognitively tested.

7. Completed Physically Forced Rape and Made to Penetrate

   • Renumbered the questions – replaced E with FC to make variable names more intuitive (FC = forced complete).

   • NISVS questions retain behaviorally specific language. Note that the physically forced made to penetrate items are not asked in other national surveys (NISVS was the first national violence survey to incorporate this experience of predominantly male victims).

   • Revised item based on low endorsement of behavior (FC01).

   • Combined 2 items (original E36 and E38) to create FC04, and DROPPED E38.

   • Combined perpetrator sex types (male and female) of original E40, E42a to enable asking behavior only once (now FC06), and DROPPED E42a.

   • DROPPED questions due to low endorsement (original E41, E42b, E44).

   • Combined 2 items (original E43a and E43b) to create FC08, and DROPPED E43b.

   • Shortened 2 relationship questions to reduce length and repetitiveness (FC14, FC22).

   • Revised 2 questions to reduce length and offer an open-ended response option (FC18 and FC24).

   • DROPPED 8 questions pertaining to perpetrator age (see below).

NISVS 3		NISVS 4.0
Original Question		New Question		Justification for Revision
E33	How many PEOPLE have ever used physical force or threats of physical harm to … [IF FEMALE] Put their mouth on your vagina or anus?	FC01	How many PEOPLE have ever used physical force or threats of physical harm to … [IF FEMALE] Put their mouth on your vagina?	For female respondents only. Low prevalence of mouth to anus behavior based on analysis of unpublished NISVS 2012 data (unweighted estimate, 0.41%), so the behavior was dropped from the question. This version (mouth on your vagina) of the question was used successfully in 2011, 2012, and 2015.
E36	How many MALES have ever used physical force or threats of physical harm to … [IF FEMALE] Put their penis in your anus?	FC04	How many MALES have ever used physical force or threats of physical harm to … [IF FEMALE] Put their penis in your mouth or anus?	For female respondents only. Combined with former E38 because both behaviors measure rape. Combining questions reduces survey length and respondent burden. The former questions, E36 and E38, were cognitively tested for the 2016 NISVS survey.
E38	How many PEOPLE have ever used physical force or threats of physical harm to … [IF FEMALE] Put their penis in your mouth?		DROPPED	For female respondents only. Combined with E36 (now FC04). The deletion reduces survey length and respondent burden.
E40	How many FEMALES have ever used physical force or threats of physical harm to … [IF MALE] Put their mouth on your penis?	FC06	How many PEOPLE have ever used physical force or threats of physical harm to … [IF MALE] Put their mouth on your penis?	For male respondents only. Revised question to ask about both male and female perpetrators at the same time (instead of separately) in order to reduce survey length and repetitiveness. Combined with former E42a.
E41	How many FEMALES have ever used physical force or threats of physical harm to … [IF MALE] Made you put your mouth on their vagina?		DROPPED	For male respondents only. Based on analyses of 2012 NISVS data, there was low prevalence of males being physically forced to put their own mouth on a female’s vagina or anus (0.17%) and an estimated 0.1% absolute difference in the effect on U.S. lifetime prevalence of overall made to penetrate of men, based on analysis of 2016-2017 data. Dropped question.
E42a	How many MALES have ever used physical force or threats of physical harm to … [IF MALE] Put their mouth on your penis?		DROPPED	For male respondents only. Combined with FC06 (formerly E40) to ask about both male and female perpetrators at the same time in order to reduce survey length and repetitiveness.
E42b	How many MALES have ever used physical force or threats of physical harm to … [IF MALE] Made you put your penis in their anus?		DROPPED	For male respondents only. Based on analyses of 2012 NISVS data, there was low U.S. prevalence for men (0.39%) and an estimated 0.1% absolute difference in the effect on U.S. lifetime made to penetrate prevalence for men, based on analysis of 2016-2017 data. Dropped question.
E43a	How many MALES have ever used physical force or threats of physical harm to … [IF MALE] Put their penis in your mouth?	FC08	How many MALES have ever used physical force or threats of physical harm to … [IF MALE] Put their penis in your mouth or anus?	For male respondents only. Combined with former E43b because both behaviors measure rape. Combining questions reduces survey length and respondent burden. The former questions, E43a and E43b, were cognitively tested for the 2016 NISVS survey.
E43b	How many MALES have ever used physical force or threats of physical harm to … [IF MALE] Put their penis in your anus?		DROPPED	For male respondents only. Combined with former E43a (now FC08). The deletion reduces survey length and respondent burden.
E44	How many MALES have ever used physical force or threats of physical harm to … [IF MALE] Put their mouth on your anus?		DROPPED	For male respondents only. Based on analyses of 2012 NISVS data, there was low U.S. prevalence for men (0.10%) and an estimated 0.1% absolute difference in the effect on U.S. lifetime rape prevalence for men, based on analysis of 2016-2017 data. Dropped question.
E47a	Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
E47b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to E47a.
E49	What was your relationship to the first romantic or sexual partner who did any of these things to you?	FC14	What was your relationship to this person?	Shortened to reduce repetitiveness based on feedback in 2016-2018. This question is only asked of respondents who answered “no” to the preceding question which confirmed the specific type of intimate partner relationship. Will be cognitively tested.
E51a	Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
E51b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to E51a.
E56	Approximately how many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “I just need an approximate answer” IF “R” GIVES A RESPONSE THAT SPANS CATEGORIES: “Would you say …” READ AFFECTED RESPONSE OPTIONS BELOW IF “R” DOES NOT KNOW: “Would you say …” READ RESPONSE OPTIONS 1-5 BELOW. IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months.	FC18	Think about the {person / all of the people} who did {FILL: “this” (one behavior)/”these things”} to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}. How many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months? IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months.	The question was shortened and changed to an open-ended response (i.e., changed from categorical response to the participant providing a number). Because it would be rare for a respondent to have multiple rape/made to penetrate perpetrators in a 12-month period, using an open-ended response is appropriate. This change is thought to improve the usability of the data. Will be cognitively tested.
E57a	Approximately how old was “this person” the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700,) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
E57b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to E57a.
E59	What was your relationship to the first romantic or sexual partner who did any of these things to you?	FC20	What was your relationship to this person?	Shortened to reduce repetitiveness based on feedback in 2016-2018. This question is only asked of respondents who answered “no” to the preceding question which confirmed the specific type of intimate partner relationship. Will be cognitively tested.
E61a	Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
E61b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to E61a.
E64	Approximately how many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “I just need an approximate answer”; IF “R” GIVES A RESPONSE THAT SPANS CATEGORIES: “Would you say …” READ AFFECTED RESPONSE OPTIONS BELOW; IF “R” DOES NOT KNOW: “Would you say …” READ RESPONSE OPTIONS 1-5 BELOW. IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months.	FC24	Think about the {person / all of the people} who did {FILL: “this” (one behavior)/”these things”} to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}. How many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months? IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months.	The question was shortened and changed to an open-ended response (i.e., changed from categorical response to the participant providing a number). Because it would be rare for a respondent to have multiple rape/made to penetrate perpetrators in a 12-month period, using an open-ended response is appropriate. This change is thought to improve the usability of the data. Will be cognitively tested.

8. Attempted Physically Forced Rape and Made to Penetrate and SV Outcome Questions

   • Renumbered the questions – replaced E with FA for Attempted Physically Forced SV and replaced E with OT for SV Outcomes to make variable names more intuitive (FA = forced attempt; OT = outcome).

   • NISVS questions retain behaviorally specific language. Note that the attempted physically forced made to penetrate items are not asked in other national surveys (NISVS was the first national violence survey to incorporate made to penetrate items).

   • DROPPED questions due to low endorsement (original E65, E69, E71).

   • Revised original E66 (now FA01) to match the order of language in previous items in the survey.

   • Shortened 2 relationship questions to reduce length and repetitiveness (FA08, FA16).

   • Revised 2 questions to reduce length and offer an open-ended response option (FA12 and FA20).

   • DROPPED 4 questions pertaining to perpetrator age (see below).

   • ADDED 1 question on having filed a police report after a rape or made to penetrate incident (OT01).

NISVS 3		NISVS 4.0
Original Question		New Question		Justification for Revision
E65	How many PEOPLE have ever used physical force or threats of physical harm to … [IF FEMALE] TRY to put their mouth on your vagina or anus but it did not happen?		DROPPED	For female respondents only. Low prevalence of completed made to penetrate victimization (1.2%) for women based on NISVS 2015. The program has dropped all other made to penetrate survey questions for women and will focus on attempted rape behaviors for this section (FA01). Deletion reduces survey length and respondent burden.
E66	How many MALES have ever used physical force or threats of physical harm to … [IF FEMALE] TRY to put their penis in your vagina, anus or mouth, but it did not happen?	FA01	How many MALES have ever used physical force or threats of physical harm to … [IF FEMALE] TRY to put their penis in your vagina, mouth, or anus, but it did not happen?	For female respondents only. Minor edit to match the order in the male version of the question.
E69	How many FEMALES have ever used physical force or threats of physical harm to … [IF MALE] TRY to make you put your mouth on their vagina but it did not happen?		DROPPED	For male respondents only. Based on analyses of 2016-2017 NISVS data, excluding E69 has little effect (0.2% absolute difference) on the U.S. lifetime prevalence of attempted made to penetrate for men. Dropped question.
E71	How many MALES have ever used physical force or threats of physical harm to … [IF MALE] TRY to put their mouth on your anus, but it did not happen?		DROPPED	For male respondents only. Based on analyses of 2016-2017 NISVS data, excluding E71 has little effect (0.0% absolute difference) on the U.S. lifetime prevalence of attempted rape for men. Dropped question.
E74a	Approximately how old was “this person” the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
E74b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to E74a.
E76	What was your relationship to the first intimate partner who did any of these things to you?	FA08	What was your relationship to this person?	Shortened to reduce repetitiveness based on feedback in 2016-2018. This question is only asked of respondents who answered “no” to the preceding question which confirmed the specific type of intimate partner relationship. Will be cognitively tested.
E78a	Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
E78b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to E78a.
E81	Approximately how many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “I just need an approximate answer”; IF “R” GIVES A RESPONSE THAT SPANS CATEGORIES: “Would you say …” READ AFFECTED RESPONSE OPTIONS BELOW; IF “R” DOES NOT KNOW: “Would you say …” READ RESPONSE OPTIONS 1-5 BELOW. IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months.	FA12	Think about the {person / all of the people} who did {FILL: “this” (one behavior)/”these things”} to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}. How many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months? IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months.	The question was shortened and changed to an open-ended response (i.e., changed from categorical response to the participant providing a number). Because it would be rare for a respondent to have multiple rape/made to penetrate perpetrators in a 12-month period, using an open-ended response is appropriate. This change is thought to improve the usability of the data. Will be cognitively tested.
E84a	Approximately how old was “this person” the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700,) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
E84b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to E84a.
E86	What was your relationship to the first intimate partner who did any of these things to you?	FA16	What was your relationship to this person?	Shortened to reduce repetitiveness based on feedback in 2016-2018. This question is only asked of respondents who answered “no” to the preceding question which confirmed the specific type of intimate partner relationship. Will be cognitively tested.
E88a	Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
E88b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to E88a.
E91	Approximately how many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “I just need an approximate answer”; IF “R” GIVES A RESPONSE THAT SPANSCATEGORIES: “Would you say …” READ AFFECTED RESPONSE OPTIONS BELOW; IF “R” DOES NOT KNOW: “Would you say …” READ RESPONSE OPTIONS 1-5 BELOW. IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months.	FA20	Think about the {person / all of the people} who did {FILL: “this” (one behavior)/”these things”} to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}. How many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months? IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months.	The question was shortened and changed to an open-ended response (i.e., changed from categorical response to the participant providing a number). Because it would be rare for a respondent to have multiple rape/made to penetrate perpetrators in a 12-month period, using an open-ended response is appropriate. This change is thought to improve the usability of the data. Will be cognitively tested.
	(not asked in previous data collection)	OT01	Thinking about these experiences in your entire lifetime, when {FILL: “this” (IF JUST ONE BEHAVIOR ENDORSED FROM AD01 – AD04, FC01-FC04,FA01 (FEMALE)/AD05 – AD08, FC05-FC08,FA02-FA04 (MALE), / “any of these things”} happened did you file a police report?	Added due to multiple requests for this data point. This question focuses strictly on rape and made to penetrate experiences.

9. Psychological Aggression and Reproductive Coercion

• Renumbered the questions – replaced F with PA to make variable names more intuitive (PA = psychological aggression).

• Reduced intimate partner descriptor in the stem and questions throughout to reduce repetitiveness.

• Shortened original F01 (now PA01) to improve clarity of intent.

• DROPPED 2 questions pertaining to perpetrator age (see below).

• Revised 1 question to reduce length and offer easier, categorical response options (PA11) to reduce burden (see below).

• ADDED introduction and 5 reproductive coercion questions (previously asked in 2010-2015) due to high interest in the field (PA12-PA16).

NISVS 3		NISVS 4.0
Original Question		New Question		Justification for Revision
Stem	How many of your current or ex-romantic or sexual partners have EVER ...	Stem	How many of your current or ex partners have EVER ...	Minor edit to reduce length of question and repetitiveness, based on feedback of 2016-2018 survey.
F01	insulted, humiliated, or made fun of you in front of others?	PA01	insulted or humiliated you in front of others?	Revised question to emphasize abusive behavior (removed “made fun of you”). This revision was made in consultation with IPV subject matter experts and more closely matches the item in Follingstad’s published measure of psychological aggression.
F09	How old were you the first time a current or ex-romantic or sexual partner did {FILL: “this” (ONE BEHAVIOR, ONE PERSON) / “any of these things”} to you?	PA09	How old were you the first time a current or ex partner did {FILL: “this” (ONE BEHAVIOR, ONE PERSON) / “any of these things”} to you?	Minor edit to reduce length of question and repetitiveness, based on feedback of 2016-2018 survey.
F10a	Approximately how old was “this person” the first time he or she did {FILL: “this” (ONE BEHAVAIOR) / ”any of these things”} to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
F10b	Was this person less than 5 years older than you or 5 or more years older than you the first time he or she did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to F10a.
F11	How many current or ex-romantic or sexual partners have done {FILL: “this” (JUST ONE OF F01-F08) / “any of these things”} to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}?	PA10	How many current or ex partners have done {FILL: “this” (JUST ONE OF F01 – F08) / “any of these things”} to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}?	Minor edit to reduce length of question and repetitiveness, based on contractor feedback of the 2016-2018 survey.
F12	Approximately how many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “I just need an approximate answer” IF “R” GIVES A RESPONSE THAT SPANS CATEGORIES: “Would you say …” READ AFFECTED RESPONSE OPTIONS BELOW. IF “R” DOES NOT KNOW: “Would you say …” READ RESPONSE OPTIONS 1-5 BELOW IF NECESSARY: “In total” refers to your combined experiences across all current or ex-romantic sexual partners in the past 12 months. ONE TIME TWO TO FIVE TIMES SIX TO TEN TIMES ELEVEN TO TWENTY TIMES MORE THAN TWENTY TIMES	PA11	At the time that it was most frequent in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}, how often did a current or ex partner do {FILL: “this” (ONE BEHAVIOR) / “these things”} to you? Would you say …” (READ RESPONSE OPTIONS 1-5 BELOW). Once A few times a year Monthly Weekly Daily	Reduced question length and revised the response options to make it easier to answer. The response option change also better reflects the experience of victims. This revision was made in consultation with IPV subject matter experts. Will be cognitively tested.
	(not asked in previous 2016-18 data collection)	PA_INTRO2	The next few questions are related to other experiences you may have had with a current or ex-romantic or sexual partner.	This question was previously asked in 2010-2012. The program has received requests for recent data on this issue (reproductive and sexual control), and data are not available from other national surveys.
	(not asked in previous 2016-18 data collection)	PA12	How many of your current or ex partners have EVER ... [IF FEMALE ASK] tried to get you pregnant when you did not want to become pregnant or tried to stop you from using birth control?	This question was previously asked in 2010-2012. The program has received requests for recent data on this issue (reproductive and sexual control), and data are not available from other national surveys. Data from the 2010 NISVS report showed that 4.8% of U.S. women experienced this form of reproductive/sexual control. Combined data from NISVS 2010-2012 showed a similar prevalence estimate (paper under review at journal).
	(not asked in previous 2016-18 data collection)	PA13	How many of your current or ex partners have EVER ... [IF MALE ASK] tried to get pregnant when you didn’t want them to get pregnant} or tried to stop you from using birth control?	This question was previously asked in 2010-2012. The program has received requests for recent data on this issue (reproductive and sexual control), and data are not available from other national surveys. Data from the 2010 NISVS report showed that 8.7% of U.S. men experienced this form of reproductive/sexual control. Combined data from NISVS 2010-2012 showed a similar prevalence estimate (paper under review at journal).
	(not asked in previous 2016-18 data collection)	PA14	How many current or ex partners have done this to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}?	This question was previously asked in 2010-2012. The program has received requests for recent data on this issue (reproductive and sexual control), and data are not available from other national surveys. Combined data from NISVS 2010-2012 are presented in a paper under review at a journal.
	(not asked in previous 2016-18 data collection)	PA15	refused to use a condom when you wanted them to use one?	This question was previously asked in 2010-2012. The program has received requests for recent data on this issue (reproductive and sexual control), and data are not available from other national surveys. Data from the 2010 NISVS report showed that 6.7% of U.S. women and 3.8% of U.S. men experienced this form of reproductive/sexual control. Combined data from NISVS 2010-2012 showed a similar prevalence estimate (paper under review at journal).
	(not asked in previous 2016-18 data collection)	PA16	How many current or ex partners have done this to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}?	This question was previously asked in 2010-2012. The program has received requests for recent data on this issue (reproductive and sexual control), and data are not available from other national surveys. Combined data from NISVS 2010-2012 are presented in a paper under review at a journal.

10. Physical Violence

• Renumbered the questions – replaced G with PV to make variable names more intuitive (PV = physical violence).

• Reduced intimate partner descriptor in the stem and questions throughout to reduce repetitiveness.

• Combined original G01 and G02 to create 1 item (PV01).

• Broadened behaviors in original G06 (see PV05).

• Dropped 1 question that is correlated with other items (G10).

• Dropped 1 questions due to low endorsement (G11).

• DROPPED 2 questions pertaining to perpetrator age (see below).

• Revised 1 question to reduce length and offer easier response options (PV15) to reduce burden (see below).

NISVS 3		NISVS 4.0
Original Question		New Question		Justification for Revision
G_INTRO1a	The next questions are related to physical acts you may have experienced with your romantic or sexual partners.	PV_INTRO1	The next questions are related to physical acts you may have experienced with your current or ex-romantic or sexual partners.	Minor edit to emphasize that the questions include both current and ex partners.
Stem	How many of your current or ex-romantic or sexual partners have ever…	Stem	How many of your current or ex partners have ever…	Minor edit to reduce length of question and repetitiveness, based on feedback of 2016-2018 survey.
G01	slapped you?	PV01	slapped, pushed, or shoved you?	Combined with former G02 to reduce survey length and respondent burden. G01 and G02 were cognitively tested for the 2010 NISVS survey and carried over in subsequent years.
G02	Pushed or shoved you?		DROPPED	Combined with former G01 to reduce survey length and respondent burden.
G03	How old were you the first time a current or ex-romantic or sexual partner did {FILL: “this” (JUST G01) / ”any of these things”} to you?	PV02	How old were you the first time a current or ex partner did {FILL: “this” (JUST PV01) / ”any of these things”} to you?	Minor edit to reduce question length and repetitiveness.
G04	How many current or ex-romantic or sexual partners have done {FILL: “this” (JUST G01)/ “any of these things”} to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}?	PV03	How many current or ex partners have done {FILL: “this” / “any of these things”} to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}?	Minor edit to reduce question length and repetitiveness.
G_INTRO1b	I want to continue to ask you about other physical acts you might have ever experienced by a current or ex-romantic or sexual partner in your lifetime.		DROPPED	Dropped this introduction to reduce survey length.
Stem	How many of your current or ex-romantic or sexual partners have ever …	Stem	How many of your current or ex partners have ever …	Minor edit to reduce question length and repetitiveness.
G06	kicked you?	PV05	kicked you or stomped on you?	Expanded question to include stomping which is included in established IPV measures (e.g., Severity of Violence Against Women Scale, Marshall, 1992).
G10	beaten you?		DROPPED	Dropped because it captures a group of behaviors that are captured with individual questions. Analyses indicate that this question is highly correlated with other individual questions that are retained.
G11	burned you on purpose?		DROPPED	Dropped due to low endorsement and little effect on the overall U.S. prevalence of severe physical violence during the lifetime (absolute difference of 0.0% for women and 0.2% for men).
G14	How old were you the first time a current or ex-romantic or sexual partner {FILL: LIST OF SEVERE PHYSICAL ACT BEHAVIORS ENDORSED IN G05-G13 – USE THE SEVERE PHYSICAL VIOLENCE BEHAVIOR FILLS (APPENDIX II) - SEPARATE THE LAST TWO BEHAVIORS ENDORSED WITH “or”}?	PV11	How old were you the first time a current or ex partner {FILL: LIST OF SEVERE PHYSICAL ACT BEHAVIORS ENDORSED IN PV04 – PV10 – USE THE SEVERE PHYSICAL VIOLENCE BEHAVIOR FILLS (APPENDIX II) - SEPARATE THE LAST TWO BEHAVIORS ENDORSED WITH “or”}?	Minor edit to reduce question length and repetitiveness.
G15	How many current or ex-romantic or sexual partners have done {FILL: “this” (ONE BEHAVIOR, ONE PERSON)/ “these things”} to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}?	PV12	How many current or ex partners have done {FILL: “this” (ONE BEHAVIOR, ONE PERSON)/ “these things”} to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}?	Minor edit to reduce question length and repetitiveness.
G16	Think about {FILL: “the person” (ONLY ONE OF G01, G02, G05 – G13 ENDORSED AND ONLY 1 PERSON) / “all of the people”} who {FILL: ENDORSED BEHAVIORS G01, G02, G05-G13 - USE THE PHYSICAL VIOLENCE BEHAVIOR FILLS (APPENDIX II); SEPARATE THE LAST TWO BEHAVIORS WITH THE WORD “or”} in your lifetime. What was your relationship with the first current or ex-romantic or sexual partner who did {FILL: “this” (ONE BEHAVIOR)/ “any of these things”} to you the FIRST time? IF NECESSARY: “Was this person male or female?”	PV13	Think about {FILL: “the person” (ONLY ONE OF PV01, PV04 – PV10 ENDORSED AND ONLY 1 PERSON) / “all of the people”} who {FILL: ENDORSED BEHAVIORS PV01, PV04 – PV10 - USE THE PHYSICAL VIOLENCE BEHAVIOR FILLS (APPENDIX II); SEPARATE THE LAST TWO BEHAVIORS WITH THE WORD “or”} in your lifetime. What was your relationship with the first current or ex partner who did {FILL: “this” (ONE BEHAVIOR)/ “any of these things”} to you the FIRST time? IF NECESSARY: “Was this person male or female?”	Minor edit to reduce question length and repetitiveness.
G17a	Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} “he” or “she” did {FILL: “this” (ONE BEHAVIOR) / “any of these things”} to you?		DROPPED	Dropped to reduce respondent burden and survey length and because respondents do not consistently know the age of the perpetrator. This question was only asked of respondents who stated that they were under 18 at the time of the victimization.
G17b	Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you?		DROPPED	Dropped to reduce respondent burden and survey length. This was a companion question to G17a.
G18	What was your relationship with the {FILL: “first” (SUM G04+G15>1)} current or ex-romantic or sexual partner who did {FILL: “this” (ONE BEHAVIOR)/ “any of these things”} to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “Was this person male or female?”	PV14	What was your relationship with the {FILL: “first” (SUM PV03+PV12>1)} current or ex partner who did {FILL: “this” (ONE BEHAVIOR)/ “any of these things”} to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “Was this person male or female?”	Minor edit to reduce question length and repetitiveness.
G19	Approximately how many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “I just need an approximate answer”. IF “R” GIVES A RESPONSE THAT SPANS CATEGORIES: “Would you say …” READ AFFECTED RESPONSE OPTIONS BELOW. IF “R” DOES NOT KNOW: “Would you say …” READ RESPONSE OPTIONS 1-5 BELOW. IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months.] ONE TIME TWO TO FIVE TIMES SIX TO TEN TIMES ELEVEN TO TWENTY TIMES MORE THAN TWENTY TIMES	PV15	At the time that it was most frequent in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}, how often did a current or ex partner do {FILL: “this” (ONE BEHAVIOR) / “these things”} to you? Would you say …” READ RESPONSE OPTIONS 1-5 BELOW BELOW. IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months. Once A few times a year Monthly Weekly Daily	Reduced question length and revised the response options to make it easier to answer. The response option change also better reflects the experience of victims. This revision was made in consultation with IPV subject matter experts. Will be cognitively tested.

11. Consequences / Impact of Intimate Partner Violence

• Renumbered the questions – replaced H with CQ to make variable names more intuitive (CQ = consequences).

• Reduced intimate partner descriptor in the stem and questions throughout to reduce repetitiveness.

• Moved location and revised the introduction to the questions.

• Dropped 1 question due to low use in analyses (H12).

• Replaced head injury question (H17) with concussion question (CQ16) to address Center priorities.

• Shortened 2 items by removing intimate partner language (see CQ22 and CQ23) and inserting it into the introduction.

• Revised original H26 and H27 to ask about having filed a police report after (CQ26 and CQ27).

• DROPPED 3 questions (H33-H35) in order to add other priority questions.

NISVS 3		NISVS 4.0
Original Question		New Question		Justification for Revision
Stem	Because of what a current or ex-romantic or sexual partner did to you, did you ever experience …		(MOVED INTO REVISED INTRO)	Combined with revised introduction.
		INTRO/STEM	I am going to read you a list of possible injuries. Please tell me which of these you have experienced because of the physical acts, unwanted sexual situations, or repeated unwanted attempts to contact, follow, or harass you by a current or ex partner. Did you ever experience …	Because H12 was dropped, the introduction was moved to the beginning.
H12	Any other physical injuries? [IF R RESPONDS NO, DK OR REF TO H12, SKIP TO H18; CODE H13-H17 AS LEGIT SKIP.]		DROPPED	Dropped in order to go ahead and ask the full list of injuries. This question required respondents to remember additional injuries. It is preferable to go ahead and ask about the injuries to facilitate respondent recall.
Intro	I am going to read you a list of other possible injuries. Please tell me which of these you have experienced because of the physical acts, unwanted sexual situations, or repeated unwanted attempts to contact, follow, or harass you by a current or ex romantic or sexual partner.		(REVISED & MOVED UP EARLIER)	Because H12 was dropped, this introduction was moved to the beginning.
H17	A head injury?	CQ16	A concussion is when a blow to the head caused you to have one or more symptoms such as blurred or double vision, sensitivity to light or noise, headaches, dizziness or balance problems, nausea, being dazed or confused, difficulty remembering, difficulty concentrating, or being knocked out. Did you ever experience a concussion because of what a current or ex partner did to you? {IF NECESSARY: Do not include situations where you were hurt accidentally.}	This question was revised to focus on traumatic brain injury. This question, which was adapted from a YRBS question, collects information on TBI that is the result of IPV which is unavailable in other national surveys. Additionally, in recent years there has been growing interest in TBI in women given that much of the research has been conducted on men.  A recent National Institute of Health workshop on Understanding TBI in Women concluded that there was a need for more research on TBI in women, including incidence estimates of IPV-related TBI. While men are more likely to experience most of the mechanisms of injury that lead to TBI (motor vehicle crashes, falls, contact sports, suicide), it is expected that women are likely at greater risk of TBI due to a higher prevalence of intimate partner violence among women.  However, there have been no representative studies to date that have established the incidence of TBI in women.  The flow of this question will be cognitively tested. The program is optimistic about the ability to detect TBI with typical NISVS sample sizes. A recent 2015 NISVS data report (in press) shows that 11.3% of female IPV victims and 2.2% of male IPV victims had a head injury as a result of injuries by an intimate partner. Also, 11.7% of female IPV victims were knocked out after getting hit, slammed against something, or choked by an intimate partner (estimate for male victims was not statistically reliable). Both of these data points represent indicators of possible TBI, especially being “knocked out”.
H18	Did you ever experience mental or emotional harm (for example, anxiety or depression) because of what a current or ex-romantic or sexual partner did to you?	CQ17	Did you ever experience mental or emotional harm (for example, anxiety or depression) because of what a current or ex partner did to you?	Minor edit to reduce question length and repetitiveness.
H19	[IF ANY OF H10-H12 OR H18 IS YES, ASK H19] Did you ever need medical care because of what a current or ex-romantic or sexual partner did to you?	CQ18	Did you ever need medical care because of what a current or ex partner did to you?	Minor edit to reduce question length and repetitiveness.
H21	Were you injured in the past 12 months because of any of the things a current or ex-romantic or sexual partner did to you?	CQ20	In the past 12 months were you injured because of the things a current or ex partner did to you?	Minor edit to reduce question length and repetitiveness.
INTRO	Now I am going to read you a list of services and other types of assistance you might have needed.	INTRO	Now I will read you a list of services and assistance you might have needed because of what a current or or ex-romantic or sexual partner did to you.	Minor edit to allow for shortening of the 2 following questions.
H23	Have you ever talked to a crisis hotline operator about what a current or ex-romantic or sexual partner did to you?	CQ22	Have you ever talked to a crisis hotline operator?	Minor edit to reduce question length and repetitiveness (removed the part about “what a current or ex-romantic or sexual partner did to you” given that the intro already provided this instruction.
H24	Did you ever need housing services because of the things a current or ex-romantic or sexual partner did to you?	CQ23	Did you ever need housing services?	Minor edit to reduce question length and repetitiveness (removed the part about “what a current or ex-romantic or sexual partner did to you” given that the intro already provided this instruction.
H26	Did you ever need help from law enforcement because of the things a current or ex-romantic or sexual partner did to you?	CQ26	Did you ever file a police report because of the things that a current or ex partner did to you?	Revised due to multiple requests for data on police reports specifically. This question focuses strictly on IPV experiences and can be used in conjunction with the same question for rape/made to penetrate victimization (in SV section).
H27	Did you need help from law enforcement in the past 12 months?	CQ27	In the past 12 months did you file a police report because of the things that a current or ex partner did to you?	Revised due to multiple requests for data on police reports specifically (vs. help from law enforcement). This question focuses strictly on IPV experiences (12-month experiences). Moved ‘in the past 12 months” to the front of the question for emphasis.
H29	About how many days of work did you ever have to miss when a current or ex-romantic or sexual partner did these things to you?	CQ28	About how many days of work did you ever have to miss when a current or ex partner did these things to you?	Minor edit to reduce question length and repetitiveness.
H30	[IF H29>0] In the past 12 months how many days of work did you have to miss when a current or ex-romantic or sexual partner did these things to you?	CQ29	[IF CQ28>0] In the past 12 months how many days of work did you have to miss when a current or ex partner did these things to you?	Minor edit to reduce question length and repetitiveness.
H31	About how many days of school did you ever have to miss when a current or ex-romantic or sexual partner did these things to you?	CQ30	About how many days of school did you ever have to miss when a current or ex partner did these things to you?	Minor edit to reduce question length and repetitiveness.
H32	[IF H30>0] In the past 12 months how many days of school did you have to miss when a current or ex-romantic or sexual partner did these things to you?	CQ31	[IF CQ30>0] In the past 12 months how many days of school did you have to miss when a current or ex partner did these things to you?	Minor edit to reduce question length and repetitiveness.
H33	Are there any children under the age of 18 currently living in your household all or most of the year?		DROPPED	Dropped to reduce survey length. This question and the follow-up questions are only relevant for 12-month victimization.
INTRO	[IF H33=1] These next two questions are about children under the age of 18.		DROPPED	Dropped to reduce survey length. This intro was only provided for those who gave a “yes” response to H33.
H34	Did a child under the age of 18 currently living in your household ever see or hear their parent or guardian being pushed, slapped, hit, punched, or beat up by that person’s current or ex romantic or sexual partner?		DROPPED	Dropped to reduce survey length. This question was asked during the 2016-2018 NISVS administration. Prevention of adverse childhood experiences (ACEs) is a research priority for the National Center for Injury Prevention and Control, and much research suggests that individuals who experience ACEs are at increased risk for subsequent SV and IPV victimization later in life. However, this association had previously not been assessed among a nationally representative sample of adults using behaviorally specific measures of SV and IPV. Since we now have data from the 2016-2018 NISVS administration, we intend to use those data to assess this relationship. In the meantime, the ACEs survey items will be dropped on the current NISVS survey to save space. However, being that we may want to assess these items over time given their evidenced association with SV and IPV, they may be rotated back into NISVS in the future. This question was only asked for those who gave a “yes” response to H33. This question provides data on their perception about violence witnessed by a minor and is only relevant for 12-month victimization.
H35	Did a child under the age of 18 currently living in your household ever see or hear their parent or guardian being insulted, humiliated, or threatened with physical harm by that person’s current or ex romantic or sexual partner?		DROPPED	Dropped to reduce survey length. This question was asked during the 2016-2018 NISVS administration. Prevention of adverse childhood experiences (ACEs) is a research priority for the National Center for Injury Prevention and Control, and much research suggests that individuals who experience ACEs are at increased risk for subsequent SV and IPV victimization later in life. However, this association had previously not been assessed among a nationally representative sample of adults using behaviorally specific measures of SV and IPV. Since we now have data from the 2016-2018 NISVS administration, we intend to use those data to assess this relationship. In the meantime, the ACEs survey items will be dropped on the current NISVS survey to save space. However, being that we may want to assess these items over time given their evidenced association with SV and IPV, they may be rotated back into NISVS in the future. This question was only asked for those who gave a “yes” response to H33. This question provides data on their perception about psychological aggression witnessed by a minor and is only relevant for 12-month victimization.

12. Normative Behaviors

• Formerly Section J. DROPPED all 11 questions to reduce survey length and due to low variability of responses in 2016-2017. This decision was made in consultation with RPE and DELTA IMPACT project officers who represent the data needs of grantees.