NIS-4P Attachements

Attachment A: PublicLaw108-79

PUBLIC LAW 108–79—SEPT. 4, 2003

PRISON RAPE ELIMINATION ACT OF 2003

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Attachment A: PublicLaw108-79

117 STAT. 972

PUBLIC LAW 108–79—SEPT. 4, 2003

Public Law 108–79
108th Congress
An Act
Sept. 4, 2003
[S. 1435]

Prison Rape
Elimination Act
of 2003.
45 USC 15601
note.

To provide for the analysis of the incidence and effects of prison rape in Federal,
State, and local institutions and to provide information, resources, recommendations, and funding to protect individuals from prison rape.

Be it enacted by the Senate and House of Representatives of
the United States of America in Congress assembled,
SECTION 1.SHORT TITLE; TABLE OF CONTENTS.

(a) SHORT TITLE.—This Act may be cited as the ‘‘Prison Rape
Elimination Act of 2003’’.
(b) TABLE OF CONTENTS.—The table of contents of this Act
is as follows:
Sec.
Sec.
Sec.
Sec.
Sec.
Sec.
Sec.
Sec.
Sec.
Sec.

42 USC 15601.

1. Short title; table of contents.
2. Findings.
3. Purposes.
4. National prison rape statistics, data, and research.
5. Prison rape prevention and prosecution.
6. Grants to protect inmates and safeguard communities.
7. National Prison Rape Reduction Commission.
8. Adoption and effect of national standards.
9. Requirement that accreditation organizations adopt accreditation standards.
10. Definitions.

SEC. 2. FINDINGS.

Congress makes the following findings:
(1) 2,100,146 persons were incarcerated in the United
States at the end of 2001: 1,324,465 in Federal and State
prisons and 631,240 in county and local jails. In 1999, there
were more than 10,000,000 separate admissions to and discharges from prisons and jails.
(2) Insufficient research has been conducted and insufficient data reported on the extent of prison rape. However,
experts have conservatively estimated that at least 13 percent
of the inmates in the United States have been sexually
assaulted in prison. Many inmates have suffered repeated
assaults. Under this estimate, nearly 200,000 inmates now
incarcerated have been or will be the victims of prison rape.
The total number of inmates who have been sexually assaulted
in the past 20 years likely exceeds 1,000,000.
(3) Inmates with mental illness are at increased risk of
sexual victimization. America’s jails and prisons house more
mentally ill individuals than all of the Nation’s psychiatric
hospitals combined. As many as 16 percent of inmates in State
prisons and jails, and 7 percent of Federal inmates, suffer
from mental illness.
(4) Young first-time offenders are at increased risk of sexual
victimization. Juveniles are 5 times more likely to be sexually

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Attachment A: PublicLaw108-79

PUBLIC LAW 108–79—SEPT. 4, 2003

117 STAT. 973

assaulted in adult rather than juvenile facilities—often within
the first 48 hours of incarceration.
(5) Most prison staff are not adequately trained or prepared
to prevent, report, or treat inmate sexual assaults.
(6) Prison rape often goes unreported, and inmate victims
often receive inadequate treatment for the severe physical and
psychological effects of sexual assault—if they receive treatment
at all.
(7) HIV and AIDS are major public health problems within
America’s correctional facilities. In 2000, 25,088 inmates in
Federal and State prisons were known to be infected with
HIV/AIDS. In 2000, HIV/AIDS accounted for more than 6 percent of all deaths in Federal and State prisons. Infection rates
for other sexually transmitted diseases, tuberculosis, and hepatitis B and C are also far greater for prisoners than for the
American population as a whole. Prison rape undermines the
public health by contributing to the spread of these diseases,
and often giving a potential death sentence to its victims.
(8) Prison rape endangers the public safety by making
brutalized inmates more likely to commit crimes when they
are released—as 600,000 inmates are each year.
(9) The frequently interracial character of prison sexual
assaults significantly exacerbates interracial tensions, both
within prison and, upon release of perpetrators and victims
from prison, in the community at large.
(10) Prison rape increases the level of homicides and other
violence against inmates and staff, and the risk of insurrections
and riots.
(11) Victims of prison rape suffer severe physical and
psychological effects that hinder their ability to integrate into
the community and maintain stable employment upon their
release from prison. They are thus more likely to become homeless and/or require government assistance.
(12) Members of the public and government officials are
largely unaware of the epidemic character of prison rape and
the day-to-day horror experienced by victimized inmates.
(13) The high incidence of sexual assault within prisons
involves actual and potential violations of the United States
Constitution. In Farmer v. Brennan, 511 U.S. 825 (1994), the
Supreme Court ruled that deliberate indifference to the
substantial risk of sexual assault violates prisoners’ rights
under the Cruel and Unusual Punishments Clause of the
Eighth Amendment. The Eighth Amendment rights of State
and local prisoners are protected through the Due Process
Clause of the Fourteenth Amendment. Pursuant to the power
of Congress under Section Five of the Fourteenth Amendment,
Congress may take action to enforce those rights in States
where officials have demonstrated such indifference. States that
do not take basic steps to abate prison rape by adopting standards that do not generate significant additional expenditures
demonstrate such indifference. Therefore, such States are not
entitled to the same level of Federal benefits as other States.
(14) The high incidence of prison rape undermines the
effectiveness and efficiency of United States Government
expenditures through grant programs such as those dealing
with health care; mental health care; disease prevention; crime
prevention, investigation, and prosecution; prison construction,

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117 STAT. 974

PUBLIC LAW 108–79—SEPT. 4, 2003
maintenance, and operation; race relations; poverty; unemployment and homelessness. The effectiveness and efficiency of
these federally funded grant programs are compromised by
the failure of State officials to adopt policies and procedures
that reduce the incidence of prison rape in that the high
incidence of prison rape—
(A) increases the costs incurred by Federal, State, and
local jurisdictions to administer their prison systems;
(B) increases the levels of violence, directed at inmates
and at staff, within prisons;
(C) increases health care expenditures, both inside and
outside of prison systems, and reduces the effectiveness
of disease prevention programs by substantially increasing
the incidence and spread of HIV, AIDS, tuberculosis, hepatitis B and C, and other diseases;
(D) increases mental health care expenditures, both
inside and outside of prison systems, by substantially
increasing the rate of post-traumatic stress disorder,
depression, suicide, and the exacerbation of existing mental
illnesses among current and former inmates;
(E) increases the risks of recidivism, civil strife, and
violent crime by individuals who have been brutalized by
prison rape; and
(F) increases the level of interracial tensions and strife
within prisons and, upon release of perpetrators and victims, in the community at large.
(15) The high incidence of prison rape has a significant
effect on interstate commerce because it increases
substantially—
(A) the costs incurred by Federal, State, and local
jurisdictions to administer their prison systems;
(B) the incidence and spread of HIV, AIDS, tuberculosis, hepatitis B and C, and other diseases, contributing
to increased health and medical expenditures throughout
the Nation;
(C) the rate of post-traumatic stress disorder, depression, suicide, and the exacerbation of existing mental illnesses among current and former inmates, contributing
to increased health and medical expenditures throughout
the Nation; and
(D) the risk of recidivism, civil strife, and violent crime
by individuals who have been brutalized by prison rape.

42 USC 15602.

SEC. 3. PURPOSES.

The purposes of this Act are to—
(1) establish a zero-tolerance standard for the incidence
of prison rape in prisons in the United States;
(2) make the prevention of prison rape a top priority in
each prison system;
(3) develop and implement national standards for the detection, prevention, reduction, and punishment of prison rape;
(4) increase the available data and information on the
incidence of prison rape, consequently improving the management and administration of correctional facilities;
(5) standardize the definitions used for collecting data on
the incidence of prison rape;

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117 STAT. 975

(6) increase the accountability of prison officials who fail
to detect, prevent, reduce, and punish prison rape;
(7) protect the Eighth Amendment rights of Federal, State,
and local prisoners;
(8) increase the efficiency and effectiveness of Federal
expenditures through grant programs such as those dealing
with health care; mental health care; disease prevention; crime
prevention, investigation, and prosecution; prison construction,
maintenance, and operation; race relations; poverty; unemployment; and homelessness; and
(9) reduce the costs that prison rape imposes on interstate
commerce.
SEC. 4. NATIONAL PRISON RAPE STATISTICS, DATA, AND RESEARCH.

42 USC 15603.

(a) ANNUAL COMPREHENSIVE STATISTICAL REVIEW.—
(1) IN GENERAL.—The Bureau of Justice Statistics of the
Department of Justice (in this section referred to as the
‘‘Bureau’’) shall carry out, for each calendar year, a comprehensive statistical review and analysis of the incidence and effects
of prison rape. The statistical review and analysis shall include,
but not be limited to the identification of the common characteristics of—
(A) both victims and perpetrators of prison rape; and
(B) prisons and prison systems with a high incidence
of prison rape.
(2) CONSIDERATIONS.—In carrying out paragraph (1), the
Bureau shall consider—
(A) how rape should be defined for the purposes of
the statistical review and analysis;
(B) how the Bureau should collect information about
staff-on-inmate sexual assault;
(C) how the Bureau should collect information beyond
inmate self-reports of prison rape;
(D) how the Bureau should adjust the data in order
to account for differences among prisons as required by
subsection (c)(3);
(E) the categorization of prisons as required by subsection (c)(4); and
(F) whether a preliminary study of prison rape should
be conducted to inform the methodology of the comprehensive statistical review.
(3) SOLICITATION OF VIEWS.—The Bureau of Justice Statistics shall solicit views from representatives of the following:
State departments of correction; county and municipal jails;
juvenile correctional facilities; former inmates; victim advocates; researchers; and other experts in the area of sexual
assault.
(4) SAMPLING TECHNIQUES.—The review and analysis under
paragraph (1) shall be based on a random sample, or other
scientifically appropriate sample, of not less than 10 percent
of all Federal, State, and county prisons, and a representative
sample of municipal prisons. The selection shall include at
least one prison from each State. The selection of facilities
for sampling shall be made at the latest practicable date prior
to conducting the surveys and shall not be disclosed to any
facility or prison system official prior to the time period studied
in the survey. Selection of a facility for sampling during any

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Confidentiality.

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PUBLIC LAW 108–79—SEPT. 4, 2003
year shall not preclude its selection for sampling in any subsequent year.
(5) SURVEYS.—In carrying out the review and analysis
under paragraph (1), the Bureau shall, in addition to such
other methods as the Bureau considers appropriate, use surveys
and other statistical studies of current and former inmates
from a sample of Federal, State, county, and municipal prisons.
The Bureau shall ensure the confidentiality of each survey
participant.
(6) PARTICIPATION IN SURVEY.—Federal, State, or local officials or facility administrators that receive a request from the
Bureau under subsection (a)(4) or (5) will be required to participate in the national survey and provide access to any inmates
under their legal custody.
(b) REVIEW PANEL ON PRISON RAPE.—
(1) ESTABLISHMENT.—To assist the Bureau in carrying out
the review and analysis under subsection (a), there is established, within the Department of Justice, the Review Panel
on Prison Rape (in this section referred to as the ‘‘Panel’’).
(2) MEMBERSHIP.—
(A) COMPOSITION.—The Panel shall be composed of
3 members, each of whom shall be appointed by the
Attorney General, in consultation with the Secretary of
Health and Human Services.
(B) QUALIFICATIONS.—Members of the Panel shall be
selected from among individuals with knowledge or expertise in matters to be studied by the Panel.
(3) PUBLIC HEARINGS.—
(A) IN GENERAL.—The duty of the Panel shall be to
carry out, for each calendar year, public hearings concerning the operation of the three prisons with the highest
incidence of prison rape and the two prisons with the
lowest incidence of prison rape in each category of facilities
identified under subsection (c)(4). The Panel shall hold
a separate hearing regarding the three Federal or State
prisons with the highest incidence of prison rape. The
purpose of these hearings shall be to collect evidence to
aid in the identification of common characteristics of both
victims and perpetrators of prison rape, and the identification of common characteristics of prisons and prison systems with a high incidence of prison rape, and the identification of common characteristics of prisons and prison
systems that appear to have been successful in deterring
prison rape.
(B) TESTIMONY AT HEARINGS.—
(i) PUBLIC OFFICIALS.—In carrying out the hearings
required under subparagraph (A), the Panel shall
request the public testimony of Federal, State, and
local officials (and organizations that represent such
officials), including the warden or director of each
prison, who bears responsibility for the prevention,
detection, and punishment of prison rape at each
entity, and the head of the prison system encompassing
such prison.
(ii) VICTIMS.—The Panel may request the testimony of prison rape victims, organizations representing

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such victims, and other appropriate individuals and
organizations.
(C) SUBPOENAS.—
(i) ISSUANCE.—The Panel may issue subpoenas for
the attendance of witnesses and the production of written or other matter.
(ii) ENFORCEMENT.—In the case of contumacy or
refusal to obey a subpoena, the Attorney General may
in a Federal court of appropriate jurisdiction obtain
an appropriate order to enforce the subpoena.
(c) REPORTS.—
(1) IN GENERAL.—Not later than June 30 of each year,
the Attorney General shall submit a report on the activities
of the Bureau and the Review Panel, with respect to prison
rape, for the preceding calendar year to—
(A) Congress; and
(B) the Secretary of Health and Human Services.
(2) CONTENTS.—The report required under paragraph (1)
shall include—
(A) with respect to the effects of prison rape, statistical,
sociological, and psychological data;
(B) with respect to the incidence of prison rape—
(i) statistical data aggregated at the Federal, State,
prison system, and prison levels;
(ii) a listing of those institutions in the representative sample, separated into each category identified
under subsection (c)(4) and ranked according to the
incidence of prison rape in each institution; and
(iii) an identification of those institutions in the
representative sample that appear to have been
successful in deterring prison rape; and
(C) a listing of any prisons in the representative sample
that did not cooperate with the survey conducted pursuant
to section 4.
(3) DATA ADJUSTMENTS.—In preparing the information
specified in paragraph (2), the Attorney General shall use established statistical methods to adjust the data as necessary to
account for differences among institutions in the representative
sample, which are not related to the detection, prevention,
reduction and punishment of prison rape, or which are outside
the control of the State, prison, or prison system, in order
to provide an accurate comparison among prisons. Such differences may include the mission, security level, size, and jurisdiction under which the prison operates. For each such adjustment made, the Attorney General shall identify and explain
such adjustment in the report.
(4) CATEGORIZATION OF PRISONS.—The report shall divide
the prisons surveyed into three categories. One category shall
be composed of all Federal and State prisons. The other two
categories shall be defined by the Attorney General in order
to compare similar institutions.
(d) CONTRACTS AND GRANTS.—In carrying out its duties under
this section, the Attorney General may—
(1) provide grants for research through the National
Institute of Justice; and
(2) contract with or provide grants to any other entity
the Attorney General deems appropriate.

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PUBLIC LAW 108–79—SEPT. 4, 2003

(e) AUTHORIZATION OF APPROPRIATIONS.—There are authorized
to be appropriated $15,000,000 for each of fiscal years 2004 through
2010 to carry out this section.
42 USC 15604.
Establishment.

Deadline.

42 USC 15605.

SEC. 5. PRISON RAPE PREVENTION AND PROSECUTION.

(a) INFORMATION AND ASSISTANCE.—
(1) NATIONAL CLEARINGHOUSE.—There is established within
the National Institute of Corrections a national clearinghouse
for the provision of information and assistance to Federal,
State, and local authorities responsible for the prevention,
investigation, and punishment of instances of prison rape.
(2) TRAINING AND EDUCATION.—The National Institute of
Corrections shall conduct periodic training and education programs for Federal, State, and local authorities responsible for
the prevention, investigation, and punishment of instances of
prison rape.
(b) REPORTS.—
(1) IN GENERAL.—Not later than September 30 of each
year, the National Institute of Corrections shall submit a report
to Congress and the Secretary of Health and Human Services.
This report shall be available to the Director of the Bureau
of Justice Statistics.
(2) CONTENTS.—The report required under paragraph (1)
shall summarize the activities of the Department of Justice
regarding prison rape abatement for the preceding calendar
year.
(c) AUTHORIZATION OF APPROPRIATIONS.—There are authorized
to be appropriated $5,000,000 for each of fiscal years 2004 through
2010 to carry out this section.
SEC. 6. GRANTS TO PROTECT INMATES AND SAFEGUARD COMMUNITIES.

(a) GRANTS AUTHORIZED.—From amounts made available for
grants under this section, the Attorney General shall make grants
to States to assist those States in ensuring that budgetary circumstances (such as reduced State and local spending on prisons)
do not compromise efforts to protect inmates (particularly from
prison rape) and to safeguard the communities to which inmates
return. The purpose of grants under this section shall be to provide
funds for personnel, training, technical assistance, data collection,
and equipment to prevent and prosecute prisoner rape.
(b) USE OF GRANT AMOUNTS.—Amounts received by a grantee
under this section may be used by the grantee, directly or through
subgrants, only for one or more of the following activities:
(1) PROTECTING INMATES.—Protecting inmates by—
(A) undertaking efforts to more effectively prevent
prison rape;
(B) investigating incidents of prison rape; or
(C) prosecuting incidents of prison rape.
(2) SAFEGUARDING COMMUNITIES.—Safeguarding communities by—
(A) making available, to officials of State and local
governments who are considering reductions to prison
budgets, training and technical assistance in successful
methods for moderating the growth of prison populations
without compromising public safety, including successful
methods used by other jurisdictions;

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(B) developing and utilizing analyses of prison populations and risk assessment instruments that will improve
State and local governments’ understanding of risks to
the community regarding release of inmates in the prison
population;
(C) preparing maps demonstrating the concentration,
on a community-by-community basis, of inmates who have
been released, to facilitate the efficient and effective—
(i) deployment of law enforcement resources
(including probation and parole resources); and
(ii) delivery of services (such as job training and
substance abuse treatment) to those released inmates;
(D) promoting collaborative efforts, among officials of
State and local governments and leaders of appropriate
communities, to understand and address the effects on
a community of the presence of a disproportionate number
of released inmates in that community; or
(E) developing policies and programs that reduce
spending on prisons by effectively reducing rates of parole
and probation revocation without compromising public
safety.
(c) GRANT REQUIREMENTS.—
(1) PERIOD.—A grant under this section shall be made
for a period of not more than 2 years.
(2) MAXIMUM.—The amount of a grant under this section
may not exceed $1,000,000.
(3) MATCHING.—The Federal share of a grant under this
section may not exceed 50 percent of the total costs of the
project described in the application submitted under subsection
(d) for the fiscal year for which the grant was made under
this section.
(d) APPLICATIONS.—
(1) IN GENERAL.—To request a grant under this section,
the chief executive of a State shall submit an application to
the Attorney General at such time, in such manner, and accompanied by such information as the Attorney General may
require.
(2) CONTENTS.—Each application required by paragraph
(1) shall—
(A) include the certification of the chief executive that
the State receiving such grant—
(i) has adopted all national prison rape standards
that, as of the date on which the application was
submitted, have been promulgated under this Act; and
(ii) will consider adopting all national prison rape
standards that are promulgated under this Act after
such date;
(B) specify with particularity the preventative, prosecutorial, or administrative activities to be undertaken by
the State with the amounts received under the grant; and
(C) in the case of an application for a grant for one
or more activities specified in paragraph (2) of subsection
(b)—
(i) review the extent of the budgetary circumstances affecting the State generally and describe
how those circumstances relate to the State’s prisons;

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(ii) describe the rate of growth of the State’s prison
population over the preceding 10 years and explain
why the State may have difficulty sustaining that rate
of growth; and
(iii) explain the extent to which officials (including
law enforcement officials) of State and local governments and victims of crime will be consulted regarding
decisions whether, or how, to moderate the growth
of the State’s prison population.
(e) REPORTS BY GRANTEE.—
(1) IN GENERAL.—The Attorney General shall require each
grantee to submit, not later than 90 days after the end of
the period for which the grant was made under this section,
a report on the activities carried out under the grant. The
report shall identify and describe those activities and shall
contain an evaluation of the effect of those activities on—
(A) the number of incidents of prison rape, and the
grantee’s response to such incidents; and
(B) the safety of the prisons, and the safety of the
communities in which released inmates are present.
(2) DISSEMINATION.—The Attorney General shall ensure
that each report submitted under paragraph (1) is made available under the national clearinghouse established under section
5.
(f) STATE DEFINED.—In this section, the term ‘‘State’’ includes
the District of Columbia, the Commonwealth of Puerto Rico, and
any other territory or possession of the United States.
(g) AUTHORIZATION OF APPROPRIATIONS.—
(1) IN GENERAL.—There are authorized to be appropriated
for grants under this section $40,000,000 for each of fiscal
years 2004 through 2010.
(2) LIMITATION.—Of amounts made available for grants
under this section, not less than 50 percent shall be available
only for activities specified in paragraph (1) of subsection (b).

Deadline.

42 USC 15606.

President.

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SEC. 7. NATIONAL PRISON RAPE REDUCTION COMMISSION.

(a) ESTABLISHMENT.—There is established a commission to be
known as the National Prison Rape Reduction Commission (in
this section referred to as the ‘‘Commission’’).
(b) MEMBERS.—
(1) IN GENERAL.—The Commission shall be composed of
9 members, of whom—
(A) 3 shall be appointed by the President;
(B) 2 shall be appointed by the Speaker of the House
of Representatives, unless the Speaker is of the same party
as the President, in which case 1 shall be appointed by
the Speaker of the House of Representatives and 1 shall
be appointed by the minority leader of the House of Representatives;
(C) 1 shall be appointed by the minority leader of
the House of Representatives (in addition to any appointment made under subparagraph (B));
(D) 2 shall be appointed by the majority leader of
the Senate, unless the majority leader is of the same party
as the President, in which case 1 shall be appointed by
the majority leader of the Senate and 1 shall be appointed
by the minority leader of the Senate; and

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(E) 1 member appointed by the minority leader of
the Senate (in addition to any appointment made under
subparagraph (D)).
(2) PERSONS ELIGIBLE.—Each member of the Commission
shall be an individual who has knowledge or expertise in matters to be studied by the Commission.
(3) CONSULTATION REQUIRED.—The President, the Speaker
and minority leader of the House of Representatives, and the
majority leader and minority leader of the Senate shall consult
with one another prior to the appointment of the members
of the Commission to achieve, to the maximum extent possible,
fair and equitable representation of various points of view
with respect to the matters to be studied by the Commission.
(4) TERM.—Each member shall be appointed for the life
of the Commission.
(5) TIME FOR INITIAL APPOINTMENTS.—The appointment of
the members shall be made not later than 60 days after the
date of enactment of this Act.
(6) VACANCIES.—A vacancy in the Commission shall be
filled in the manner in which the original appointment was
made, and shall be made not later than 60 days after the
date on which the vacancy occurred.
(c) OPERATION.—
(1) CHAIRPERSON.—Not later than 15 days after appointments of all the members are made, the President shall appoint
a chairperson for the Commission from among its members.
(2) MEETINGS.—The Commission shall meet at the call
of the chairperson. The initial meeting of the Commission shall
take place not later than 30 days after the initial appointment
of the members is completed.
(3) QUORUM.—A majority of the members of the Commission shall constitute a quorum to conduct business, but the
Commission may establish a lesser quorum for conducting
hearings scheduled by the Commission.
(4) RULES.—The Commission may establish by majority
vote any other rules for the conduct of Commission business,
if such rules are not inconsistent with this Act or other
applicable law.
(d) COMPREHENSIVE STUDY OF THE IMPACTS OF PRISON RAPE.—
(1) IN GENERAL.—The Commission shall carry out a comprehensive legal and factual study of the penalogical, physical,
mental, medical, social, and economic impacts of prison rape
in the United States on—
(A) Federal, State, and local governments; and
(B) communities and social institutions generally,
including individuals, families, and businesses within such
communities and social institutions.
(2) MATTERS INCLUDED.—The study under paragraph (1)
shall include—
(A) a review of existing Federal, State, and local
government policies and practices with respect to the
prevention, detection, and punishment of prison rape;
(B) an assessment of the relationship between prison
rape and prison conditions, and of existing monitoring,
regulatory, and enforcement practices that are intended
to address any such relationship;

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(C) an assessment of pathological or social causes of
prison rape;
(D) an assessment of the extent to which the incidence
of prison rape contributes to the spread of sexually transmitted diseases and to the transmission of HIV;
(E) an assessment of the characteristics of inmates
most likely to commit prison rape and the effectiveness
of various types of treatment or programs to reduce such
likelihood;
(F) an assessment of the characteristics of inmates
most likely to be victims of prison rape and the effectiveness
of various types of treatment or programs to reduce such
likelihood;
(G) an assessment of the impacts of prison rape on
individuals, families, social institutions and the economy
generally, including an assessment of the extent to which
the incidence of prison rape contributes to recidivism and
to increased incidence of sexual assault;
(H) an examination of the feasibility and cost of conducting surveillance, undercover activities, or both, to
reduce the incidence of prison rape;
(I) an assessment of the safety and security of prison
facilities and the relationship of prison facility construction
and design to the incidence of prison rape;
(J) an assessment of the feasibility and cost of any
particular proposals for prison reform;
(K) an identification of the need for additional scientific
and social science research on the prevalence of prison
rape in Federal, State, and local prisons;
(L) an assessment of the general relationship between
prison rape and prison violence;
(M) an assessment of the relationship between prison
rape and levels of training, supervision, and discipline of
prison staff; and
(N) an assessment of existing Federal and State systems for reporting incidents of prison rape, including an
assessment of whether existing systems provide an adequate assurance of confidentiality, impartiality and the
absence of reprisal.
(3) REPORT.—
(A) DISTRIBUTION.—Not later than 2 years after the
date of the initial meeting of the Commission, the Commission shall submit a report on the study carried out under
this subsection to—
(i) the President;
(ii) the Congress;
(iii) the Attorney General;
(iv) the Secretary of Health and Human Services;
(v) the Director of the Federal Bureau of Prisons;
(vi) the chief executive of each State; and
(vii) the head of the department of corrections
of each State.
(B) CONTENTS.—The report under subparagraph (A)
shall include—
(i) the findings and conclusions of the Commission;
(ii) recommended national standards for reducing
prison rape;

Deadline.

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(iii) recommended protocols for preserving evidence
and treating victims of prison rape; and
(iv) a summary of the materials relied on by the
Commission in the preparation of the report.
(e) RECOMMENDATIONS.—
(1) IN GENERAL.—In conjunction with the report submitted
under subsection (d)(3), the Commission shall provide the
Attorney General and the Secretary of Health and Human
Services with recommended national standards for enhancing
the detection, prevention, reduction, and punishment of prison
rape.
(2) MATTERS INCLUDED.—The information provided under
paragraph (1) shall include recommended national standards
relating to—
(A) the classification and assignment of prisoners,
using proven standardized instruments and protocols, in
a manner that limits the occurrence of prison rape;
(B) the investigation and resolution of rape complaints
by responsible prison authorities, local and State police,
and Federal and State prosecution authorities;
(C) the preservation of physical and testimonial evidence for use in an investigation of the circumstances
relating to the rape;
(D) acute-term trauma care for rape victims, including
standards relating to—
(i) the manner and extent of physical examination
and treatment to be provided to any rape victim; and
(ii) the manner and extent of any psychological
examination, psychiatric care, medication, and mental
health counseling to be provided to any rape victim;
(E) referrals for long-term continuity of care for rape
victims;
(F) educational and medical testing measures for
reducing the incidence of HIV transmission due to prison
rape;
(G) post-rape prophylactic medical measures for
reducing the incidence of transmission of sexual diseases;
(H) the training of correctional staff sufficient to ensure
that they understand and appreciate the significance of
prison rape and the necessity of its eradication;
(I) the timely and comprehensive investigation of staff
sexual misconduct involving rape or other sexual assault
on inmates;
(J) ensuring the confidentiality of prison rape complaints and protecting inmates who make complaints of
prison rape;
(K) creating a system for reporting incidents of prison
rape that will ensure the confidentiality of prison rape
complaints, protect inmates who make prison rape complaints from retaliation, and assure the impartial resolution
of prison rape complaints;
(L) data collection and reporting of—
(i) prison rape;
(ii) prison staff sexual misconduct; and
(iii) the resolution of prison rape complaints by
prison officials and Federal, State, and local investigation and prosecution authorities; and

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PUBLIC LAW 108–79—SEPT. 4, 2003

(M) such other matters as may reasonably be related
to the detection, prevention, reduction, and punishment
of prison rape.
(3) LIMITATION.—The Commission shall not propose a recommended standard that would impose substantial additional
costs compared to the costs presently expended by Federal,
State, and local prison authorities.
(f) CONSULTATION WITH ACCREDITATION ORGANIZATIONS.—In
developing recommended national standards for enhancing the
detection, prevention, reduction, and punishment of prison rape,
the Commission shall consider any standards that have already
been developed, or are being developed simultaneously to the deliberations of the Commission. The Commission shall consult with
accreditation organizations responsible for the accreditation of Federal, State, local or private prisons, that have developed or are
currently developing standards related to prison rape. The Commission will also consult with national associations representing the
corrections profession that have developed or are currently developing standards related to prison rape.
(g) HEARINGS.—
(1) IN GENERAL.—The Commission shall hold public
hearings. The Commission may hold such hearings, sit and
act at such times and places, take such testimony, and receive
such evidence as the Commission considers advisable to carry
out its duties under this section.
(2) WITNESS EXPENSES.—Witnesses requested to appear
before the Commission shall be paid the same fees as are
paid to witnesses under section 1821 of title 28, United States
Code. The per diem and mileage allowances for witnesses shall
be paid from funds appropriated to the Commission.
(h) INFORMATION FROM FEDERAL OR STATE AGENCIES.—The
Commission may secure directly from any Federal department or
agency such information as the Commission considers necessary
to carry out its duties under this section. The Commission may
request the head of any State or local department or agency to
furnish such information to the Commission.
(i) PERSONNEL MATTERS.—
(1) TRAVEL EXPENSES.—The members of the Commission
shall be allowed travel expenses, including per diem in lieu
of subsistence, at rates authorized for employees of agencies
under subchapter I of chapter 57 of title 5, United States
Code, while away from their homes or regular places of business
in the performance of service for the Commission.
(2) DETAIL OF FEDERAL EMPLOYEES.—With the affirmative
vote of 2⁄3 of the Commission, any Federal Government
employee, with the approval of the head of the appropriate
Federal agency, may be detailed to the Commission without
reimbursement, and such detail shall be without interruption
or loss of civil service status, benefits, or privileges.
(3) PROCUREMENT OF TEMPORARY AND INTERMITTENT SERVICES.—Upon the request of the Commission, the Attorney General shall provide reasonable and appropriate office space, supplies, and administrative assistance.
(j) CONTRACTS FOR RESEARCH.—
(1) NATIONAL INSTITUTE OF JUSTICE.—With a 2⁄3 affirmative
vote, the Commission may select nongovernmental researchers
and experts to assist the Commission in carrying out its duties

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under this Act. The National Institute of Justice shall contract
with the researchers and experts selected by the Commission
to provide funding in exchange for their services.
(2) OTHER ORGANIZATIONS.—Nothing in this subsection
shall be construed to limit the ability of the Commission to
enter into contracts with other entities or organizations for
research necessary to carry out the duties of the Commission
under this section.
(k) SUBPOENAS.—
(1) ISSUANCE.—The Commission may issue subpoenas for
the attendance of witnesses and the production of written or
other matter.
(2) ENFORCEMENT.—In the case of contumacy or refusal
to obey a subpoena, the Attorney General may in a Federal
court of appropriate jurisdiction obtain an appropriate order
to enforce the subpoena.
(3) CONFIDENTIALITY OF DOCUMENTARY EVIDENCE.—Documents provided to the Commission pursuant to a subpoena
issued under this subsection shall not be released publicly
without the affirmative vote of 2⁄3 of the Commission.
(l) AUTHORIZATION OF APPROPRIATIONS.—There are authorized
to be appropriated such sums as may be necessary to carry out
this section.
(m) TERMINATION.—The Commission shall terminate on the
date that is 60 days after the date on which the Commission
submits the reports required by this section.
(n) EXEMPTION.—The Commission shall be exempt from the
Federal Advisory Committee Act.
SEC. 8. ADOPTION AND EFFECT OF NATIONAL STANDARDS.

(a) PUBLICATION OF PROPOSED STANDARDS.—
(1) FINAL RULE.—Not later than 1 year after receiving
the report specified in section 7(d)(3), the Attorney General
shall publish a final rule adopting national standards for the
detection, prevention, reduction, and punishment of prison rape.
(2) INDEPENDENT JUDGMENT.—The standards referred to
in paragraph (1) shall be based upon the independent judgment
of the Attorney General, after giving due consideration to the
recommended national standards provided by the Commission
under section 7(e), and being informed by such data, opinions,
and proposals that the Attorney General determines to be
appropriate to consider.
(3) LIMITATION.—The Attorney General shall not establish
a national standard under this section that would impose
substantial additional costs compared to the costs presently
expended by Federal, State, and local prison authorities. The
Attorney General may, however, provide a list of improvements
for consideration by correctional facilities.
(4) TRANSMISSION TO STATES.—Within 90 days of publishing
the final rule under paragraph (1), the Attorney General shall
transmit the national standards adopted under such paragraph
to the chief executive of each State, the head of the department
of corrections of each State, and to the appropriate authorities
in those units of local government who oversee operations in
one or more prisons.
(b) APPLICABILITY TO FEDERAL BUREAU OF PRISONS.—The
national standards referred to in subsection (a) shall apply to the

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Deadlines.
42 USC 15607.

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Deadline.

Procedures.

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Federal Bureau of Prisons immediately upon adoption of the final
rule under subsection (a)(4).
(c) ELIGIBILITY FOR FEDERAL FUNDS.—
(1) COVERED PROGRAMS.—
(A) IN GENERAL.—For purposes of this subsection, a
grant program is covered by this subsection if, and only
if—
(i) the program is carried out by or under the
authority of the Attorney General; and
(ii) the program may provide amounts to States
for prison purposes.
(B) LIST.—For each fiscal year, the Attorney General
shall prepare a list identifying each program that meets
the criteria of subparagraph (A) and provide that list to
each State.
(2) ADOPTION OF NATIONAL STANDARDS.—For each fiscal
year, any amount that a State would otherwise receive for
prison purposes for that fiscal year under a grant program
covered by this subsection shall be reduced by 5 percent, unless
the chief executive of the State submits to the Attorney
General—
(A) a certification that the State has adopted, and
is in full compliance with, the national standards described
in section 8(a); or
(B) an assurance that not less than 5 percent of such
amount shall be used only for the purpose of enabling
the State to adopt, and achieve full compliance with, those
national standards, so as to ensure that a certification
under subparagraph (A) may be submitted in future years.
(3) REPORT ON NONCOMPLIANCE.—Not later than September
30 of each year, the Attorney General shall publish a report
listing each grantee that is not in compliance with the national
standards adopted pursuant to section 8(a).
(4) COOPERATION WITH SURVEY.—For each fiscal year, any
amount that a State receives for that fiscal year under a
grant program covered by this subsection shall not be used
for prison purposes (and shall be returned to the grant program
if no other authorized use is available), unless the chief executive of the State submits to the Attorney General a certification
that neither the State, nor any political subdivision or unit
of local government within the State, is listed in a report
issued by the Attorney General pursuant to section 4(c)(2)(C).
(5) REDISTRIBUTION OF AMOUNTS.—Amounts under a grant
program not granted by reason of a reduction under paragraph
(2), or returned by reason of the prohibition in paragraph
(4), shall be granted to one or more entities not subject to
such reduction or such prohibition, subject to the other laws
governing that program.
(6) IMPLEMENTATION.—The Attorney General shall establish procedures to implement this subsection, including procedures for effectively applying this subsection to discretionary
grant programs.
(7) EFFECTIVE DATE.—
(A) REQUIREMENT OF ADOPTION OF STANDARDS.—The
first grants to which paragraph (2) applies are grants for
the second fiscal year beginning after the date on which
the national standards under section 8(a) are finalized.

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117 STAT. 987

(B) REQUIREMENT FOR COOPERATION.—The first grants
to which paragraph (4) applies are grants for the fiscal
year beginning after the date of the enactment of this
Act.
SEC. 9. REQUIREMENT
THAT
ACCREDITATION
ADOPT ACCREDITATION STANDARDS.

ORGANIZATIONS

(a) ELIGIBILITY FOR FEDERAL GRANTS.—Notwithstanding any
other provision of law, an organization responsible for the accreditation of Federal, State, local, or private prisons, jails, or other penal
facilities may not receive any new Federal grants during any period
in which such organization fails to meet any of the requirements
of subsection (b).
(b) REQUIREMENTS.—To be eligible to receive Federal grants,
an accreditation organization referred to in subsection (a) must
meet the following requirements:
(1) At all times after 90 days after the date of enactment
of this Act, the organization shall have in effect, for each
facility that it is responsible for accrediting, accreditation standards for the detection, prevention, reduction, and punishment
of prison rape.
(2) At all times after 1 year after the date of the adoption
of the final rule under section 8(a)(4), the organization shall,
in addition to any other such standards that it may promulgate
relevant to the detection, prevention, reduction, and punishment of prison rape, adopt accreditation standards consistent
with the national standards adopted pursuant to such final
rule.
SEC. 10. DEFINITIONS.

42 USC 15608.

Deadlines.

42 USC 15609.

In this Act, the following definitions shall apply:
(1) CARNAL KNOWLEDGE.—The term ‘‘carnal knowledge’’
means contact between the penis and the vulva or the penis
and the anus, including penetration of any sort, however slight.
(2) INMATE.—The term ‘‘inmate’’ means any person incarcerated or detained in any facility who is accused of, convicted
of, sentenced for, or adjudicated delinquent for, violations of
criminal law or the terms and conditions of parole, probation,
pretrial release, or diversionary program.
(3) JAIL.—The term ‘‘jail’’ means a confinement facility
of a Federal, State, or local law enforcement agency to hold—
(A) persons pending adjudication of criminal charges;
or
(B) persons committed to confinement after adjudication of criminal charges for sentences of 1 year or less.
(4) HIV.—The term ‘‘HIV’’ means the human immunodeficiency virus.
(5) ORAL SODOMY.—The term ‘‘oral sodomy’’ means contact
between the mouth and the penis, the mouth and the vulva,
or the mouth and the anus.
(6) POLICE LOCKUP.—The term ‘‘police lockup’’ means a
temporary holding facility of a Federal, State, or local law
enforcement agency to hold—
(A) inmates pending bail or transport to jail;
(B) inebriates until ready for release; or
(C) juveniles pending parental custody or shelter placement.

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PUBLIC LAW 108–79—SEPT. 4, 2003
(7) PRISON.—The term ‘‘prison’’ means any confinement
facility of a Federal, State, or local government, whether
administered by such government or by a private organization
on behalf of such government, and includes—
(A) any local jail or police lockup; and
(B) any juvenile facility used for the custody or care
of juvenile inmates.
(8) PRISON RAPE.—The term ‘‘prison rape’’ includes the
rape of an inmate in the actual or constructive control of
prison officials.
(9) RAPE.—The term ‘‘rape’’ means—
(A) the carnal knowledge, oral sodomy, sexual assault
with an object, or sexual fondling of a person, forcibly
or against that person’s will;
(B) the carnal knowledge, oral sodomy, sexual assault
with an object, or sexual fondling of a person not forcibly
or against the person’s will, where the victim is incapable
of giving consent because of his or her youth or his or
her temporary or permanent mental or physical incapacity;
or
(C) the carnal knowledge, oral sodomy, sexual assault
with an object, or sexual fondling of a person achieved
through the exploitation of the fear or threat of physical
violence or bodily injury.
(10) SEXUAL ASSAULT WITH AN OBJECT.—The term ‘‘sexual
assault with an object’’ means the use of any hand, finger,
object, or other instrument to penetrate, however slightly, the
genital or anal opening of the body of another person.
(11) SEXUAL FONDLING.—The term ‘‘sexual fondling’’ means
the touching of the private body parts of another person
(including the genitalia, anus, groin, breast, inner thigh, or
buttocks) for the purpose of sexual gratification.
(12) EXCLUSIONS.—The terms and conditions described in
paragraphs (9) and (10) shall not apply to—
(A) custodial or medical personnel gathering physical
evidence, or engaged in other legitimate medical treatment,
in the course of investigating prison rape;
(B) the use of a health care provider’s hands or fingers
or the use of medical devices in the course of appropriate
medical treatment unrelated to prison rape; or

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(C) the use of a health care provider’s hands or fingers
and the use of instruments to perform body cavity searches
in order to maintain security and safety within the prison
or detention facility, provided that the search is conducted
in a manner consistent with constitutional requirements.
Approved September 4, 2003.

LEGISLATIVE HISTORY—S. 1435:
CONGRESSIONAL RECORD, Vol. 149 (2003):
July 21, considered and passed Senate.
July 25, considered and passed House.
WEEKLY COMPILATION OF PRESIDENTIAL DOCUMENTS, Vol. 39 (2003):
Sept. 4, Presidential statement.

Æ

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Attachment B: 34 USC 10132
5/4/2020

34 U.S. Code § 10132 - Bureau of Justice Statistics | U.S. Code | US Law | LII / Legal Information Institute

34 U.S. Code § 10132. Bureau of Justice Statistics
U.S. Code

Notes

(a) E
There is established within the Department of Justice, under the general
authority of the Attorney General, a Bureau of Justice Statistics
(hereinafter referred to in this subchapter as “Bureau”).
(b) A

D

;

;

;

The Bureau shall be headed by a Director appointed by the President. The
Director shall have had experience in statistical programs. The Director
shall have final authority for all grants, cooperative agreements, and
contracts awarded by the Bureau. The Director shall be responsible for the
integrity of data and statistics and shall protect against improper or illegal
use or disclosure. The Director shall report to the Attorney General through
the Assistant Attorney General. The Director shall not engage in any other
employment than that of serving as Director; nor shall the Director hold
any office in, or act in any capacity for, any organization, agency, or
institution with which the Bureau makes any contract or other arrangement
under this Act.
(c) D

B

The Bureau is authorized to—

(1) make grants to, or enter into cooperative agreements or contracts
with public agencies, institutions of higher education, private
organizations, or private individuals for purposes related to this
subchapter; grants shall be made subject to continuing compliance with
standards for gathering justice statistics set forth in rules and
regulations promulgated by the Director;

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(2) collect and analyze information concerning criminal victimization,
including crimes against the elderly, and civil disputes;
(3) collect and analyze data that will serve as a continuous and
comparable national social indication of the prevalence, incidence,
rates, extent, distribution, and attributes of crime, juvenile delinquency,
civil disputes, and other statistical factors related to crime, civil
disputes, and juvenile delinquency, in support of national, State, tribal,
and local justice policy and decisionmaking;
(4) collect and analyze statistical information, concerning the
operations of the criminal justice system at the Federal, State, tribal,
and local levels;
(5) collect and analyze statistical information concerning the
prevalence, incidence, rates, extent, distribution, and attributes of
crime, and juvenile delinquency, at the Federal, State, tribal, and local
levels;
(6) analyze the correlates of crime, civil disputes and juvenile
delinquency, by the use of statistical information, about criminal and
civil justice systems at the Federal, State, tribal, and local levels, and
about the extent, distribution and attributes of crime, and juvenile
delinquency, in the Nation and at the Federal, State, tribal, and local
levels;
(7) compile, collate, analyze, publish, and disseminate uniform national
statistics concerning all aspects of criminal justice and related aspects
of civil justice, crime, including crimes against the elderly, juvenile
delinquency, criminal offenders, juvenile delinquents, and civil disputes
in the various States and in Indian country;
(8) recommend national standards for justice statistics and for insuring
the reliability and validity of justice statistics supplied pursuant to this
chapter;
(9) maintain liaison with the judicial branches of the Federal
Government and State and tribal governments in matters relating to
justice statistics, and cooperate with the judicial branch in assuring as
much uniformity as feasible in statistical systems of the executive and
judicial branches;
(10) provide information to the President, the Congress, the judiciary,
State, tribal, and local governments, and the general public on justice
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statistics;
(11) establish or assist in the establishment of a system to provide
State, tribal, and local governments with access to Federal
informational resources useful in the planning, implementation, and
evaluation of programs under this Act;
(12) conduct or support research relating to methods of gathering or
analyzing justice statistics;
(13) provide for the development of justice information systems
programs and assistance to the States, Indian tribes, and units of local
government relating to collection, analysis, or dissemination of justice
statistics;
(14) develop and maintain a data processing capability to support the
collection, aggregation, analysis and dissemination of information on
the incidence of crime and the operation of the criminal justice system;
(15) collect, analyze and disseminate comprehensive Federal justice
transaction statistics (including statistics on issues of Federal justice
interest such as public fraud and high technology crime) and to provide
technical assistance to and work jointly with other Federal agencies to
improve the availability and quality of Federal justice data;
(16) provide for the collection, compilation, analysis, publication and
dissemination of information and statistics about the prevalence,
incidence, rates, extent, distribution and attributes of drug offenses,
drug related offenses and drug dependent offenders and further provide
for the establishment of a national clearinghouse to maintain and
update a comprehensive and timely data base on all criminal justice
aspects of the drug crisis and to disseminate such information;
(17) provide for the collection, analysis, dissemination and publication
of statistics on the condition and progress of drug control activities at
the Federal, State, tribal, and local levels with particular attention to
programs and intervention efforts demonstrated to be of value in the
overall national anti-drug strategy and to provide for the establishment
of a national clearinghouse for the gathering of data generated by
Federal, State, tribal, and local criminal justice agencies on their drug
enforcement activities;
(18) provide for the development and enhancement of State, tribal,
and local criminal justice information systems, and the standardization
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of data reporting relating to the collection, analysis or dissemination of
data and statistics about drug offenses, drug related offenses, or drug
dependent offenders;
(19) provide for improvements in the accuracy, quality, timeliness,
immediate accessibility, and integration of State and tribal criminal
history and related records, support the development and enhancement
of national systems of criminal history and related records including the
National Instant Criminal Background Check System, the National
Incident-Based Reporting System, and the records of the National
Crime Information Center, facilitate State and tribal participation in
national records and information systems, and support statistical
research for critical analysis of the improvement and utilization of
criminal history records;
(20) maintain liaison with State, tribal, and local governments and
governments of other nations concerning justice statistics;
(21) cooperate in and participate with national and international
organizations in the development of uniform justice statistics;
(22) ensure conformance with security and privacy requirement of
section 10231 of this title and identify, analyze, and participate in the
development and implementation of privacy, security and information
policies which impact on Federal, tribal, and State criminal justice
operations and related statistical activities; and
(23) exercise the powers and functions set out in subchapter VII.
(d) J

,

,

(1) I
To ensure that all justice statistical collection, analysis,
and dissemination is carried out in a coordinated manner, the Director
is authorized to—
(A) utilize, with their consent, the services, equipment, records,
personnel, information, and facilities of other Federal, State, local,
and private agencies and instrumentalities with or without
reimbursement therefor, and to enter into agreements with such
agencies and instrumentalities for purposes of data collection and
analysis;
(B) confer and cooperate with State, municipal, and other local
agencies;

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(C) request such information, data, and reports from any Federal
agency as may be required to carry out the purposes of this
chapter;
(D) seek the cooperation of the judicial branch of the Federal
Government in gathering data from criminal justice records;
(E) encourage replication, coordination and sharing among justice
agencies regarding information systems, information policy, and
data; and
(F) confer and cooperate with Federal statistical agencies as needed
to carry out the purposes of this subchapter, including by entering
into cooperative data sharing agreements in conformity with all laws
and regulations applicable to the disclosure and use of data.
(2) C

I

The Director, acting jointly with the Assistant Secretary for Indian
Affairs (acting through the Office of Justice Services) and the Director
of the Federal Bureau of Investigation, shall work with Indian tribes and
tribal law enforcement agencies to establish and implement such tribal
data collection systems as the Director determines to be necessary to
achieve the purposes of this section.
(e) F

,

,

F

Federal agencies requested to furnish information, data, or reports
pursuant to subsection (d)(1)(C) shall provide such information to the
Bureau as is required to carry out the purposes of this section.
(f) C

S

,

,

In recommending standards for gathering justice statistics under this
section, the Director shall consult with representatives of State, tribal, and
local government, including, where appropriate, representatives of the
judiciary.
(g) R
Not later than 1 year after July 29, 2010, and annually thereafter, the
Director shall submit to Congress a report describing the data collected
and analyzed under this section relating to crimes in Indian country.
https://www.law.cornell.edu/uscode/text/34/10132

5/7

Attachment B: 34 USC 10132
5/4/2020

34 U.S. Code § 10132 - Bureau of Justice Statistics | U.S. Code | US Law | LII / Legal Information Institute

(Pub. L. 90–351, title I, § 302, as added Pub. L. 96–157, § 2, Dec. 27, 1979,
93 Stat. 1176; amended Pub. L. 98–473, title II, § 605(b), Oct. 12, 1984, 98
Stat. 2079; Pub. L. 100–690, title VI, § 6092(a), Nov. 18, 1988, 102 Stat.
4339; Pub. L. 103–322, title XXXIII, § 330001(h)(2), Sept. 13, 1994, 108
Stat. 2139; Pub. L. 109–162, title XI, § 1115(a), Jan. 5, 2006, 119 Stat.
3103; Pub. L. 111–211, title II, § 251(b), July 29, 2010, 124 Stat. 2297; Pub.
L. 112–166, § 2(h)(1), Aug. 10, 2012, 126 Stat. 1285.)

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WEBSITE

https://www.law.cornell.edu/uscode/text/34/10132

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Attachment C: NIS-4P ACASI Instrument 4-20-2020

National Inmate Survey: Year 4 Prisons
Questionnaire Specifications for Combined Instrument
4/20/20

Attachment C: NIS-4P ACASI Instrument 4-20-2020

Modules Included in the Main and Alternative NIS-4 Prisons Instruments

Module Topic
Interview Set-up
CAPI Demographics
Computer Tutorial
ACASI Demographics
Criminal History
Sexual Identity and Pre-Incarceration Information
Sexual Activity with Inmates
Description of Non-consensual Sexual Acts (NCSAs)
Staff Sexual Misconduct
Determination of Specific Incident for Inmate Incident
Report
Incident Characteristics for Inmate-on-Inmate
Victimization
Determination of Specific Incident for Staff Incident
Report
Incident Characteristics for Staff-on-Inmate
Victimization
Other Victimization While Incarcerated
Pat Downs and Strip Searches
Facility Conditions, Support and Safety
Mental Health
Disability Status
Parental Involvement
Restrictive Housing
Childhood Experiences
Living Area and Activities
Altercations, Fights and Grievances
Work Assignments
Program Participation
Visitors and Outside Contact
Post-Release Plans
Interview Debriefing

Begins on
Page
2
4
7
10
12
16
22
39
41
45

Main
Instrument
(95% of
interviews)
X
X
X
X
X
X
X
X
X
X

Alternative
Instrument
(5% of
interviews)
X
X
X
X
X
X

48
57

X
X

58
67
68
69
73
76
78
82
84
87
92
96
99
102
104
106

X
X
X
X
X
X
X
X

X

X
X
X
X
X
X
X
X

Attachment C: NIS-4P ACASI Instrument 4-20-2020

INTERVIEW SETUP
A1

TYPE OF INTERVIEW:
1
ENGLISH MALE
2
ENGLISH FEMALE
3
SPANISH MALE
4
SPANISH FEMALE

DEFINE CONFIRM_FILL
IF A1 = 1 THEN CONFIRM_FILL = “AN ENGLISH INTERVIEW WITH A MALE INMATE”
IF A1 = 2 THEN CONFIRM_FILL = “AN ENGLISH INTERVIEW WITH A FEMALE
INMATE”
IF A1 = 3 THEN CONFIRM_FILL = “A SPANISH INTERVIEW WITH A MALE INMATE”
IF A1 = 4 THEN CONFIRM_FILL = “A SPANISH INTERVIEW WITH A FEMALE
INMATE”
A1_CONFIRM INTERVIEWER: YOU INDICATED YOU WANT TO ADMINISTER
[CONFIRM_FILL]. IS THIS CORRECT?
1
2

YES
NO

PROGRAMMER: PLEASE ROUTE ‘NO’ RESPONSES BACK TO A1. DK/REF ARE NOT
ALLOWED FOR THIS ITEM.
DEFINE GENDER:
IF A1 = 1 OR 3 THEN GENDER = 1
IF A1 = 2 OR 4 THEN GENDER = 2

OMB INTERVIEWER: IF RESPONDENT ASKS ANY QUESTIONS ABOUT OMB APPROVAL
FOR THIS STUDY, YOU MAY READ THE INFORMATION BELOW. OTHERWISE
TOUCH THE NEXT BUTTON TO GO TO THE NEXT SCREEN.
Notice: Public reporting for this collection of information is estimated to average 35 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information.
Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the Director, Bureau of Justice
Statistics, 810 Seventh Street, NW, Washington, DC 20531. An agency may not conduct or
sponsor, and a person is not required to respond to a collection of information unless it displays a
currently valid OMB control number. The OMB control number for this project is XXXX-xxxx.
I1

FACILITY ID
____________________

I2

ENTER YOUR INTERVIEWER ID NUMBER:
__________ [ALLOW 6 DIGITS]

I3

IS THIS INMATE BEING OFFERED AN INCENTIVE?
1

YES

Attachment C: NIS-4P ACASI Instrument 4-20-2020

2

NO

Attachment C: NIS-4P ACASI Instrument 4-20-2020

CAPI DEMOGRAPHICS
A2

In what year were you born?
4-DIGIT YEAR: _________
DK/REF

DEFINE CALCAGE:
CALCAGE = AGE CALCULATED BY SUBTRACTING A2 YEAR FROM CURRENT YEAR.
A3

[IF A2 NE (DK OR REF)] Are you CALCAGE – 1 or CALCAGE?
1
CALCAGE – 1
2
CALCAGE
DK/REF

UPDATE CALCAGE:
IF A3 = 1 THEN CALCAGE = CALCAGE - 1
ELSE CALCAGE = CALCAGE
A4

[IF (A2=DK OR REF) OR A3 = DK OR REF] How old are you?
AGE: ____________
DK/REF

UPDATE CALCAGE:
IF A4 NE BLANK OR DK OR REF THEN CALCAGE = A4
IF A4 = DK THEN CALCAGE = DK
IF A4 = RE THEN CALCAGE = RE
I4

[IF CALCAGE < 18] HAS THIS FACILITY APPROVED PARTICIPATION FOR 16
AND 17-YEAR OLDS?
NOTE: THIS INFORMATION IS INCLUDED IN THE FACILITY LOGISTICS
PLAN.
1
2

A4a

YES
NO

[IF CALCAGE < 16 AND I4 = 1] Thank you for your willingness to participate, but we
cannot interview anyone who is younger than 16 for this study.
[IF CALCAGE < 18 AND 14 = 2] Thank you for your willingness to participate, but we
cannot interview anyone who is younger than 18 for this study.
PRESS NEXT BUTTON TO END INTERVIEW.
Note to Programmers: Route these cases to M20

A4b

[IF A4 = DK/REF] Thank you for your willingness to participate, but we cannot
interview if we don’t know how old you are.
PRESS NEXT BUTTON TO END INTERVIEW.
Note to Programmers: Route these cases to M20

Attachment C: NIS-4P ACASI Instrument 4-20-2020

B1.

How old were you the first time you were arrested or taken into custody for any offense?
AGE: ________________ [RANGE: 6 – CALCAGE]
DK/REF

A5

When were you admitted to this facility?
A5a.
A5b.
A5c.

A6

2-DIGIT MONTH: _________ [RANGE: 1 – 12]
DK/REF
2-DIGIT DAY: ____________ [RANGE: 1 – 31]
DK/REF
4-DIGIT YEAR: ___________ [RANGE: 1915 – current year]
DK/REF

[IF A5a = DK/REF AND A5c NE DK OR REF] What time of year was it? Was it
winter, spring, summer, or fall when you were admitted to this facility?
1
WINTER
2
SPRING
3
SUMMER
4
FALL
DK/REF

DEFINE CALCTIME:
CALCTIME = CALCULATED BY “SUBTRACTING” DATE OF INCARCERATION FROM
DATE OF INTERVIEW AND THEN ROUNDING. (less than 2 months report as days; 2
– 11 months report as months; 12 months or more round to nearest year)
DEFINE DOAFILL1:
If facility admission date is at least 12 months ago then DOAFILL1 = During the past 12 months
If facility admission date is less than 12 months ago then DOAFILL1 = Since you arrived at this
facility
DEFINE DOAFILL2:
If facility admission date is at least 12 months ago then DOAFILL2 = during the past 12 months
If facility admission date is less than 12 months ago then DOAFILL2 = since you arrived at this
facility
A7

[IF CALCTIME NE 0 DAYS] That means you have been here for about [CALCTIME].
Is that correct?
1
2

A8

YES
NO

[IF (A5c=DK OR REF) OR CALCTIME=0 DAYS OR A7 = 2] How long have you been
in this facility?
INTERVIEWER: PROBE THOROUGHLY TO AVOID A DK OR REFUSE
RESPONSE IF AT ALL POSSIBLE.
1
LESS THAN 1 WEEK
2
AT LEAST 1 WEEK BUT LESS THAN 1 MONTH
3
AT LEAST 1 MONTH BUT LESS THAN 2 MONTHS
4
AT LEAST 2 MONTHS BUT LESS THAN 6 MONTHS
5
AT LEAST 6 MONTHS BUT LESS THAN 1 YEAR
6
AT LEAST 1 YEAR BUT LESS THAN 5 YEARS
7
AT LEAST 5 YEARS BUT LESS THAN 10 YEARS
8
10 YEARS OR MORE
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

UPDATE DOAFILL1:
IF A8 = 1 – 5 THEN DOAFILL1 = Since you arrived at this facility
IF A8 = 6 – 8 OR DK OR REF, THEN DOAFILL1 = During the past 12 months
UPDATE DOAFILL2:
IF A8 = 1 – 5 THEN DOAFILL2 = since you arrived at this facility
IF A8 = 6 – 8 OR DK OR REF, THEN DOAFILL2 = during the past 12 months
RANDOMIZATION: PROGRAMMER, PLEASE IMPLEMENT RANDOMIZING ROUTINE
95/5.
A9a.

Did you spend last night in disciplinary or administrative segregation, or solitary confinement?
1
YES
2
NO
DK/REF

A9b.

[IF A9a = 1] How many days have you been in disciplinary or administrative segregation, or
solitary confinement?
1
1 day or less
2
More than 1 day but less than 7 days
3
At least 7 days but less than 14 days
4
At least 14 days but less than 30 days
5
30 days or more
DK/REF

A9c.

[IF A9a = 2 OR DK OR REF] Which of the following best describes the housing unit where you
spent last night?
[IF A9a = 1] Which of the following best describes the housing unit in disciplinary or
administrative segregation, or solitary confinement where you spent last night?
1
An open dorm
2
A dorm with cubicles
3
A unit with cells
4
A unit with rooms
5
An area not originally intended as housing, such as a gym, classroom, or day room
6
NONE OF THESE
DK/REF

A10.

How tall are you?
Feet: ___________
Inches: _____________
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

COMPUTER TUTORIAL
C1

[NO AUDIO REQUIRED] You will complete the rest of this interview on your own
using the computer and headphones. Before you start, we’ll go through a short practice
session together so you can learn how to use this computer to answer the interview
questions. After this introduction, I will move away from the computer and will not be
able to see your answers so that you can take the interview in private.
You do not need the mouse or keyboard to answer questions. You can simply touch the
buttons on the screen using your finger.
MOVE COMPUTER SO RESPONDENT CAN SEE THE SCREEN.
For each question, the answers will appear on the screen, like these yes and no answers.
POINT TO YES AND NO ANSWERS ON SCREEN. When you have the headphones
on you’ll also hear instructions that will help you know where to touch the screen. To
choose an answer you will need to use your finger to touch the button next to for your
answer on the computer screen, like this.
PRESS YES BUTTON.

After you choose your answer, you must touch the NEXT button. TOUCH THE NEXT
BUTTON.
C2

[NO AUDIO REQUIRED] If you want to go back to the previous question, this is the
BACK button. POINT TO BACK BUTTON.
Now I will show you how to use the back button to go back to the previous question and
change the answer to no.
NOW DEMONSTRATE USE OF BACK BUTTON BY PRESSING IT TO GO BACK
TO THE PREVIOUS SCREEN AND CHANGE YOUR ANSWER TO NO. THEN
RETURN TO THIS SCREEN BY PRESSING NEXT.
If you don’t know the answer to the question, touch the button next to DON’T KNOW
[POINT TO DON’T KNOW] and then press NEXT. PRESS DON’T KNOW BUTTON
AND THEN NEXT.

Attachment C: NIS-4P ACASI Instrument 4-20-2020

C3

[NO AUDIO REQUIRED] If you don’t want to answer the question, you can touch the
button next to REFUSE [POINT TO THE REFUSE BUTTON]and then press NEXT to
go to the next question. PRESS REFUSE BUTTON AND THEN NEXT.

C4

[NO AUDIO REQUIRED] If you want the computer to read the question again, you can
press the AUDIO button [POINT TO AUDIO BUTTON].

C5

[NO AUDIO REQUIRED] You can adjust the volume here [DEMONSTRATE
VOLUME ADJUSTMENT, ON THE HEADPHONE CORD]. Or if you want to turn the
volume off you can adjust it on your headphones or take your headphones off.
Please put on your headphones. When you are ready, let me know.
MOVE COMPUTER SO RESPONDENT CAN USE IT. ONCE RESPONDENT HAS
HEADPHONES ON, TOUCH THE NEXT BUTTON SO RESPONDENT CAN BEGIN
PRACTICE SESSION.

PLAY AUDIO FOR ALL FOLLOWING SCREENS
C6

This screen will play while you adjust the volume in your headphones. When you have
adjusted the volume to a level that is comfortable to you, touch the NEXT button to
continue with the practice session.

C7

For the rest of this interview you will control the interview and answer in complete
privacy. You can read the questions on the computer screen and hear them read through
the headphones. Nobody, not even your interviewer will know how you answer the
questions. [IF CALAGE = 16 OR 17] Because you are under 18 I want to remind you
that if you speak to your interviewer about any abuse you have experienced at this facility
the interviewer or his or her supervisor may need to report it to the agency in this state
that investigates abuse.
First, you will learn how to use the system and complete some practice questions.
Touch the NEXT button on your screen.

C8

After you hear the question, you will hear the possible answers. To answer the question,
use your finger to touch the button on the screen next to your answer and then touch the
NEXT button.
Do you like ice cream?
1 Yes
2 No
Don’t Know
Refuse to Answer

C10

For some questions you will enter your answer using a keypad like the one shown below.
Try using the keypad to answer the question below. If you need to change your answer
touch the “X” button in the lower right corner of the keypad to remove what you have
already entered and then put in a new answer. After you answer the question, touch the
NEXT button.
How many meals have you eaten today?

Attachment C: NIS-4P ACASI Instrument 4-20-2020

[RANGE: 0 – 999]

C11

Sometimes there will be more than one question to answer on a screen like the example
shown below. For these questions the answer choices and the REFUSED and DON’T
KNOW buttons are shown to the right of each question. Try answering the questions
below and then touch the NEXT button to go to the next screen.
Has a doctor or other health care provider ever told you that you are allergic to…

C11a. Pollen?
C11b. Dust?
C11c. Mold?
DK/REF
C14

Yes
1
1
1

No
2
2
2

If you have any questions, ask your interviewer now. If not, tell the interviewer you are
ready to begin and he or she will move away from the computer.
Touch the NEXT button when you are ready to begin.

Attachment C: NIS-4P ACASI Instrument 4-20-2020

ACASI DEMOGRAPHICS
A11

Are you of Hispanic, Latino, or Spanish origin?
1
Yes
2
No
DK/REF

A13

Which of these categories describes your race?
You may answer yes to one or more of these categories.

A13a. White?
A13b. Black or African American?
A13c. American Indian or Alaska Native?
A13d. Asian?
A13e. Native Hawaiian or other Pacific Islander?
DK/REF
A16

Yes
1
1
1
1
1

No
2
2
2
2
2

How much do you currently weigh in pounds?
CURRENT WEIGHT: __________________ [RANGE: 50 – 700]
DK/REF

A17

Did you graduate from high school?
1
Yes
2
No
DK/REF

A18

[IF A17 = 1] Did you receive a high school diploma or a GED for finishing high school?
1
A high school Diploma
2
A GED
DK/REF

A19

[If A17 = 2] Did you receive a GED?
1
Yes
2
No
DK/REF

A20

[IF A17 =1 OR A19 =1] What is the highest level of school you have completed?
1
High school or GED
2
Some college but you did not receive a degree
3
Associate Degree
4
Bachelor’s Degree
5
An advanced degree such as a Master’s, MBA, or PhD
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

A21

[IF A17 =2 AND A19 =2] Did you attend high school?
1
Yes
2
No
DK/REF

V1.

Have you ever served in the United States Armed Forces?
1 Yes
2 No
DK/REF

V4

[IF V1 = 1] Are you currently serving in the United States Armed Forces?
1 Yes
2 No
DK/REF

V8

[IF V4 = 2] What type of discharge did you receive from the United States Armed Forces?
1
Honorable
2
General under honorable conditions
3
Other than honorable
4
Bad conduct
5
Dishonorable
6
Some other type of discharge
DK/REF

A22.

Are you a U.S. citizen?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

CRIMINAL HISTORY
B0.

These next questions are about your experience with crime and the criminal justice system.
Touch the NEXT button to go to the next screen.

B2.

Altogether, how many times have you been arrested or taken into custody for any offense?
1
One time
2
2-3 times
3
4-10 times
4
11 times or more
DK/REF

B3.

Before you were admitted to this facility, had you ever spent time as an adult or juvenile in a
prison, jail, or other correctional facility?
1
Yes
2
No
DK/REF

B4.

Are you currently in this facility because you have been sentenced to serve time for an offense?
1
Yes
2
No
DK/REF

B5.

[IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for a property offense?
Property offenses include crimes like burglary, larceny, theft, auto theft, bad checks, fraud,
forgery, arson, or possession of stolen goods.
1
Yes
2
No
DK/REF

B6.

[IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for a drug offense?
Drug offenses include crimes like possessing, selling, trafficking, importing, smuggling, or
manufacturing illegal drugs or drug paraphernalia.
1
Yes
2
No
DK/REF

B7.

[IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for a violent offense?
Violent offenses include crimes like physical or sexual assault, rape, robbery, manslaughter,
murder, attempted murder, or kidnapping.
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

B8.

[IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for other crimes against
people? Other crimes against people include crimes like vehicular homicide, hit and run, reckless
endangerment, child neglect, harassment, or stalking.
1
Yes
2
No
DK/REF

B9.

[IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for a sexual offense?
Sexual offenses include crimes like rape, statutory rape, sexual assault, child molestation, child
pornography, incest, or indecent exposure.
1
Yes
2
No
DK/REF

B10.

[IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for a probation, parole,
or community supervision violation?
1
Yes
2
No
DK/REF

B28.

[IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for a weapons offense?
Weapons offenses include things like possessing an illegal or stolen weapon, illegally discharging
a firearm, using a weapon during the commission of a crime, or violating probation, parole, or
community supervision by possessing a firearm.
1
Yes
2
No
DK/REF

B12.

[IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for driving under the
influence or driving while intoxicated?
1
Yes
2
No
DK/REF

B11.

[IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for a procedural
violation? Procedural violations include things like failure to appear in court, violating a
restraining order, failure to obey a lawful order of a police officer, contempt, escape, resisting
arrest without violence, or a regulatory or tax offense.
1
Yes
2
No
DK/REF

B13.

[IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for some other offense?
Other offenses include crimes like loitering, prostitution, gambling, drunkenness, disorderly
conduct, trespassing, minor traffic violations, or immigration violations.
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

B14.

[IF B4 = 1] Are you currently sentenced and serving time in this facility for a property offense?
Property offenses include crimes like burglary, larceny, theft, auto theft, bad checks, fraud,
forgery, arson, or possession of stolen goods.
1
Yes
2
No
DK/REF

B15.

[IF B4 = 1] Are you currently sentenced and serving time in this facility for a drug offense? Drug
offenses include crimes like possessing, selling, trafficking, importing, smuggling, or
manufacturing illegal drugs or drug paraphernalia.
1
Yes
2
No
DK/REF

B16.

[IF B4 = 1] Are you currently sentenced and serving time in this facility for a violent offense?
Violent offenses include crimes like physical or sexual assault, rape, robbery, manslaughter,
murder, attempted murder, or kidnapping.
1
Yes
2
No
DK/REF

B17.

[IF B4 = 1] Are you currently sentenced and serving time in this facility for other crimes against
people? Other crimes against people include crimes like vehicular homicide, hit and run, reckless
endangerment, child neglect, harassment, or stalking.
1
Yes
2
No
DK/REF

B18.

[IF B4 = 1] Are you currently sentenced and serving time in this facility for a sexual offense?
Sexual offenses include crimes like rape, statutory rape, sexual assault, child molestation, child
pornography, incest, or indecent exposure.
1
Yes
2
No
DK/REF

B19.

[IF B4 = 1] Are you currently sentenced and serving time in this facility for a probation, parole,
or community supervision violation?
1
Yes
2
No
DK/REF

B29.

[IF B4 = 1] Are you currently sentenced and serving time in this facility for a weapons offense?
Weapons offenses include things like possessing an illegal or stolen weapon, illegally discharging
a firearm, using a weapon during the commission of a crime, or violating probation, parole, or
community supervision by possessing a firearm.
1 Yes
2 No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

B21.

[IF B4 = 1] Are you currently sentenced and serving time in this facility for driving under the
influence or driving while intoxicated?
1
Yes
2
No
DK/REF

B20.

[IF B4 = 1] Are you currently sentenced and serving time in this facility for a procedural
violation? Procedural violations include things like failure to appear in court, violating a
restraining order, failure to obey a lawful order of a police officer, contempt, escape, resisting
arrest without violence, or a regulatory or tax offense.
1
Yes
2
No
DK/REF

B22.

[IF B4 = 1] Are you currently sentenced and serving time in this facility for some other offense?
Other offenses include crimes like loitering, prostitution, gambling, drunkenness, disorderly
conduct, trespassing, minor traffic violations, or immigration violations.
1
Yes
2
No
DK/REF

B23.

[IF B4 = 1 OR DK OR REF] Are you currently serving a life sentence or a life sentence without
parole?
1
Yes
2
No
DK/REF

B24.

[IF B23 = 2 OR DK OR REF] Are you currently serving a death sentence?
1
Yes
2
No
DK/REF

B25.

[IF B24 = 2 OR DK OR REF] What is your total maximum sentence length for all of the
sentences you are serving?
1
Less than 1 year
2
At least 1 year but less than 5 years
3
At least 5 years but less than 10 years
4
At least10 years but less than 20 years
5
20 years or more
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

SEXUAL IDENTITY AND PRE-INCARCERATION INFORMATION
D1

Are you currently married, widowed, divorced or separated, or have you never married?
1
Married
2
Widowed
3
Divorced
4
Separated (For reasons other than incarceration)
5
Never married
DK/REF

D2a

[IF GENDER = 1] Which of the following best represents how you think of yourself?
1
Straight; that is, not gay
2
Gay
3
Bisexual; that is, you are sexually attracted to both men and women
4
Something else
DK/REF

D2b

[IF GENDER = 2] Which of the following best represents how you think of yourself?
1
Straight; that is, not lesbian or gay
2
Lesbian or gay
3
Bisexual; that is, you are sexually attracted to both men and women
4
Something else
DK/REF

D3a

What sex was recorded on your original birth certificate?
1
Male
2
Female
DK/REF

D3b

Do you currently think of yourself as…?
1
Male
2
Female
3
Transgender
4
None of these
DK/REF

DEFINE CURRSEX FILL
IF D3b = 1 THEN CURRSEX FILL = “describe yourself as male”
IF D3b = 2 THEN CURRSEX FILL = “describe yourself as female”
IF D3b = 3 THEN CURRSEX FILL = “describe yourself as transgender”
IF D3b = 4 THEN CURRSEX FILL = “do not describe yourself as male, female, or transgender”
DEFINE BIRTHSEX
IF D3a = 1 THEN BIRTHSEX = male
IF D3a = 2 THEN BIRTHSEX = female
ELSE BIRTHSEX = BLANK

Attachment C: NIS-4P ACASI Instrument 4-20-2020

D3c

[IF (D3a = 1 AND D3b = 2 OR 3 OR 4) OR (D3a = 2 AND D3b = 1 OR 3 OR 4)] Just to confirm
what you entered, [BIRTHSEX] was recorded on your original birth certificate and now you
[CURRSEX FILL]. Is that correct?
1 Yes
2 No
DK/REF

D3d

[IF D3c = 2] Please answer this question again: What sex was recorded on your original birth
certificate?
1 Male
2 Female
DK/REF

D3e

[IF D3c = 2] Please answer this question again: Do you currently think of yourself as male,
female, or transgender?
1 Male
2 Female
3 Transgender
4 None of these
DK/REF

DEFINE TRANSID
IF D3b = 3 AND D3e = BLANK THEN TRANSID = 1
IF D3b = 3 AND D3e = 3 THEN TRANSID = 1
IF D3b = 1 OR 2 OR 4 AND D3e = 3 THEN TRANSID = 1
ELSE TRANSID = 2
RANDOM = 95, CONTINUE TO D6
RANDOM = 5, SKIP TO FH_1

Attachment C: NIS-4P ACASI Instrument 4-20-2020

D6

[IF GENDER = 2] Before you entered this facility, had anyone ever physically forced you to have
sex or sexual contact – that is unwanted touching of the breasts, genitals, or butt, or vaginal, oral, or
anal sex?
[IF GENDER = 1] Before you entered this facility, had anyone ever physically forced you to have
sex or sexual contact – that is unwanted touching of the genitals or butt, or vaginal, oral, or anal sex?
1
Yes
2
No
DK/REF

D7

[IF GENDER=2] Before you entered this facility, had anyone ever pressured you or made you feel
you had to have sex or sexual contact – that is unwanted touching of the breasts, genitals, or butt, or
vaginal, oral, or anal sex?
[IF GENDER = 1] Before you entered this facility, had anyone ever pressured you or made you feel
you had to have sex or sexual contact – that is unwanted touching of the genitals or butt, or vaginal,
oral, or anal sex?
1
Yes
2
No
DK/REF

DEFINE SEXTYPE1:
IF D6 = 1 AND D7 NE 1, SEXTYPE1 = “physically forced”
IF D6 NE 1 AND D7 =1, SEXTYPE1 = “pressured or made to feel that you had”
IF D6 = 1 AND D7 = 1, SEXTYPE1 = “physically forced, pressured, or made to feel that you had”
ELSE SEXTYPE1 = BLANK
D8

[IF D6 =1 OR D7 = 1] How many times were you [SEXTYPE1 FILL] to have sex or sexual contact
before you entered this facility?
1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF

D9

[IF D8 NE 1 AND SEXTYPE1 NE BLANK AND CALCAGE = 18 OR OLDER] Were you
[SEXTYPE1 FILL] to have sex or sexual contact before you were 18 years old, after you turned 18,
or both?
1
Before you were 18
2
After you turned 18
3.
Both
DK/REF

D10

[IF D8 = 1 AND CALCAGE = 18 OR OLDER] Were you [SEXTYPE1 FILL] to have sex or sexual
contact before you were 18 years old?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

[IF (D6 = 1 OR D7 = 1) AND B3=1] Before you entered this facility, were you [SEXTYPE1 FILL]
to have sex or sexual contact while you were an adult or juvenile in a jail, prison, or other
correctional facility?

D11

1
Yes
2
No
DK/REF
RANDOM = 95, SKIP TO D16
RANDOM = 5, CONTINUE TO FH_1
FH_1

[IF RANDOM = 5] Is this the only facility you’ve been held in during your current incarceration?
1
Yes
2
No
DK/REF

FH_2

[IF FH_1 = 2 OR DK OR REF] Including this one, how many prisons have you been held in during your
current incarceration? Please do not include any jails you may have been held in before you were transferred
to prison.
NUMBER OF PRISONS: _________ [RANGE: 1 – 15]
DK/REF

D12

Now think about the 6 months before you were incarcerated.
During the 6 months before you were incarcerated, did you live for most of the time…
1
In your own house or apartment, meaning your name was on the title, mortgage, or lease
2
In someone else’s house or apartment, including your parents’ place
3
In a residential treatment facility
4
In a transitional housing facility or halfway house
5
In a shelter
6
On the street or you were homeless
7
In no set place or you moved around a lot
8
In some other place or situation
DK/REF

D13

Have you ever had a job working for pay?

1
2

Yes
No

DK/REF
D14

At any point during the 6 months before you were incarcerated, did you have a job where you worked for
pay?

1
2
DK/REF

Yes
No

Attachment C: NIS-4P ACASI Instrument 4-20-2020

D15

How did you support yourself during the 6 months before you were incarcerated?

D15a A job?
D15b Support from your family?
D15c Support from your friends?
D15d A government program or public assistance?
D15e Illegal income?
D15f Some other type of support?
DK/REF
D16

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

[IF RANDOM = 5] Still thinking about the 6 months before you were incarcerated, had anyone you were
living with at that time ever been in jail, prison, or some other correctional institution?
[IF RANDOM = 95] Now think about the 6 months before you were incarcerated. Had anyone you were
living with at that time ever been in jail, prison, or some other correctional institution?
1
Yes
2
No
DK/REF

D17

At the time you became incarcerated, how many children under the age of 18 did you have? Please count all
children that you consider yourself to be a parent of.
NUMBER OF CHILDREN: __________ [RANGE 0-25]
DK/REF

D18

[IF D17 > 0] During the 6 months before you were incarcerated, how many of those [D17_FILL] children
lived with you?
CHILDREN LIVED WITH R: ____________ [RANGE 0-25]
DK/REF

D19

Have any of your parents or guardians ever been incarcerated in a prison or jail?
1 Yes
2 No
DK/REF

D20

[IF D19 = 1] Are any of your parents or guardians currently incarcerated in a prison or jail?
1
Yes
2
No
DK/REF

D21

Have any of your brothers or sisters ever been incarcerated in a prison or jail?
1
Yes
2
No
3
I do not have any brothers or sisters
DK/REF

D22

[IF D21 = 1] Are any of your brothers or sisters currently incarcerated in a prison or jail?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

D23

Think about the people you considered to be your closest friends before you were incarcerated. Had any of
those close friends ever been incarcerated in a prison or jail?
1
Yes
2
No
DK/REF

D24

[IF D23 = 1] Are any of those close friends currently incarcerated in a prison or jail?
1
Yes
2
No
DK/REF

RANDOM = 5, SKIP TO CHILDHOOD EXPERIENCES
RANDOM = 95, CONTINUE TO SEXUAL ACTIVITES WITH INMATES

Attachment C: NIS-4P ACASI Instrument 4-20-2020

SEXUAL ACTIVITY WITH INMATES
E1

These next questions are about both wanted and unwanted sex or sexual contact you have had with other
inmates in this facility DOAFILL2.
Touch the NEXT button to go to the next screen.

E2

Males
[IF GENDER = 1] DOAFILL1,
have you been touched on your
butt, thighs, or penis in a sexual
way by another inmate?

E2

1
Yes
2
No
DK/REF
E6

Females
[IF GENDER = 2] DOAFILL1,
have you been touched on your
butt, thighs, breasts, or vagina in a
sexual way by another inmate?
1
Yes
2
No
DK/REF

[IF GENDER = 1] DOAFILL1,
have you given or received a
handjob? A ‘handjob’ is when
someone’s penis is rubbed by
somebody else.
1
Yes
2
No
DK/REF

E8

[IF GENDER = 1] DOAFILL1,
have you given or received oral
sex or a blowjob? Oral sex, or a
blowjob, is when one inmate puts
their mouth on the penis or butt of
another inmate.

E8

1
Yes
2
No
DK/REF

1
Yes
2
No
DK/REF
E10

E12

[IF GENDER = 1] DOAFILL1,
have you had anal sex? Anal sex
is when one inmate inserts their
finger, penis, or an object into
another inmate’s butt.
1
Yes
2
No
DK/REF

[IF GENDER = 2] DOAFILL1,
have you given or received oral
sex? Oral sex is when one inmate
puts their mouth on the vagina or
butt of another inmate.

E12

[IF GENDER = 2] DOAFILL1,
have you had vaginal sex?
Vaginal sex is when one inmate
inserts their finger or an object
into another inmate’s vagina.
1
Yes
2
No
DK/REF
[IF GENDER = 2] DOAFILL1,
have you had anal sex? Anal sex
is when one inmate inserts their
finger or an object into another
inmate’s butt.
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

E14

[IF GENDER = 1] DOAFILL1,
have you had any type of sex or
sexual contact with another
inmate other than sexual
touching, handjobs, oral sex or
blowjobs, or anal sex?
1
2

E15

E16

E14

Yes
No

DK/REF
[IF E2 = 1 OR E6 = 1 OR E8 = 1 OR
E12 = 1 OR E14 = 1] These next
questions are only about unwanted sex
or sexual contact.

[IF GENDER = 2] DOAFILL1,
have you had any type of sex or
sexual contact with another
inmate other than sexual
touching, oral sex, vaginal sex, or
anal sex?
1
2

E15

Yes
No

DK/REF
[IF E2 = 1 OR E8 = 1 OR E10 = 1 OR E12 =
1 OR E14 = 1] These next questions are
only about unwanted sex or sexual contact.
Touch the NEXT button to go to the next
screen.

Touch the NEXT button to go to the
next screen.
[IF E2=1] DOAFILL1, did
another inmate use physical force
to touch your butt, thighs, or penis
in a sexual way?
1
Yes
2
No
DK/REF

E17

[IF E2 = 1] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to let
them touch your butt, thighs, or
penis in a sexual way?
1
Yes
2
No
DK/REF
E18

[IF E2=1] DOAFILL1, did
another inmate use physical force
to touch your butt, thighs, breasts,
or vagina in a sexual way?
1
Yes
2
No
DK/REF

E19

[IF E2 = 1] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to let
them touch your butt, thighs,
breasts, or vagina in a sexual
way?
1
Yes
2
No
DK/REF

E22

[IF E6 =1] DOAFILL1, did

Attachment C: NIS-4P ACASI Instrument 4-20-2020

another inmate use physical force
to make you give or receive a
handjob?
1
Yes
2
No
DK/REF
E23

[IF E6 = 1] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to give
or receive a handjob?
1
Yes
2
No
DK/REF
E24

[IF E8 = 1] DOAFILL1, did
another inmate use physical force
to make you give or receive oral
sex?
1
Yes
2
No
DK/REF

E25

[IF E8 = 1] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to give
or receive oral sex?
1
Yes
2
No
DK/REF

E26

[IF E8 =1] DOAFILL1, did
another inmate use physical force
to make you give or receive oral
sex or a blowjob?
1
Yes
2
No
DK/REF

E27

[IF E8 = 1] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to give
or receive oral sex or a blowjob?
1
Yes
2
No
DK/REF
E28

[IF E10 = 1] DOAFILL1, did
another inmate use physical force
to make you have vaginal sex?
1

Yes

Attachment C: NIS-4P ACASI Instrument 4-20-2020

2
No
DK/REF
E29

[IF E10 = 1] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to
have vaginal sex?
1
Yes
2
No
DK/REF

E32

[IF E12 = 1] DOAFILL1, did
another inmate use physical force
to make you have anal sex?

E32

1
Yes
2
No
DK/REF
E33

E34

[IF E12 = 1] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to
have anal sex?
1
Yes
2
No
DK/REF
[IF E14 = 1] DOAFILL1, did
another inmate use physical force
to make you have any type of sex
or sexual contact other than
sexual touching, handjobs, oral
sex or blowjobs, or anal sex?

1
Yes
2
No
DK/REF
E33

E34

1
Yes
2
No
DK/REF
E35

[IF E14 = 1] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to
have any type of sex or sexual
contact other than sexual
touching, handjobs, oral sex or
blowjobs, or anal sex?
1
Yes
2
No
DK/REF

[IF E12 = 1] DOAFILL1, did
another inmate use physical force
to make you have anal sex?

[IF E12 = 1] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to
have anal sex?
1
Yes
2
No
DK/REF
[IF E14 = 1] DOAFILL1, did
another inmate use physical force
to make you have any type of sex
or sexual contact other than
sexual touching, oral sex, vaginal
sex, or anal sex?
1
Yes
2
No
DK/REF

E35

[IF E14 = 1] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to
have any type of sex or sexual
contact other than sexual
touching, oral sex, vaginal sex, or
anal sex?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

DEFINE forced:
If at least one of (E16, E18, E22, E24, E26, E28, E32, E34) is YES,
then forced = YES
else forced = NO
DEFINE pressured:
If at least one of (E17, E19, E23, E25, E27, E29, E33, E35) is YES,
then pressured = YES
else pressured = NO
DEFINE ForcedOrPressuredFill2:
If forced = YES AND pressured = NO
then forcedOrPressuredFill2 = “physically forced to”
Else if forced = NO AND pressured = YES
then forcedOrPressuredFill2 = “pressured or made to feel that you had to”
Else if forced = YES AND pressured = YES
then forcedOrPressuredFill2 = “physically forced, pressured, or made to feel that you had to”
Else
forcedOrPressuredFill2 = “????”
Note that if forced and pressured are both NO, the fill won’t be used so it doesn’t matter what it is.
E36

[IF GENDER = 1 AND (E22 = 1 OR E23 = 1 OR E26 = 1 OR E27 = 1 OR E32 = 1 OR E33 = 1)]
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
•
•
•

[IF E22 OR E23 = 1] Give or receive a handjob,
[IF E26 OR E27 = 1] Give or receive oral sex or a blowjob, or
[IF E32 OR E33 = 1] Have anal sex?
1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF

PROGRAMMER: DEPENDING ON THE NUMBER OF BEHAVIORS ENDORSED, PLEASE
INCORPORATE THIS PUNCTUATION:
• 1 ITEM – END WITH ?
• 2 ITEMS – 1ST ITEM END WITH or; 2ND ITEM END WITH ?
• 3 ITEMS – 1ST ITEM END WITH , ; 2ND ITEM END WITH , or; 3RD ITEM END WITH ?

Attachment C: NIS-4P ACASI Instrument 4-20-2020

E36a

[IF E36 = 3] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2:
•
•
•

[IF E22 OR E23 = 1] Give or receive a handjob,
[IF E26 OR E27 = 1] Give or receive oral sex or a blowjob, or
[IF E32 OR E33 = 1] Have anal sex?

1
3 times
2
4 times
3
5 times
4
6 times
5
7 times
6
8 times
7
9 times
8
10 times
DK/REF
PROGRAMMER: DEPENDING ON THE NUMBER OF BEHAVIORS ENDORSED, PLEASE
INCORPORATE THIS PUNCTUATION:
• 1 ITEM – END WITH ?
• 2 ITEMS – 1ST ITEM END WITH or; 2ND ITEM END WITH ?
• 3 ITEMS – 1ST ITEM END WITH , ; 2ND ITEM END WITH , or; 3RD ITEM END WITH ?
E36b

[IF E36 = 4] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
•
•
•

[IF E22 OR E23 = 1] Give or receive a handjob,
[IF E26 OR E27 = 1] Give or receive oral sex or a blowjob, or
[IF E32 OR E33 = 1] Have anal sex?

NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF
PROGRAMMER: DEPENDING ON THE NUMBER OF BEHAVIORS ENDORSED, PLEASE
INCORPORATE THIS PUNCTUATION:
• 1 ITEM – END WITH ?
• 2 ITEMS – 1ST ITEM END WITH or; 2ND ITEM END WITH ?
• 3 ITEMS – 1ST ITEM END WITH , ; 2ND ITEM END WITH , or; 3RD ITEM END WITH ?
E37

[IF GENDER = 2 AND (E24 = 1 OR E25 = 1 OR E28 = 1 OR E29 = 1 OR E32 = 1 OR E33 = 1)]
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
•
•
•

[IF E24 OR E25 = 1] Give or receive oral sex,
[IF E28 OR E29 = 1] Have vaginal sex, or
[IF E32 OR E33 = 1] Have anal sex?

1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF
PROGRAMMER: DEPENDING ON THE NUMBER OF BEHAVIORS ENDORSED, PLEASE
INCORPORATE THIS PUNCTUATION:
• 1 ITEM – END WITH ?
• 2 ITEMS – 1ST ITEM END WITH or; 2ND ITEM END WITH ?
• 3 ITEMS – 1ST ITEM END WITH , ; 2ND ITEM END WITH , or; 3RD ITEM END WITH ?

Attachment C: NIS-4P ACASI Instrument 4-20-2020

E37a

[IF E37 = 3] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
•
•
•

[IF E24 OR E25 = 1] Give or receive oral sex,
[IF E28 OR E29 = 1] Have vaginal sex, or
[IF E32 OR E33 = 1] Have anal sex?

1
3 times
2
4 times
3
5 times
4
6 times
5
7 times
6
8 times
7
9 times
8
10 times
DK/REF
PROGRAMMER: DEPENDING ON THE NUMBER OF BEHAVIORS ENDORSED, PLEASE
INCORPORATE THIS PUNCTUATION:
• 1 ITEM – END WITH ?
• 2 ITEMS – 1ST ITEM END WITH or; 2ND ITEM END WITH ?
• 3 ITEMS – 1ST ITEM END WITH , ; 2ND ITEM END WITH , or; 3RD ITEM END WITH ?
E37b

[IF E37 = 4] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
•
•
•

[IF E24 OR E25 = 1] Give or receive oral sex,
[IF E28 OR E29 = 1] Have vaginal sex, or
[IF E32 OR E33 = 1] Have anal sex?

NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF
PROGRAMMER: DEPENDING ON THE NUMBER OF BEHAVIORS ENDORSED, PLEASE
INCORPORATE THIS PUNCTUATION:
• 1 ITEM – END WITH ?
• 2 ITEMS – 1ST ITEM END WITH or; 2ND ITEM END WITH ?
• 3 ITEMS – 1ST ITEM END WITH , ; 2ND ITEM END WITH , or; 3RD ITEM END WITH ?
E38

[IF E16 = 1 OR E17 = 1] DOAFILL1, how many times altogether were you
[ForcedOrPressuredFill2 let another inmate touch your butt, thighs, or penis in a sexual way?
1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

E38a

[IF E38 = 3] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let
another inmate touch your butt, thighs, or penis in a sexual way?
1
3 times
2
4 times
3
5 times
4
6 times
5
7 times
6
8 times
7
9 times
8
10 times
DK/REF

E38b

[IF E38 = 4] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let
another inmate touch your butt, thighs, or penis in a sexual way?
NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF

E39

[IF E18 = 1 OR E19 = 1] DOAFILL1, how many times altogether were you
[ForcedOrPressuredFill2] let another inmate touch your thighs, breasts, or vagina in a sexual way?
1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF

E39a

[IF E39 = 3] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let
another inmate touch your thighs, breasts, or vagina in a sexual way?
1
3 times
2
4 times
3
5 times
4
6 times
5
7 times
6
8 times
7
9 times
8
10 times
DK/REF

E39b

[IF E39 = 4] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let
another inmate touch your thighs, breasts, or vagina in a sexual way?
NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

E40

[IF E36 > 1 OR E37 > 1] How soon after you arrived at this facility were you [ForcedOrPressuredFill2] have
sex or sexual contact with another inmate for the first time?
[IF E36 = 1 OR E37 = 1] How soon after you arrived at this facility were you [ForcedOrPressuredFill2] have
sex or sexual contact with another inmate?
1
Within the first 24 hours after you arrived here
2
More than 24 hours but within your first 3 days here
3
More than 3 days but within your first 30 days here
4
More than 30 days but within your first 6 months here
5
More than 6 months but within your first 12 months here
6
More than 12 months after you arrived here
DK/REF

LCM1 DOAFILL1, did another inmate use physical force, pressure you, or make you feel that you had to have any
type of sex or sexual contact?
1
Yes
2
No
DK/REF
LCM2a How long has it been since another inmate in this facility used physical force, pressured you, or made you feel
that you had to have any type of sex or sexual contact?
1
Within the past 7 days
2
More than 7 days ago but within the past 30 days
3
More than 30 days ago but within the past 12 months
4
More than 12 months ago
5
This has not happened to me at this facility
DK/REF
E162

[IF E2 = 2 AND E6 = 2 AND E8
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did another inmate use
physical force to touch your butt,
thighs, or penis in a sexual way?
1
Yes
2
No
DK/REF
E172

[IF E2 = 2 AND E6 = 2 AND E8
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to let
them touch your butt, thighs, or
penis in a sexual way?
1
Yes
2
No
DK/REF
E182

[IF E2 = 2 AND E8 = 2 AND E10
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1

Attachment C: NIS-4P ACASI Instrument 4-20-2020

OR 2 OR 3)] DOAFILL1, did
another inmate use physical force
to touch your butt, thighs, breasts,
or vagina in a sexual way?
1
Yes
2
No
DK/REF
E192

[IF E2 = 2 AND E8 = 2 AND E10
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to let
them touch your butt, thighs,
breasts, or vagina in a sexual
way?
1
Yes
2
No
DK/REF

E222

[IF E2 = 2 AND E6 = 2 AND E8
= 2 AND AND E12 = 2 AND E14
= 2 AND (LCM1 = 1 OR LCM2a
= 1 OR 2 OR 3)] DOAFILL1,
did another inmate use physical
force to make you give or receive
a handjob?
1
Yes
2
No
DK/REF

E232

[IF E2 = 2 AND E6 = 2 AND E8
= 2 AND AND E12 = 2 AND E14
= 2 AND (LCM1 = 1 OR LCM2a
= 1 OR 2 OR 3)] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to give
or receive a handjob?
1
Yes
2
No
DK/REF
E242

[IF E2 = 2 AND E8 = 2 AND E10
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did
another inmate use physical force
to make you give or receive oral
sex?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

E252

[IF E2 = 2 AND E8 = 2 AND E10
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to give
or receive oral sex?
1
Yes
2
No
DK/REF

E262

[IF E2 = 2 AND E6 = 2 AND E8
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did
another inmate use physical force
to make you give or receive oral
sex or a blowjob?
1
Yes
2
No
DK/REF

E272

[IF E2 = 2 AND E6 = 2 AND E8
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to give
or receive oral sex or a blowjob?
1
Yes
2
No
DK/REF
E282

[IF E2 = 2 AND E8 = 2 AND E10
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did
another inmate use physical force
to make you have vaginal sex?
1
Yes
2
No
DK/REF

E292

[IF E2 = 2 AND E8 = 2 AND E10
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to
have vaginal sex?
1

Yes

Attachment C: NIS-4P ACASI Instrument 4-20-2020

2
No
DK/REF

E322

[IF E2 = 2 AND E6 = 2 AND E8
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did
another inmate use physical force
to make you have anal sex?

E322

1
Yes
2
No
DK/REF
E332

E342

[IF E2 = 2 AND E6 = 2 AND E8
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to
have anal sex?
1
Yes
2
No
DK/REF
[IF E2 = 2 AND E6 = 2 AND E8
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did
another inmate use physical force
to make you have any type of sex
or sexual contact other than
sexual touching, handjobs, oral
sex or blowjobs, or anal sex?

1
Yes
2
No
DK/REF
E332

E342

1
Yes
2
No
DK/REF
E352

[IF E2 = 2 AND E6 = 2 AND E8
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to
have any type of sex or sexual
contact other than sexual
touching, handjobs, oral sex or
blowjobs, or anal sex?
1
Yes
2
No
DK/REF

[IF E2 = 2 AND E8 = 2 AND E10
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did
another inmate use physical force
to make you have anal sex?

[IF E2 = 2 AND E8 = 2 AND E10
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to
have anal sex?
1
Yes
2
No
DK/REF
[IF E2 = 2 AND E8 = 2 AND E10
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did
another inmate use physical force
to make you have any type of sex
or sexual contact other than
sexual touching, oral sex, vaginal
sex, or anal sex?
1
Yes
2
No
DK/REF

E352

[IF E2 = 2 AND E8 = 2 AND E10
= 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1
OR 2 OR 3)] DOAFILL1, did
another inmate, without using
physical force, pressure you or
make you feel that you had to
have any type of sex or sexual
contact other than sexual
touching, oral sex, vaginal sex, or
anal sex?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

UPDATE forced:
If at least one of (E162, E182, E222, E242, E262, E282, E322, E342) is YES,
then forced = YES
else forced = NO
UPDATE pressured:
If at least one of (E172, E192, E232, E252, E272, E292, E332, E352) is YES,
then pressured = YES
else pressured = NO
UPDATE ForcedOrPressuredFill2:
If forced = YES AND pressured = NO
then forcedOrPressuredFill2 = “physically forced to”
Else if forced = NO AND pressured = YES
then forcedOrPressuredFill2 = “pressured or made to feel that you had to”
Else if forced = YES AND pressured = YES
then forcedOrPressuredFill2 = “physically forced, pressured, or made to feel that you had to”
Else
forcedOrPressuredFill2 = “????”
[Note that if forced and pressured are both NO, the fill won’t be used so it doesn’t matter what it is.]

E353

[IF GENDER = 1 AND (E222 = 1 OR E232 = 1 OR E262 = 1 OR E272 = 1 OR E322 = 1 OR E332 = 1)]
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2:
•
•
•

[IF E222 OR E232 = 1] Give or receive a handjob,
[IF E262 OR E272 = 1] Give or receive oral sex or a blowjob, or
[IF E322 OR E332 = 1] Have anal sex?

1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF
PROGRAMMER: DEPENDING ON THE NUMBER OF BEHAVIORS ENDORSED, PLEASE
INCORPORATE THIS PUNCTUATION:
• 1 ITEM – END WITH ?
• 2 ITEMS – 1ST ITEM END WITH or; 2ND ITEM END WITH ?
• 3 ITEMS – 1ST ITEM END WITH , ; 2ND ITEM END WITH , or; 3RD ITEM END WITH ?
E354

[IF E353 = 3] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
•
•
•
1
3 times
2
4 times
3
5 times
4
6 times
5
7 times
6
8 times
7
9 times
8
10 times
DK/REF

[IF E222 OR E232 = 1] Give or receive a handjob,
[IF E262 OR E272 = 1] Give or receive oral sex or a blowjob, or
[IF E322 OR E332 = 1] Have anal sex?

Attachment C: NIS-4P ACASI Instrument 4-20-2020

PROGRAMMER: DEPENDING ON THE NUMBER OF BEHAVIORS ENDORSED, PLEASE
INCORPORATE THIS PUNCTUATION:
• 1 ITEM – END WITH ?
• 2 ITEMS – 1ST ITEM END WITH or; 2ND ITEM END WITH ?
• 3 ITEMS – 1ST ITEM END WITH , ; 2ND ITEM END WITH , or; 3RD ITEM END WITH ?
E355

[IF E353 = 4] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
•
•
•

[IF E222 OR E232 = 1] Give or receive a handjob,
[IF E262 OR E272 = 1] Give or receive oral sex or a blowjob, or
[IF E322 OR E332 = 1] Have anal sex?

NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF
PROGRAMMER: DEPENDING ON THE NUMBER OF BEHAVIORS ENDORSED, PLEASE
INCORPORATE THIS PUNCTUATION:
• 1 ITEM – END WITH ?
• 2 ITEMS – 1ST ITEM END WITH or; 2ND ITEM END WITH ?
• 3 ITEMS – 1ST ITEM END WITH , ; 2ND ITEM END WITH , or; 3RD ITEM END WITH ?
E356

[IF GENDER = 2 AND (E242 = 1 OR E252 = 1 OR E282 = 1 OR E292 = 1 OR E322 = 1 OR E332 = 1)]
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
•
•
•

[IF E242 OR E252 = 1] Give or receive oral sex,
[IF E282 OR E292 = 1] Have vaginal sex, or
[IF E322 OR E332 = 1] Have anal sex?

1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF
PROGRAMMER: DEPENDING ON THE NUMBER OF BEHAVIORS ENDORSED, PLEASE
INCORPORATE THIS PUNCTUATION:
• 1 ITEM – END WITH ?
• 2 ITEMS – 1ST ITEM END WITH or; 2ND ITEM END WITH ?
• 3 ITEMS – 1ST ITEM END WITH , ; 2ND ITEM END WITH , or; 3RD ITEM END WITH ?

Attachment C: NIS-4P ACASI Instrument 4-20-2020

E357

[IF E356 = 3] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
•
•
•

[IF E242 OR E252 = 1] Give or receive oral sex,
[IF E282 OR E292 = 1] Have vaginal sex, or
[IF E322 OR E332 = 1] Have anal sex?

1
3 times
2
4 times
3
5 times
4
6 times
5
7 times
6
8 times
7
9 times
8
10 times
DK/REF
PROGRAMMER: DEPENDING ON THE NUMBER OF BEHAVIORS ENDORSED, PLEASE
INCORPORATE THIS PUNCTUATION:
• 1 ITEM – END WITH ?
• 2 ITEMS – 1ST ITEM END WITH or; 2ND ITEM END WITH ?
• 3 ITEMS – 1ST ITEM END WITH , ; 2ND ITEM END WITH , or; 3RD ITEM END WITH ?
E358

[IF E356 = 4] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
•
•
•

[IF E242 OR E252 = 1] Give or receive oral sex,
[IF E282 OR E292 = 1] Have vaginal sex, or
[IF E322 OR E332 = 1] Have anal sex?

NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF
PROGRAMMER: DEPENDING ON THE NUMBER OF BEHAVIORS ENDORSED, PLEASE
INCORPORATE THIS PUNCTUATION:
• 1 ITEM – END WITH ?
• 2 ITEMS – 1ST ITEM END WITH or; 2ND ITEM END WITH ?
• 3 ITEMS – 1ST ITEM END WITH , ; 2ND ITEM END WITH , or; 3RD ITEM END WITH ?
E359

[IF E162 = 1 OR E172 = 1] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let
another inmate touch your butt, thighs, or penis in a sexual way?
1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

E360

[IF E359 = 3] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate
touch your butt, thighs, or penis in a sexual way?
1
3 times
2
4 times
3
5 times
4
6 times
5
7 times
6
8 times
7
9 times
8
10 times
DK/REF

E361

[IF E359 = 4] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate
touch your butt, thighs, or penis in a sexual way?
NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF

E362

[IF E182 = 1 OR E192 = 1] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let
another inmate touch your butt, thighs, breasts, or vagina in a sexual way?
1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF

E363

[IF E362 = 3] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate
touch your butt, thighs, breasts, or vagina in a sexual way?
1
3 times
2
4 times
3
5 times
4
6 times
5
7 times
6
8 times
7
9 times
8
10 times
DK/REF

E364

[IF E362 = 4] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate
touch your butt, thighs, breasts, or vagina in a sexual way?
NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

E365

[IF E353 > 1 OR E356 > 1] How soon after you arrived at this facility were you [ForcedOrPressuredFill2]
have sex or sexual contact with another inmate for the first time?
[IF E353 = 1 OR E356 = 1] How soon after you arrived at this facility were you [ForcedOrPressuredFill2]
have sex or sexual contact with another inmate?
1
Within the first 24 hours after you arrived here
2
More than 24 hours but within your first 3 days here
3
More than 3 days but within your first 30 days here
4
More than 30 days but within your first 6 months here
5
More than 6 months but within your first 12 months here
6
More than 12 months after you arrived here
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

DESCRIPTION OF NON-CONSENUAL SEXUAL ACTS (NCSAs)
DEFINE NCSA:
IF E16 = 1 OR E17 = 1 OR E18 = 1 OR E19 = 1 OR E22 = 1 OR E23 = 1 OR E24 = 1 OR E25 = 1
OR E26 = 1 OR E27 = 1 OR E28 = 1 OR E29 = 1 OR E32 = 1 OR E33 = 1 OR E34 = 1 OR E35 = 1
OR E162 = 1 OR E172 = 1 OR E182 = 1 OR E192 = 1 OR E222 = 1 OR E232 = 1 OR E242 = 1 OR
E252 = 1 OR E262 = 1 OR E272 = 1 OR E282 = 1 OR E292 = 1 OR E322 = 1 OR E332 = 1 OR
E342 = 1 OR E352 = 1 THEN NCSA = 1
ELSE NCSA = 2
UPDATE forced:
If at least one of (E16, E18, E22, E24, E26, E28, E32, E34, E162, E182, E222, E242, E262, E282, E322, E342)
is YES,
then forced = YES
else forced = NO
UPDATE pressured:
If at least one of (E17, E19, E23, E25, E27, E29, E33, E35, E172, E192, E232, E252, E272, E292, E332, E352)
is YES,
then pressured = YES
else pressured = NO
UPDATE ForcedOrPressuredFill2:
If forced = YES AND pressured = NO
then forcedOrPressuredFill2 = “physically forced”
Else if forced = NO AND pressured = YES
then forcedOrPressuredFill2 = “pressured or made to feel that you had”
Else if forced = YES AND pressured = YES
then forcedOrPressuredFill2 = “physically forced, pressured, or made to feel that you had”
Else
forcedOrPressuredFill2 = “????”
[Note that if forced and pressured are both NO, the fill won’t be used so it doesn’t matter what it is.]
DEFINE #NCSA1
IF E36 + E37 + E38 + E39 + E353 + E356 + E359 + E362 = 1 THEN #NCSA1 = did it
IF E36 + E37 + E38 + E39 + E353 + E356 + E359 + E362 > 1 THEN #NCSA1 = did it ever
IF ALL (E36, E37, E38, E39, E353, E356, E359, E362) = DK OR REF THEN #NCSA1 = did it ever
DEFINE #NCSA2
IF E36 + E37 + E38 +E39 + E353 + E356 + E359 + E362 = 1 THEN #NCSA2 = were you
IF E36 + E37 + E38 +E39 + E353 + E356 + E359 + E362 > 1 THEN #NCSA2= were you ever
IF ALL (E36, E37, E38, E39, E353, E356, E359, E362) = DK OR REF THEN #NCSA2 = were you ever
DEFINE #NCSA3
IF E36 + E37 + E38 + E39 + E353 + E356 + E359 + E362 = 1 THEN #NCSA3 = was it
IF E36 + E37 + E38 + E39 + E353 + E356 + E359 + E362 > 1 THEN #NCSA3 = was it ever
IF ALL (E36, E37, E38, E39, E353, E356, E359, E362) = DK OR REF THEN #NCSA3 = was it ever
DEFINE #NCSA4
IF E36 + E37 + E38 + E39 + E353 + E356 + E359 + E362 = 1 THEN #NCSA4 = did you
IF E36 + E37 + E38 + E39 + E353 + E356 + E359 + E362 > 1 THEN #NCSA4 = did you ever
IF ALL (E36, E37, E38, E39, E353, E356, E359, E362) = DK OR REF THEN #NCSA4 = did you ever
DEFINE #NCSA5
IF E36 + E37 + E38 + E39 + E353 + E356 + E359 + E362 = 1 THEN #NCSA5 = why didn’t you
IF E36 + E37 + E38 + E39 + E353 + E356 + E359 + E362 > 1 THEN #NCSA5 = why didn’t you ever
IF ALL (E36, E37, E38, E39, E353, E356, E359, E362) = DK OR REF THEN #NCSA5 = why didn’t you ever

Attachment C: NIS-4P ACASI Instrument 4-20-2020

F1

[IF NCSA = 1] DOAFILL1,when you were [ForcedOrPressuredFill2] have sex or sexual contact with another
inmate, [#NCSA1 FILL] involve more than one inmate?
1
Yes
2
No
DK/REF

F6

[IF NCSA = 1] DOAFILL1,when you were [ForcedOrPressuredFill2] have sex or sexual contact
with another inmate, [#NSCA2 FILL] …

F6a. Persuaded or talked into it?
F6b. Given a bribe?
F6c. Blackmailed?
F6d. Given drugs or alcohol to get you drunk or high?
F6e. Offered protection from other inmates?
F6f. Trying to pay off or settle a debt that you owed?
F6g. Threatened with harm?
F6h. Physically held down or restrained?
F6i. Physically harmed or injured?
F6j. Threatened with a weapon?
DK/REF

F8

Yes
1
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2
2

[IF NCSA = 1] DOAFILL1,when you were [ForcedOrPressuredFill2] have sex or sexual contact
with another inmate, [#NCSA3] initiated by a gang?
1
Yes
2
No
DK/REF

F9

[IF NCSA = 1] DOAFILL1, when you were [ForcedOrPressuredFill2] have sex or sexual contact
with another inmate, [#NCSA2] injured?
1
Yes
2
No
DK/REF

F10

[IF F9 = 1] DOAFILL1,when you were [ForcedOrPressuredFill2] have sex or sexual contact with
another inmate, [#NCSA4] …

F10a. Receive knife or stab wounds?
F10b. Receive broken bones?
F10c. [IF GENDER = 1] Have anal tearing?
[IF GENDER = 2] Have anal or vaginal tearing?
F10d. Have your teeth chipped or knocked out?
F10e Receive internal injuries?
F10f. Get knocked unconscious?
F10g. Receive bruises, a black eye, sprains, cuts, scratches, swelling,
welts, or burns?
DK/REF

Yes
1
1
1

No
2
2
2

1
1
1
1

2
2
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

STAFF SEXUAL MISCONDUCT
G1

These next questions are about the behavior of staff at this facility DOAFILL2. By staff we mean the
employees of this facility and anybody who works as a volunteer in this facility.
Touch the NEXT button to go to the next screen.

G4

DOAFILL1, have any facility staff pressured you or made you feel that you had to let them have sex or
sexual contact with you?
1
Yes
2
No
DK/REF

G5

DOAFILL1, have you been physically forced by any facility staff to have sex or sexual contact?
1
Yes
2
No
DK/REF

DEFINE SEXTYPE2
IF G4 =1 AND G5 = 1 THEN SEXTYPE2 = physically forced, pressured, or made to feel that you had to
IF G4 = 1 AND G5 NE 1 THEN SEXTYPE2 = pressured or made to feel that you had to
IF G4 NE 1 AND G5 = 1 THEN SEXTYPE2 = physically forced to
G6

[IF G4 =1 OR G5 = 1] DOAFILL1, how many times were you [SEXTYPE2 FILL] have sex or sexual
contact with any facility staff?
1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF

G6a.

[IF G6 = 3] DOAFILL1, how many times were you [SEXTYPE2 FILL] have sex or sexual contact with any
facility staff?
1
3 times
2
4 times
3
5 times
4
6 times
5
7 times
6
8 times
7
9 times
8
10 times
DK/REF

G6b.

[IF G6 = 4] DOAFILL1, how many times were you [SEXTYPE2 FILL] have sex or sexual contact with any
facility staff?
NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

G8

[IF (G4 = 1 OR G5 = 1) AND G6 > 1] How soon after you arrived at this facility were you [SEXTYPE2]
have sex or sexual contact with facility staff for the first time?
[IF (G4 = 1 OR G5 = 1) AND G6 = 1)] How soon after you arrived at this facility were you [SEXTYPE2]
have sex or sexual contact with facility staff?
1
Within the first 24 hours after you arrived here
2
More than 24 hours but within your first 3 days here
3
More than 3 days but within your first 30 days here
4
More than 30 days but within your first 6 months here
5
More than 6 months but within your first 12 months here
6
More than 12 months after you arrived here
DK/REF

G7

DOAFILL1, have any facility staff offered you favors or special privileges in exchange for sex or sexual
contact?
1
Yes
2
No
DK/REF

G2

DOAFILL1, have you willingly had sex or sexual contact with any facility staff?
1
Yes
2
No
DK/REF

G3

[IF G2 = 1] DOAFILL1, how many times have you willingly had sex or sexual contact with facility staff?
1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF

G3a

[IF G3 = 3] DOAFILL1, how many times have you willingly had sex or sexual contact with any facility
staff?
1
3 times
2
4 times
3
5 times
4
6 times
5
7 times
6
8 times
7
9 times
8
10 times
DK/REF

G3b

[IF G3 = 4] DOAFILL1, how many times have you willingly had sex or sexual contact with any facility
staff?
NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

G9

[IF G4 = 1 OR G5 = 1] DOAFILL1, on any occasion when you were [SEXTYPE2 FILL] have sex or sexual
contact with facility staff, did you report it to other facility staff?
1
Yes
2
No
DK/REF

G10

[IF G2 = 1 OR G4 = 1 OR G5 = 1] These next questions are about any sex or sexual contact you have had
with facility staff DOAFILL2, whether you wanted to have it or not.
Touch the NEXT button to go to the next screen.

G11

[IF G2 = 1 OR G4 = 1 OR G5 = 1] DOAFILL1, which of the following types of sex or sexual contact did
you have with a facility staff person?

G11a. You touched a facility staff person’s body
or had your body touched in a sexual way?
G11b. You gave or received a handjob?
G11c. You gave or received oral sex or a
blowjob?
G11d. You had vaginal sex? Vaginal sex is when
one person inserts their penis, finger, or an object
into another person’s vagina.
G11e. You had anal sex? Anal sex is when one
person inserts their penis, finger, or an object into
another person’s butt.
DK/REF
G12

Yes
1

No
2

1
1

2
2

1

2

1

2

[IF G2 =1 OR G4 = 1 OR G5 = 1] DOAFILL1, when you had sex or sexual contact with facility staff, did it
ever involve more than one facility staff person?
1
Yes
2
No
DK/REF

G17

[IF G2 =1 OR G4 = 1 OR G5 = 1] DOAFILL1, when you had sex or sexual contact with facility staff were
any of the following methods used to get you to participate?

G17a. You were persuaded or talked into it?
G17b. You were given a bribe?
G17c. You were offered favors or special privileges?
G17d. You were blackmailed?
G17e. You were given drugs or alcohol to get you drunk or high?
G17f. You were offered protection from other inmates?
G17g. You were offered protection from another correctional officer?
G17h. You were trying to pay off or settle a debt that you owed?
G17i. You were threatened with harm?
G17j. You were physically held down or restrained?
G17k. You were physically harmed or injured?
G17l. You were threatened with a weapon?
DK/REF

Yes
1
1
1
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2
2
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

G28.

[IF G2 = 1 OR G4 = 1 OR G5 = 1] DOAFILL1, did you have sex or sexual contact with male facility staff,
female facility staff, or both male and female facility staff?
1
Male facility staff
2
Female facility staff
3
Both male and female facility staff
DK/REF

G29.

[IF G28 = 1 OR 2] DOAFILL1, did you have sex or sexual contact with any…

G29a. Correctional officers?
G29b. Other staff working in the facility?
G29c. Volunteers in the facility?
DK/REF
G31.

No
2
2
2

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

[IF G28 = 3] DOAFILL1, did you have sex or sexual contact with any…

G31a. Male correctional officers?
G31b. Female correctional officers?
G31c. Other male staff working in the facility?
G31d. Other female staff working in the facility?
G31e. Male volunteers in the facility?
G31f. Female volunteers in the facility?
DK/REF
G19

Yes
1
1
1

[IF G2 =1 OR G4 = 1 OR G5 = 1] DOAFILL1, when you had sex or sexual contact with facility staff, were
you ever injured?
1
Yes
2
No
DK/REF

G20

[IF G19 = 1] DOAFILL1, when you had sex or sexual contact with facility staff, did you ever …

G20a. Receive knife or stab wounds?
G20b. Receive broken bones?
G20c. [IF GENDER = 1] Have anal tearing?
[IF GENDER = 2] Have anal or vaginal tearing?
G20d. Have your teeth chipped or knocked out?
G20e. Receive internal injuries?
G20f. Get knocked unconscious?
G20g. Receive bruises, a black eye, sprains, cuts, scratches, swelling,
welts, or burns?
DK/REF

Yes
1
1
1

No
2
2
2

1
1
1
1

2
2
2
2

DEFINE RANDOMIZATION_INCIDENT
IF NCSA = 1 AND [G2 OR G5 =1]: RANDOMIZATION_INCIDENT = 1
ELSE, RANDOMIZATION_INCIDENT = 2
IF RANDOMIZATION_INCIDENT = 1, INITIATE RANDOMIZATION TO DETERMINE WHETHER TO
ADMINISTER MODULES DIR AND IIC OR MODULES DIRS AND SI
Note to Programmer: Randomization is 50/50 – half of RANDOMIZATION_INCIDENT = 1 cases should get
the DIR and IIC modules and half should get DIRS and SI modules.

Attachment C: NIS-4P ACASI Instrument 4-20-2020

DETERMINATION OF SPECIFIC INCIDENT FOR INMATE INCIDENT REPORT
DEFINE NUMBER_OF_TIMES:
IF E36=1 OR E353=1 OR E37=1 OR E356=1, NUMBER_OF_TIMES = “1 time”
IF E36=2 OR E353=2 OR E37=2 OR E356=2, NUMBER_OF_TIMES= “2 times”
IF E36=3 OR E353=3 OR E37=3 OR E356 = 3, NUMBER_OF_TIMES= “3 to 10 times”
IF E36=4 OR E353=4 OR E37=4 OR E356=4, NUMBER_OF_TIMES= “11 times or more”
IF E36 = (DK OR REF) OR E353 = (DK OR REF) OR E37 = (DK OR REF) OR E356 = (DK OR REF),
NUMBER_OF_TIMES = NO FILL
ELSE NUMBER_OF_TIMES = MISSING
DEFINE NUMBER_OF_TIMES_TOUCH:
IF E38=1 OR E359=1 OR E39=1 OR E362=1, NUMBER_OF_TIMES_TOUCH = “1 time”
IF E38=2 OR E359=2 OR E39=2 OR E362=2, NUMBER_OF_TIMES_TOUCH=”2 times”
IF E38=3 OR E359=3 OR E39=3 OR E362=3, NUMBER_OF_TIMES_TOUCH = “3 to 10 times”
IF E38=4 OR E359=4 OR E39=4 OR E362=4, NUMBER_OF_TIMES_TOUCH = “11 times or more”
IF E38 = (DK OR REF) OR E359 = (DK OR REF) OR E39 = (DK OR REF) OR E362 = (DK OR REF),
NUMBER_OF_TIMES_TOUCH = NO FILL
ELSE NUMBER_OF_TIMES_TOUCH = MISSING
DIR1

[IF NUMBER_OF_TIMES=1 time AND NUMBER_OF_TIMES_TOUCH IS MISSING] Earlier you
reported that DOAFILL2 you were [ForcedOrPressuredFill2] have sex or sexual contact with another inmate
[NUMBER_OF_TIMES]. Please think about that experience as you answer the next questions.
Touch the NEXT button to go to the next screen.

DIR2

[ IF NUMBER_OF_TIMES_TOUCH=1 time AND NUMBER_OF_TIMES IS MISSING]
[IF GENDER=1]: Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] let another
inmate touch your butt, thighs, or penis in a sexual way [NUMBER_OF_TIMES_TOUCH]. Please think
about that experience as you answer the next questions.
Touch the NEXT button to go to the next screen.
[IF GENDER=2]: Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] let another
inmate touch your butt, thighs, breasts, or vagina in a sexual way [NUMBER_OF_TIMES_TOUCH]. Please
think about that experience as you answer the next questions.
Touch the NEXT button to go to the next screen.

Attachment C: NIS-4P ACASI Instrument 4-20-2020

DIR3

[IF NUMBER_OF_TIMES >= 2 times AND NUMBER_OF_TIMES_TOUCH IS MISSING] Earlier you
reported that DOAFILL2 you were [ForcedOrPressuredFill2] have sex or sexual contact with another inmate
[NUMBER_OF_TIMES].
[IF only one of ((E22=1 OR E23=1), (E24=1 OR E25=1), (E26=1 OR E27=1), (E28=1 OR E29=1), (E32=1
OR E33=1), (E222=1 OR E232=1), (E242=1 OR E252=1), (E262=1 OR E272=1), (E282=1 OR E292=1),
(E322=1 OR E332=1)) is true]: As you answer the next questions, please think about the most recent time
you were [ForcedOrPressuredFill2] have sex or sexual contact with another inmate.
Touch the NEXT button to go to the next screen.
[IF at least two of ((E22=1 OR E23=1), (E24=1 OR E25=1), (E26=1 OR E27=1), (E28=1 OR E29=1), (E32=1
PR E33=1), (E222=1 OR E232=1), (E242=1 OR E252=1), (E262=1 OR E272=1), (E282=1 OR E292=1),
(E322=1 OR E332=1_) are true]: Think about the most recent time this happened to you. What were you
[ForcedOrPressuredFill2] do?

DIR3a. [IF E22=1 OR E23=1 OR E222=1 OR E232=1] Give or
receive a hand job?
DIR3b. [IF E26=1 OR E27=1 OR E262=1 OR E272=1] Give or
receive oral sex or a blowjob?
DIR3c. [IF E24=1 OR E25=1 OR E242=1 OR E252=1] Give or
receive oral sex?
DIR3d. [IF E28=1 OR E29=1 OR E282=1 OR E292=1] Have
vaginal sex?
DIR3e. [IF E32=1 OR E33=1 OR E322=1 OR E332=1] Have anal
sex?
DK/REF

Yes
1

No
2

1

2

1

2

1

2

1

2

As you answer the next questions please think about the most recent time you were [ForcedOrPressuredFill2]
have sex or sexual contact with another inmate.
Touch the NEXT button to go to the next screen.
DIR4

[IF NUMBER_OF_TIMES_TOUCH >=2 times AND NUMBER_OF_TIMES IS MISSING
[IF GENDER = 1]: Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] let another
inmate touch your butt, thighs, or penis in a sexual way [NUMBER_OF_TIMES_TOUCH].
Think about the most recent time this happened to you as you answer the next questions.
Touch the NEXT button to go to the next screen.
[IF GENDER = 2]: Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] let another
inmate touch your butt, thighs, breasts, or vagina in a sexual way [NUMBER_OF_TIMES_TOUCH].
Think about the most recent time this happened to you as you answer the next questions.
Touch the NEXT button to go to the next screen.

Attachment C: NIS-4P ACASI Instrument 4-20-2020

DIR5

[IF (NUMBER_OF_TIMES >=1 time OR DK OR REF) AND (NUMBER_OF_TIMES_TOUCH >=1 time
OR DK OR REF)]
[IF GENDER = 1]: Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] have sex or
sexual contact with another inmate and that you were [ForcedOrPressuredFill2] let another inmate touch your
butt, thighs, or penis in a sexual way.
[IF GENDER = 2]: Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] have sex or
sexual contact with another inmate and that you were [ForcedOrPressuredFill2] let another inmate touch your
butt, thighs, breasts, or vagina in a sexual way.
Think about the most recent time this happened to you. What were you [ForcedOrPressuredFill2] do?

DIR5a. [IF E22=1 OR E23=1 OR E222=1 OR E232=1] Give or
receive a hand job?
DIR5b. [IF E26=1 OR E27=1 OR E262=1 OR E272=1] Give or
receive oral sex or a blowjob?
DIR5c. [IF E24=1 OR E25=1 OR E242=1 OR E252=1] Give or
receive oral sex?
DIR5d. [IFE28=1 OR E29=1 OR E282=1 OR E292=1] Have vaginal
sex?
DIR5e. [IF E32=1 OR E33=1 OR E322=1 OR E332=1] Have anal
sex?
DIR5f. [IF E16=1 OR E17=1 OR E162=1 OR E172=1] Be touched
on your butt, thighs, or penis in a sexual way?
DIR5g. [IF E18=1 OR E19=1 OR E182=1 OR E192=1] Be touched
on your thighs, breasts, or vagina in a sexual way?
DK/REF

Yes
1

No
2

1

2

1

2

1

2

1

2

1

2

1

2

[IF GENDER = 1]: As you answer the next questions please think about the most recent time you were
[ForcedOrPressuredFill2] have sex or sexual contact with another inmate or let another inmate touch your
butt, thighs, or penis in a sexual way.
Touch the NEXT button to go to the next screen.
[IF GENDER = 2]: As you answer the next questions please think about the most recent time you were
[ForcedOrPressuredFill2] have sex or sexual contact with another inmate or let another inmate touch your
butt, thighs, breasts, or vagina in a sexual way.
Touch the NEXT button to go to the next screen.

Attachment C: NIS-4P ACASI Instrument 4-20-2020

[IF DIR1 OR DIR2 OR DIR3 OR DIR4 OR DIR5 is displayed, continue with this module. Else, skip to
Determination of Specific Incident of Staff Incident Report]

INCIDENT CHARACTERISTICS FOR INMATE-ON-INMATE VICTIMIZATION
DEFINE RECENT_FILL:
IF DIR1 OR DIR2 is displayed, then RECENT_FILL = “incident”
IF DIR3 OR DIR4 OR DIR5 is displayed, then RECENT_FILL = “most recent incident”
DEFINE I-ON-I_FILL:
IF DIR1 OR DIR3 is displayed, then I-ON-I_FILL = “sex or sexual contact with another inmate”
IF DIR2 OR DIR4 is displayed AND GENDER=1, then I-ON-I_FILL = “another inmate touching your butt, thighs or
penis in a sexual way”
IF DIR2 OR DIR4 is displayed AND GENDER=2, then I-ON-I_FILL = “another inmate touching your butt, thighs,
breasts, or vagina in a sexual way”
IF DIR5 is displayed AND GENDER=1, then I-ON-I_FILL = “sex or sexual contact with another inmate or another
inmate touching your butt, thighs, or penis in a sexual way”
IF DIR5 is displayed AND GENDER=2, then I-ON-I_FILL = “sex or sexual contact with another inmate or another
inmate touching your butt, thighs, breasts, or vagina in a sexual way”
IIC1

Did this [RECENT_FILL] of [I-ON-I_FILL] happen in [CURRENT YEAR] or [CURRENT YEAR -1]?
1
CURRENT YEAR
2
CURRENT YEAR – 1
DK/REF

DEFINE IIC1_FILL:
IF IIC1=1, then IIC1_FILL=CURRENT YEAR
IF IIC1=2, then, IIC1_FILL=CURRENT YEAR – 1

IIC2

[IF IIC1 NE DK OR REF] In what month in [IIC1_FILL] did this [RECENT_FILL] happen?
[IF IIC1 = DK OR REF] In what month did this [RECENT_FILL] happen?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF

IIC3

Did the [RECENT_FILL] happen…

IIC3a. Between 6:00 in the morning and noon?
IIC3b. After noon but before 6:00 in the evening?
IIC3c. After 6:00 in the evening but before midnight?
IIC3d. After midnight but before 6:00 in the morning?
DK/REF

Yes
1
1
1
1

No
2
2
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

IIC4

Where did the [RECENT_FILL] happen?

IIC4a. In your own cell, room, or sleeping area?
IIC4b. In the cell, room, or housing area of another inmate?
IIC4c. Somewhere else in the facility?
IIC4d. Off facility grounds?
DK/REF
IIC5

Yes
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2

Yes
1
1
1
1

No
2
2
2
2

[IF IIC4d =1] Where were you when the incident happened?

IIC6a. A bus, van, or car?
IIC6b. A courthouse?
IIC6c. Some type of temporary holding facility?
IIC6d. A hospital or other type of medical facility?
DK/REF
IIC7

No
2
2
2
2

[IF IIC4c =1] Where were you when the incident happened?

IIC5a. In a shower?
IIC5b. In a bathroom?
IIC5c. In the yard or recreation area?
IIC5d. In a classroom or library?
IIC5e. In a workshop, kitchen, or other workplace?
IIC5f. In a closet?
IIC5g. In an office or other locked room?
IIC5h. On the stairs?
DK/REF
IIC6

Yes
1
1
1
1

Just before or during this [RECENT_FILL], which, if any of these things, happened? Were you…

IIC7a. Persuaded or talked into the sex or sexual contact?
IIC7b. Given a bribe?
IIC7c. Blackmailed?
IIC7d. Given drugs or alcohol to get you drunk or high?
IIC7e. Offered protection from other inmates?
IIC7f. Trying to pay off or settle a debt that you owed?
IIC7g. Threatened with harm?
IIC7h. Physically held down or restrained?
IIC7i. Physically harmed or injured?
IIC7j. Threatened with a weapon?
DK/REF

Yes
1
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

IIC8

Do you think this [RECENT_FILL] happened because of your…

IIC8a. Race or ethnicity?
IIC8b. Age?
IIC8c. Religion?
IIC8f. Gang affiliation?
IIC8g. [IF TRANSID = 1OR D3c = 1 OR (D3d = 1 AND D3e = 2
OR 3 OR 4) OR (D3d = 2 AND D3e = 1 OR 3 OR 4)]] Gender
identity?
DK/REF

Yes
1
1
1
1

No
2
2
2
2

1

2

DEFINE SexualOrientationFill:
IF D2a=1, then SexualOrientationFill = “gay”
IF D2b=1, then SexualOrientationFill = “lesbian or gay”
IF D2a=3 OR D2b=3, then SexualOrientationFill = “bisexual”
IIC33

[D2a=1 OR D2b=1 OR D2a=3 OR D2b=3] Do you think this [RECENT_FILL] happened because you are
[SexualOrientationFill]?
1
Yes
2
No
DK/REF

IIC9

During this [RECENT_FILL], did one inmate or more than one inmate have sexual contact with you?
1
One inmate
2
More than one inmate
DK/REF

IIC10a [IF IIC9 = 1] Was the other inmate male, female, or transgender?
1
Male
2
Female
3
Transgender
DK/REF
IIC10b [IF IIC9 = 2] Were any of the inmates involved in this incident…

IIC10b1. Male?
IIC10b2. Female?
IIC10b3. Transgender?
DK/REF
DEFINE PerpGenderFill1:
If IIC9=1 AND IIC10a=1
then PerpGenderFill1= “he”
If IIC9=1 AND IIC10a=2
then PerpGenderFill1= “she”
If IIC9=1 AND IIC10a=3
then PerpGenderFill1 = “they”
If IIC9=2
then PerpGenderFill1 = “they”

Yes
1
1
1

No
2
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

DEFINE PerpGenderFill2:
If IIC9=1 AND IIC10a=1
then PerpGenderFill2= “his”
If IIC9=1 AND IIC10a=2
then PerpGenderFill2= “her”
If IIC9=1 AND IIC10a=3
then PerpGenderFill2 = “their”
If IIC9=2
then PerpGenderFill2 = “their”
IIC11

[IF IIC9 = 1] Was the other inmate of Hispanic, Latino, or Spanish origin?
[IF IIC9 = 2] Were any of the other inmates of Hispanic, Latino, or Spanish origin?
1
Yes
2
No
DK/REF

IIC12

[IF IIC9 = 1] Was the other inmate…
[IF IIC9 = 2] Were any of the other inmates…

IIC12a. White?
IIC12b. Black or African American?
IIC12c. American Indian or Alaska Native?
IIC12d. Asian?
IIC12e. Native Hawaiian or other Pacific Islander?
DK/REF

Yes
1
1
1
1
1

No
2
2
2
2
2

IIC13a [IF IIC9 = 1] How old was this other inmate?
1
Under 25
2
25 – 34
3
35 – 44
4
45 – 54
5
55 or older
DK/REF
IIC13b [IF IIC9 = 2] Were any of the inmates…

IIC13b1. Older than you?
IIC13b2. Younger than you?
IIC13b3. About the same age as you?
DK/REF
IIC13DK

Yes
1
1
1

No
2
2
2

[IF IIC13a = DK] Was this other inmate older than you, younger than you or about the same age as you?
1 Older than you
2 Younger than you
3 About the same age as you
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

IIC14a [IF IIC9 = 1] At the time this [RECENT_FILL] occurred was this other inmate assigned to the same housing
unit, pod or dormitory as you?
1
Yes
2
No
DK/REF
IIC14b [IF IIC9 = 2] At the time this [RECENT_FILL] occurred were any of these inmates assigned to the same
housing unit, pod or dormitory as you?
1
Yes
2
No
DK/REF
IIC15a [IF IIC9 = 1] How well did you know this other inmate at the time the [RECENT_FILL] occurred?
1
Did not know the inmate at all
2
Knew the inmate only a little
3
Knew the inmate but not well
4
Knew the inmate very well
DK/REF
IIC15b [IF IIC9 = 2] Did you know these inmates at the time the [RECENT_FILL] occurred?
1
You knew all the inmates who were involved
2
You knew some of the inmates who were involved
3
You did not know any of the inmates who were involved
DK/REF
IIC16a [IF IIC9 = 1] Was this other inmate a member of a gang?
1
Yes
2
No
DK/REF
IIC16b [IF IIC9 = 2] Were any of these inmates members of a gang?
1
Yes
2
No
DK/REF
IIC17

[IF IIC9 = 1] Before this incident happened, were you worried that this inmate might be planning to have
sex or sexual contact with you?
[IF IIC9 = 2] Before this incident happened, were you worried that any of these inmates might be planning
to have sex or sexual contact with you?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

IIC18

[IF IIC9 = 1] Before this incident happened had you had any arguments or fights with this inmate?
[IF IIC9 = 2] ] Before this incident happened had you had any arguments or fights with any of these
inmates?
1
Yes
2
No
DK/REF

IIC19

Were you injured during this [RECENT_FILL]?
1
Yes
2
No
DK/REF

IIC20 [IF IIC19 = 1] How were you injured during the incident? Did you…

IIC20a. Receive knife or stab wounds?
IIC20b. Receive broken bones?
IIC20c. [IF GENDER = 1] Have anal tearing?
[IF GENDER = 2] Have anal or vaginal tearing?
IIC20d. Have your teeth chipped or knocked out?
IIC20e Receive internal injuries?
IIC20f. Get knocked unconscious?
IIC20g. Receive bruises, a black eye, sprains, cuts, scratches, swelling, welts,
or burns?
DK/REF
IIC21

Yes
1
1
1

No
2
2
2

1
1
1
1

2
2
2
2

[IF IIC19 = 1] As a result of any of the injuries you received during this incident, did you see a doctor, nurse,
or other health care provider for any of the injuries you received?
1
Yes
2
No
DK/REF

IIC22

[IF IIC9 = 1] Did this inmate do any of the following things after the incident happened?
[IF IIC9 = 2] Did these inmates do any of the following things after the incident happened?

IIC22a. Gave you gifts or money so that you would keep it a secret?
IIC22b. Threatened to hurt you so that you would keep it a secret?
IIC22c. Said [PerpGenderFill1] would blame it on you if you told anyone?
IIC22d. Said [PerpGenderFill1] would stop spending time with you if you told
anyone?
IIC22e. Had some type of sexual contact with you again?
IIC22f. Ignored you or stayed away from you?
IIC22g. Threatened to harm your family?
IIC22h. Hurt you or beat you up?
DK/REF
IIC23

Did you report this [RECENT_FILL] to anyone?
1
Yes
2
No
DK/REF

Yes
1
1
1
1

No
2
2
2
2

1
1
1
1

2
2
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

IIC24

[IF IIC23 = 1] Did you report the incident to…

IIC24a. A correctional officer?
IIC24b. An administrative staff person?
IIC24c. A medical or healthcare staff person?
IIC24d. An instructor or teacher?
IIC24e. A counselor or other mental health care provider?
IIC24f. A chaplain or other religious official?
IIC24g. A volunteer?
IIC24h. Some other type of facility staff person?
IIC24i. A telephone hotline?
IIC24j. Another inmate?
IIC24k. A family member or friend?
DK/REF
IIC25

Yes
1
1
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2
2
2

At the time the [RECENT_FILL] happened were any other inmates aware that it was happening?
1
Yes
2
No
DK/REF

IIC26

At the time the [RECENT_FILL] happened were any staff at the facility aware that it was happening?
1
Yes
2
No
DK/REF

IIC27

[IF IIC23 = 1] Did any of the following things happen to you as a result of the report you made?

IIC27a. You were moved to administrative segregation or some other
protective housing?
IIC27b. You were placed in a medical unit, ward, or hospital?
IIC27c. You were confined to your own cell, room, or housing area?
IIC27d. You were given a higher level of custody within the facility?
IIC27e. You were offered a transfer to another facility?
IIC27f. You were written up?
DK/REF

Yes
1

No
2

1
1
1
1
1

2
2
2
2
2

IIC28a [IF IIC9 = 1 AND IIC23 = 1] Did any of the following things happen to the inmate who had sex or sexual
contact with you?

IIC28a1. The inmate was moved to administrative segregation or some other
protective housing?
IIC28a2. The inmate was placed in a medical unit, ward, or hospital?
IIC28a3. The inmate was confined to [PerpGenderFill2] own cell, room, or
housing area?
IIC28a4. The inmate was given a higher level of custody at this facility?
IIC28a5. The inmate was transferred to another facility?
IIC28a6. The inmate was written up?
IIC28a7. The inmate lost privileges?
IIC28a8. The inmate was charged with a crime?
DK/REF

Yes
1

No
2

1
1

2
2

1
1
1
1
1

2
2
2
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

IIC28b [IF IIC9 = 2 AND IIC23 = 1] Did any of the following things happen to the inmates who had sex or sexual
contact with you?

IIC28b1. One or more of the inmates were moved to administrative
segregation or some other protective housing?
IIC28b2. One or more of the inmates were placed in a medical unit, ward, or
hospital?
IIC28b3. One or more of the inmates were confined to their own cell, room,
or housing area?
IIC28b4. One or more of the inmates were given a higher level of custody at
this facility?
IIC28b5. One or more of the inmates were transferred to another facility?
IIC28b6. One or more of the inmates were written up?
IIC28b7. One or more of the inmates lost privileges?
IIC28b8. One ore more of the inmates were charged with a crime?
DK/REF
IIC29

Yes
1

No
2

1

2

1

2

1

2

1
1
1
1

2
2
2
2

[IF IIC9 = 1] Since this [RECENT_FILL] happened has this inmate attempted any type of sexual contact
with you?
[IF IIC9 = 2] ] Since this [RECENT_FILL] happened have any of these inmates attempted any type of
sexual contact with you?
1
Yes
2
No
DK/REF

IIC30

[IF IIC9 = 1 AND IIC29 NE 1] Since this [RECENT_FILL] happened have you been worried that this
inmate will try to initiate sexual contact with you again?
[IF IIC9 = 2 AND IIC29 NE 1] Since this [RECENT_FILL] happened have you been worried that any of
these inmates would try to initiate sexual contact with you again?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

IIC31

Since this [RECENT_FILL] happened have you done any of the following things to reduce the chance that
you would have to have sexual contact again?

IIC31a. Joined a gang?
IIC31b. Carried a weapon?
IIC31c. Fought more?
IIC31d. Worked out in order to bulk up?
IIC31e. Avoided certain areas?
IIC31f. Kept to yourself more?
IIC31g. Stayed in your own cell or housing area more?
IIC31h. Joined a religious group?
IIC31i. Avoided certain inmates?
IIC31j. Requested protective custody?
IIC31k. Requested transfer to another facility?
IIC31l. Requested a different housing unit, pod, or dormitory?
IIC31m. Contacted someone on the outside for help?
IIC31n. Tried to stay near facility staff?
IIC31o. Paid another inmate for protection?
DK/REF

Yes
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

DETERMINATION OF SPECIFIC INCIDENT FOR STAFF INCIDENT REPORT
DIRS1 [ IF G3 + G6 = GT 1 TIME] Earlier you reported that, DOAFILL2, you had sex or sexual contact with a
facility staff person more than 1 time.
[IF only one of (G11a, G11b, G11c, G11d, G11e) is YES]: As you answer the next questions please think
about the most recent time when you had sex or sexual contact with a facility staff person.
[IF at least two of (G11a, G11b, G11c, G11d, G11e) are YES] Please think about the most recent time this
happened. Which of the following types of sex or sexual contact did you have with a facility staff person?

DIRS1a. [IF G11a=1] You touched a facility staff
person’s body or had your body touched in a
sexual way?
DIRS1b. [IF G11b=1] You gave or received a
handjob?
DIRS1c. [IF G11c=1] You gave or received oral
sex or a blowjob?
DIRS1d. [IF G11d=1] You had vaginal sex?
DIRS1e. [IF G11e=1] You had anal sex?
DK/REF

Yes
1

No
2

1

2

1

2

1
1

2
2

As you answer the next questions please think about this most recent time when you had sex or sexual contact
with a facility staff person.
Touch the NEXT button to go to the next screen.
DIRS2 [IF G3 + G6 = 1 TIME] Earlier you reported that DOAFILL2 you had sex or sexual contact with a facility
staff person 1 time. Please think about that experience as you answer the next questions.
Touch the NEXT button to go to the next screen.

DIRS3 [IF G6 = DK OR REF] AND [IF G3 = DK OR REF) Earlier you reported that, DOAFILL2, you had sex or
sexual contact with a facility staff person. Please think about that experience as you answer the next
questions.
Touch the NEXT button to go to the next screen.

Attachment C: NIS-4P ACASI Instrument 4-20-2020

[IF DIRS1 OR DIRS2 OR DIRS3 is displayed, continue with this module. Else, skip to Other Victimization
While Incarcerated]

INCIDENT CHARACTERISTICS FOR STAFF-ON-INMATE VICTIMIZATION
DEFINE RECENT_FILL2:
IF DIRS1 is displayed, then RECENT_FILL2 = “most recent incident”
IF DIRS2 OR DIRS3 is displayed, then RECENT_FILL2 = “incident”

SI1 Did this [RECENT_FILL2] of sex or sexual contact with a facility staff person happen in [CURRENT YEAR] or
[CURRENT YEAR -1]?
1
CURRENT YEAR
2
CURRENT YEAR – 1
DK/REF
DEFINE SI1_FILL:
IF SI1=1, then SI_FILL=CURRENT YEAR
IF SI1=2, then SI_FILL=CURRENT YEAR – 1
SI2

[IF SI1 NE DK OR REF] In what month in [SI1_FILL] did this [RECENT_FILL2] happen?
[IF SI1 = DK OR REF] In what month did this [RECENT_FILL2] happen?
1 January
2 February
3 March
4 April
5 May
6 June
7 July
8 August
9 September
10 October
11 November
12 December
DK/REF

SI3

Did the [RECENT_FILL2] happen…

SI3a. Between 6:00 in the morning and noon?
SI3b. After noon but before 6:00 in the evening?
SI3c. After 6:00 in the evening but before midnight?
SI3d. After midnight but before 6:00 in the morning?
DK/REF
SI4

Yes
1
1
1
1

No
2
2
2
2

Yes
1
1
1
1

No
2
2
2
2

Where did the [RECENT_FILL2] happen?

SI4a. In your own cell, room, or sleeping area?
SI4b. In the cell, room, or housing area of another inmate?
SI4c. Somewhere else in the facility?
SI4d. Off facility grounds?
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

[IF SI4c =1] Where were you when the incident happened?

SI5

SI5a. In a shower?
SI5b. In a bathroom?
SI5c. In the yard or recreation area?
SI5d. In a classroom or library?
SI5e. In a workshop, kitchen, or other workplace?
SI5f. In a closet?
SI5g. In an office or other locked room?
SI5h. On the stairs?
DK/REF
SI6

No
2
2
2
2
2
2
2
2

Yes
1
1
1
1

No
2
2
2
2

[IF SI4d =1] Where were you when the incident happened?

SI6a. A bus, van, or car?
SI6b. A courthouse?
SI6c. Some type of temporary holding facility?
SI6d. A hospital or other type of medical facility?
DK/REF

SI9

Yes
1
1
1
1
1
1
1
1

Just before or during this [RECENT_FILL2], which, if any of these things happened? Were you…

SI9a. Persuaded or talked into the sex or sexual contact?
SI9b. Given a bribe?
SI9c. Blackmailed?
SI9d. Given drugs or alcohol to get you drunk or high?
SI9e. Offered protection from other inmates?
SI9f. Trying to pay off or settle a debt that you owed?
SI9g. Threatened with harm?
SI9h. Physically held down or restrained?
SI9i. Physically harmed or injured?
SI9j. Threatened with a weapon?
SI9k. [IF A22 = 2] Told that you would be deported?
SI9l. Told that your family would be deported?
SI9m. Told that you would lose visitation privileges?
DK/REF
SI_NEW

Yes
1
1
1
1
1
1
1
1
1
1
1
1
1

[IF G2 NE 2 AND (S19g – m ALL NE 1)] Who initiated the sexual contact?
1
The staff person initiated it
2
I initiated it
DK/REF

DEFINE TOUCHING ONLY:
IF G11a=1 AND G11b=2 AND G11c=2 AND G11d=2 AND G11e=2
Then TOUCHING ONLY=1
Else TOUCHING ONLY=0

No
2
2
2
2
2
2
2
2
2
2
2
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

SI7

[IF TOUCHING ONLY=1] Did this incident happen as part of a strip search?
1
Yes
2
No
DK/REF

SI8

[IF TOUCHING ONLY=1 AND SI7 NE 1] Did this incident happen as part of a pat down?
1
Yes
2
No
DK/REF

SI10

During this [RECENT_FILL2] did one staff person or more than one staff person have sex or sexual contact
with you?
1 One staff person
2 More than one staff person
DK/REF

SI11

Do you think this [RECENT_FILL2] happened because of your…

SI11a. Race or ethnicity?
SI11b. Age?
SI11c. Religion?
SI11f. Gang affiliation?
SI11g. [IF TRANSID = 1OR D3c = 1 OR (D3d = 1 AND
D3e = 2 OR 3 OR 4) OR (D3d = 2 AND D3e = 1 OR 3 OR
4)]] Gender identity?
DK/REF

Yes

No

1
1
1
1

2
2
2
2

1

2

DEFINE SexualOrientationFill:
IF D2a=1, then SexualOrientationFill = “gay”
IF D2b=1, then SexualOrientationFill = “lesbian or gay”
IF D2a=3 OR D2b=3, then SexualOrientationFill = “bisexual”
SI32 [IF D2a=1 OR D2b=1 OR D2a=3 OR D2b=3] Do you think this [RECENT_FILL2] happened because you are
[SexualOrientationFill]?
1 Yes
2 No
DK/REF

SI12a

[IF SI10 = 1] Was the staff person male or female?
1 Male
2 Female
DK/REF

SI12b

[IF SI10 = 2 OR DK OR REF] Were any of the staff involved in this incident…

Attachment C: NIS-4P ACASI Instrument 4-20-2020

Yes
1
1

SI12b1. Male?
SI12b2. Female?
DK/REF

No
2
2

DEFINE StaffGenderFill1:
IF SI10=1 AND SI12a=1, then StaffGenderFill1 = “he”
IF SI10=1 AND SI12a=2, then StaffGenderFill1= “she”
IF SI10=2 OR DK OR REF, then StaffGenderFill1= “they”
DEFINE StaffGenderFill2:
IF SI10=1 AND SI12a=1, then StaffGenderFill2 = “his”
IF SI10=1 AND SI12a=2, then StaffGenderFill2= “her”
IF SI10=2 OR DK OR REF, then StaffGenderFill2= “their”
DEFINE StaffGenderFill3:
IF SI10=1 AND SI12a=1, then StaffGenderFill3 = “himself”
IF SI10=1 AND SI12a=2, then StaffGenderFill3= “herself”
IF SI10=2 OR DK OR REF, then StaffGenderFill3= “themselves”
SI13

[IF SI10 = 1] Was the staff person of Hispanic, Latino, or Spanish origin?
[IF SI10 = 2 OR DK OR REF] Were any of the staff of Hispanic, Latino, or Spanish origin?
1 Yes
2 No
DK/REF

SI14

[IF SI10 = 1] Was the staff person…
[IF SI10 = 2 OR DK OR REF] Were any of the staff…

SI14a. White?
SI14b. Black or African American?
SI14c. American Indian or Alaska Native?
SI14d. Asian?
SI14e. Native Hawaiian or other Pacific Islander?
DK/REF
SI15a

[IF SI10 = 1] How old was this staff person?
1 Under 25
2 25 – 34
3 35 – 44
4 45 – 54
5 55 or older
DK/REF

Yes
1
1
1
1
1

No
2
2
2
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

SI15b

[IF SI10 = 2 OR DK OR REF] Were any of the staff…

SI15b1. Older than you?
SI15b2. Younger than you?
SI15b3. About the same age as you?
DK/REF
SI15DK

Yes
1
1
1

No
2
2
2

[IF SI15a = DK] Was this staff person older than you, younger than you or about the same age as
you?
1 Older than you
2 Younger than you
3 About the same age as you
DK/REF

SI16a

[IF SI10 = 1] Was the staff person who had sexual contact with you…

SI16a1. A correctional officer?
SI16a2. Another staff person working in the facility?
SI16a3. A volunteer in the facility?
DK/REF
SI16b

No
2
2
2

[IF SI10 = 2 OR DK OR REF] Were any of the staff who had sexual contact with you…

SI16b1. Correctional officers?
SI16b2. Other staff working in the facility?
SI16b3. Volunteers in the facility?
DK/REF
SI17a

Yes
1
1
1

Yes
1
1
1

No
2
2
2

[IF SI10 = 1] Before the [RECENT_FILL2] happened, did any of these things ever happen?

SI17a1. The staff person talked to you about [StaffGenderFill2] personal
life outside of work?
SI17a2. The staff person gave you pictures of [StaffGenderFill3]?
SI17a3. The staff person wrote letters to you?
SI17a4. The staff person offered you things like drugs, cigarettes, alcohol,
or other things you are not allowed to have in this facility?
SI17a5. The staff person offered you money?
SI17a6. The staff person did things for you to help you get out of trouble?
SI17a7. The staff person spent time alone with you and asked that you not
tell anyone else about that time?
SI17a8. The staff person told you that [StaffGenderFill1] had special
feelings for you or was in love with you?
SI17a9. The staff person talked or joked with you about sex or shared
sexual stories with you?
DK/REF

Yes
1

No
2

1
1
1

2
2
2

1
1
1

2
2
2

1

2

1

2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

SI17b

[IF SI10 = 2 OR DK OR REF] Before the [RECENT_FILL2] happened, did any of these things ever
happen?

SI17b1. One or more of the staff talked to you about his or her personal
life outside of work?
SI17b2. One or more of the staff gave you pictures of themselves?
SI17b3. One or more of the staff wrote letters to you?
SI17b4. One or more of the staff offered you things like drugs, cigarettes,
alcohol, or other things you are not allowed to have in this facility?
SI17b5. One or more of the staff offered you money?
SI17b6. One or more of the staff did things for you to help you get out of
trouble?
SI17b7. One or more of the staff spent time alone with you and asked that
you not tell anyone else about that time?
SI17b8. One or more of the staff told you that they had special feelings for
you or were in love with you?
SI17b9. One or more of the staff talked or joked with you about sex or
shared sexual stories with you?
DK/REF
SI18

Yes
1

No
2

1
1
1

2
2
2

1
1

2
2

1

2

1

2

1

2

During the [RECENT_FILL2] were you injured?
1
Yes
2
No
DK/REF

SI19

[IF SI18 = 1] How were you injured during the incident? Did you…
SI19a. Receive knife or stab wounds?
SI19b. Receive broken bones?
SI19c. [IF GENDER=1] Have anal tearing?
[IF GENDER=2] Have anal or vaginal tearing?
SI19d. Have your teeth chipped or knocked out?
SI19e Receive internal injuries?
SI19f. Get knocked unconscious?
SI19g. Receive bruises, a black eye, sprains, cuts, scratches, swelling,
welts, or burns?
DK/REF

SI20

Yes
1
1
1

No
2
2
2

1
1
1
1

2
2
2
2

[IF SI18 = 1] As a result of any of the injuries you received during this incident, did you see a doctor,
nurse, or other health care provider for any of the injuries you received?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

SI21

[IF SI10 = 1] Did this staff person do any of the following things after the incident happened?
[IF SI10 = 2 OR DK OR REF] Did any of the staff involved do any of the following things after the
[RECENT_FILL2] happened?
SI21a. Gave you gifts or money so that you would keep it secret?
SI21b. Threatened to hurt you so that you would keep it secret?
SI21c. Said [StaffGenderFill1] would blame it on you if you told
anyone?
SI21d. Said [StaffGenderFill1] would stop spending time with you if
you told anyone?
SI21e. Had sexual contact with you again?
SI21f. Ignored you or stayed away from you?
DK/REF

SI22

Yes
1
1

No
2
2

1

2

1
1

2
2

Did you report this [RECENT_FILL2] to anyone?
1
Yes
2
No
DK/REF

SI23

[IF SI22 = 1] Did you report the incident to…

SI23a. A correctional officer?
SI23b. An administrative staff person?
SI23c. A medical or healthcare staff person?
SI23d. An instructor or teacher?
SI23e. A counselor or other mental health care provider?
SI23f. A chaplain or other religious official?
SI23g. A volunteer?
SI23h. Some other type of facility staff person?
SI23i. A telephone hotline?
SI23j. Another inmate?
SI23k. A family member or friend?
DK/REF
SI24

Yes
1
1
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2
2
2

At the time the [RECENT_FILL2] happened were any inmates aware that it was happening?
1 Yes
2 No
DK/REF

SI125

At the time the [RECENT_FILL2] happened were any other staff at the facility aware that it was
happening?
1 Yes
2 No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

SI26

[IF SI22 = 1] Did any of the following things happen to you as a result of the report you made?

SI26a. You were moved to administrative segregation or some other
protective housing?
SI26b. You were placed in a medical unit, ward, or hospital?
SI26c. You were confined to your own cell, room, or housing area?
SI26d. You were given a higher level of custody within the facility?
SI26e. You were offered a transfer to another facility?
SI26f. You were written up?
DK/REF
SI27a

1
1
1
1
1

2
2
2
2
2

Yes
1
1
1

No
2
2
2

1
1
1

2
2
2

[IF (SI10 = 2 OR DK OR REF) AND SI22 = 1] Did any of the following things happen to any of the
staff who had sex or sexual contact with you?

SI27b1. One or more of the staff were fired?
SI27b2. One or more of the staff were transferred to another
facility?
SI27b3. One or more of the staff were transferred to a different job
at this facility?
SI27b4. One or more of the staff were charged with a crime?
SI27b5. One or more of the staff were suspended for a period of
time?
SI27b6. One or more of the staff were punished or disciplined in
some way other than those listed above?
DK/REF
SI28

No
2

[IF SI10 = 1 AND SI22 = 1] Did any of the following things happen to the staff person who had sex
or sexual contact with you?

SI27a1. The staff person was fired?
SI27a2. The staff person was transferred to another facility?
SI27a3. The staff person was transferred to a different job at this
facility?
SI27a4. The staff person was charged with a crime?
SI27a5. The staff person was suspended for a period of time?
SI27a6. The staff person was punished or disciplined in some way
other than those listed above?
DK/REF
SI27b

Yes
1

Yes
1
1

No
2
2

1

2

1
1

2
2

1

2

[IF SI10 = 1] Since this [RECENT_FILL2] happened has this staff person attempted any type of
sexual contact with you?
[IF SI10 = 2 OR DK OR REF] Since this [RECENT_FILL2] happened have any of the staff
involved attempted any type of sexual contact with you?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

SI29

[IF SI10 = 1 AND SI28 NE 1] Since this [RECENT_FILL2] happened have you been worried that
this staff person will try to initiate sexual contact with you again?
[IF (SI10 = 2 OR DK OR REF) AND SI28 NE 1] Since this [RECENT_FILL2] happened have you
been worried that any of the staff involved would try to initiate sexual contact with you again?
1
Yes
2
No
DK/REF

SI30

Since this [RECENT_FILL2] happened, have you done any of the following things to reduce the
chance that you would have to have sexual contact again?

SI30a. Joined a gang?
SI30b. Carried a weapon?
SI30c. Fought more?
SI30d. Worked out in order to bulk up?
SI30e. Tried to make yourself look less attractive?
SI30f. Avoided certain areas?
SI30g. Kept to yourself more?
SI30h. Stayed in your own cell or housing area more?
SI30i. Joined a religious group?
SI30j. Avoided certain staff?
SI30k. Requested protective custody?
SI30l. Requested transfer to another facility?
DK/REF

Yes
1
1
1
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2
2
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

OTHER VICTIMIZATON WHILE INCARCERATED
XINTRO

These next questions are about other things that may have happened to you in this facility.
Touch the NEXT button to go to the next screen.

X6a DOAFILL1, have you been written up or charged with assaulting another inmate?
1
Yes
2
No
DK/REF

X7a DOAFILL1, have you been written up or charged with physically assaulting a correctional officer or other
facility staff person?
1
Yes
2
No
DK/REF

X8a DOAFILL1, have you been written up or charged with verbally assaulting a correctional officer or other
facility staff person?
1
Yes
2
No
DK/REF

LCM5 DOAFILL1, have you had any sex or sexual contact with staff in this facility whether you wanted to have it
or not?
1
Yes
2
No
DK/REF
LCM6a How long has it been since you had any sex or sexual contact with staff in this facility whether you wanted to
or not?
1
Within the past 7 days
2
More than 7 days ago but within the past 30 days
3
More than 30 days ago but within the past 12 months
4
More than 12 months ago
5
This has not happened to me at this facility
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

PAT DOWNS AND STRIP SEARCHES
L0

These next questions are about your experiences with strip searches and pat downs at this facility.
Touch the NEXT button to go to the next screen.

L23

[IF G11a = 1] Earlier you reported that, DOAFILL2, you touched a facility staff person’s body or had your
body touched in a sexual way. Did this happen as part of a strip search?
1
Yes
2
No
DK/REF

L23a

[IF L23 = 1] On any occasion DOAFILL2 when you touched a facility staff person’s body or had your body
touched in a sexual way as part of a strip search, was the strip search conducted by…

L23a1. Male facility staff?
L23a2. Female facility staff?
DK/REF
L24

Yes
1
1

No
2
2

[IF G11a = 1] DOAFILL1, when you touched a facility staff person’s body or had your body touched in a
sexual way, did this happen when it was not part of a strip search?
1
Yes
2
No
DK/REF

L25

[IF G11a = 1] DOAFILL1, when you touched a facility staff person’s body or had your body touched in a
sexual way, did this happen as part of a pat down?
1
Yes
2
No
DK/REF

L25a

[IF L25 = 1] On any occasion DOAFILL2 when you touched a facility staff person’s body or had your body
touched in a sexual way as part of a pat down, was the pat down conducted by…

L25a1. Male facility staff?
L25a2. Female facility staff?
DK/REF

L26

Yes
1
1

No
2
2

[IF G11a = 1] DOAFILL1, when you touched a facility staff person’s body or had your body touched in a
sexual way, did this happen when it was not part of a pat down?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

FACILITY CONDITIONS, SUPPORT AND SAFETY
S0

These next questions are about everyday living in this facility.
Touch the NEXT button to go to the next screen.

S1

Are there inmates in this facility who you think of as your friends?
1
Yes
2
No
DK/REF

S2

Are there inmates in this facility who you can talk to about your personal problems?
1
Yes
2
No
DK/REF

S3

Are there inmates in this facility who would protect you if another inmate was trying to hurt you?
1
Yes
2
No
DK/REF

S4

Are there correctional officers or other staff at this facility who you can talk to about your problems?
1
Yes
2
No
DK/REF

S5

Are there correctional officers or other staff at this facility who would protect you if another inmate was trying
to hurt you?
1
Yes
2
No
DK/REF

S6

How crowded is it in your housing unit?
1
Not at all crowded
2
Slightly crowded
3
Pretty crowded
4
Very crowded
DK/REF

S7

How crowded is it outside of the housing units – for example, in the dining hall, classrooms, gym, or work
areas?
1
Not at all crowded
2
Slightly crowded
3
Pretty crowded
4
Very crowded
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

S8

How much privacy do you have in your housing unit?
1
None
2
A little
3
Some
4
A lot
DK/REF

S9

Please indicate whether you agree or disagree with each of the following statements.
Staff at this facility…

S9a. Are generally fair?
S9b. Do their best to make this facility safe and secure?
S9c. Try to meet the needs of the inmates?
S9d. Break up fights quickly?
S9e. Use physical force only when necessary?
S9f. Let inmates know what is expected of them?
S9g. Generally treat inmates with respect?
S9h. Follow facility rules when handling inmate complaints and
grievances?
S9i. Often write up inmates who don’t deserve it?
DK/REF
S13

Agree
1
1
1
1
1
1
1
1

Disagree
2
2
2
2
2
2
2
2

1

2

DOAFILL1, how often have inmates at this facility been hit, punched, or assaulted by other inmates?
1
Frequently
2
Sometimes
3
Rarely
4
Never
DK/REF

S14

DOAFILL1, how often have you worried about being hit, punched, or assaulted by other inmates in this
facility?

1
2
3
4

Frequently
Sometimes
Rarely
Never

DK/REF
S15

DOAFILL1, how often have you seen other inmates with some type of weapon?
1
Frequently
2
Sometimes
3
Rarely
4
Never
DK/REF

S16

DOAFILL1, how much gang activity has there been at this facility?

1
2
3
4
DK/REF

None
A little
Some
A lot

Attachment C: NIS-4P ACASI Instrument 4-20-2020

S17

DOAFILL1, have you been in a fight, assault, or incident in which another inmate tried to harm you?
1
Yes
2
No
DK/REF

S18

[IF S17 = 1] DOAFILL1, how many times have you been in a fight, assault, or other incident in which
another inmate tried to harm you?
1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF

S36

[IF S17 = 1] DOAFILL1, what injuries have you received in a fight, assault, or incident in which another
inmate hurt you?

S36a. You received knife or stab wounds?
S36b. You received broken bones?
S36c. Your teeth were chipped or knocked out?
S36d You received internal injuries?
S36e. You were knocked unconscious?
S36f. You received bruises, a black eye, sprains, cuts, scratches,
swelling, welts, or burns?
DK/REF
S37

Yes
1
1
1
1
1

No
2
2
2
2
2

1

2

[IF S36a = 1 OR S36b = 1 OR S36c = 1 OR S36d = 1 OR S36e = 1 OR S36f = 1] Did you see a doctor, nurse,
or other health care provider for your injuries?
1
Yes
2
No
DK/REF

S21

DOAFILL1, have you been in a fight, assault, or incident in which a correctional officer or other facility
staff person tried to harm you?
1
Yes
2
No
DK/REF

S22

[IF S21 = 1] DOAFILL1, how many times have you been in a fight, assault, or incident in which a
correctional officer or other facility staff person tried to harm you?
1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

S34

[IF S21 = 1] DOAFILL1, what injuries have you received in a fight, assault, or incident in which a
correctional officer or other facility staff person tried to harm you?

S34a. You received knife or stab wounds?
S34b. You received broken bones?
S34c. Your teeth were chipped or knocked out?
S34d You received internal injuries?
S34e. You were knocked unconscious?
S34f. You received bruises, a black eye, sprains, cuts, scratches,
swelling, welts, or burns?
DK/REF
S35

Yes
1
1
1
1
1

No
2
2
2
2
2

1

2

[IF S34a = 1 OR S34b = 1 OR S34c = 1 OR S34d = 1 OR S34e = 1 OR S34f = 1] Did you see a doctor, nurse,
or other health care provider for your injuries?
1
Yes
2
No
DK/REF

S25

DOAFILL1, have any of your personal possessions or belongings been taken by another inmate without your
permission?
1
Yes
2
No
DK/REF

S26

[IF S25 = 1] DOAFILL1, how many times have any of your personal possessions or belongings been taken
by another inmate without your permission?
1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF

S29

DOAFILL1, do you think there has been enough staff at this facility to keep inmates safe?
1
Yes
2
No
DK/REF

S30

DOAFILL1, have you filed a grievance for any reason?
1
Yes
2
No
DK/REF

S31

[IF S30 = 1] DOAFILL1, how many times have you filed a grievance for any reason?
1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

MENTAL HEALTH
R1

The next questions are about how you have been feeling during the past 30 days.
About how often during the past 30 days did you feel nervous?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF

R2

During the past 30 days, about how often did you feel hopeless?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF

R3

During the past 30 days, about how often did you feel restless or fidgety?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF

R4

How often in the past 30 days did you feel so depressed that nothing could cheer you up?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF

R5

About how often in the past 30 days did you feel that everything was an effort?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF

R6

About how often in the past 30 days did you feel worthless?
1
All of the time
2
Most of the time
3
Some of the time
4
A little of the time
5
None of the time
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

R24

Have you ever been told by a mental health professional, such as a psychiatrist or psychologist, that you
had…

R24a. Manic depression, a bipolar disorder, or mania?
R24b. A depressive disorder?
R24c. Schizophrenia or another psychotic disorder?
R24d. Post-traumatic stress disorder or PTSD?
R24e. Another anxiety disorder, such as panic disorder or OCD?
R24f. A personality disorder, such as antisocial or borderline
personality?
R24g. A mental or emotional condition other than those listed above?
DK/REF
R25

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

1

2

The next questions are about any times you may have stayed overnight in any type of hospital or other facility
for any problem with your emotions, nerves, or mental health. Please do not include any overnight hospital
stays for alcohol or drug use.
Touch the NEXT button to go to the next screen.

R26

Have you ever stayed overnight or longer in any type of hospital or other facility to receive treatment or
counseling for any problem you were having with your emotions, nerves, or mental health?
1
Yes
2
No
DK/REF

R27

[IF R26 = 1] During the 12 months before you were admitted to any facility to serve time on your current
sentence, did you stay overnight or longer in any type of hospital or other facility to receive treatment or
counseling for problems you were having with your emotions, nerves, or mental health?
1
Yes
2
No
DK/REF

R28

The next questions are about services you may have received for any problem with your emotions, nerves, or
mental health. As you answer these questions please do not include any services you may have received for
drug or alcohol use. Some questions ask about prescription medicine. Prescription medicines are drugs that
you take if a doctor authorizes them for you.
Touch the NEXT button to go to the next screen.

R29

Have you ever taken any prescription medicine for any problem you were having with your emotions, nerves,
or mental health?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

R30

[IF B4 = 1 AND R29 = 1] At the time of the offense for which you are currently sentenced and serving time,
were you taking prescription medicine for any problem you were having with your emotions, nerves, or
mental health?
[IF B4 = 2 OR DK OR REF AND R29 = 1] At the time of the offense for which you are currently being
held, were you taking prescription medicine for any problem you were having with your emotions, nerves, or
mental health?
1
Yes
2
No
DK/REF

R31

[IF R29 = 1] Since you were admitted to any facility to serve time on your current sentence, have you taken
prescription medicine for any problem you were having with your emotions, nerves, or mental health?
1
Yes
2
No
DK/REF

R33

Have you ever received counseling or therapy from a trained professional such as a psychiatrist, psychologist,
social worker, or nurse for any problem you were having with your emotions, nerves, or mental health?
1
Yes
2
No
DK/REF

R34

[IF R33 = 1] Since you were admitted to any facility to serve time on your current sentence, have you
received counseling or therapy from a trained professional such as a psychiatrist, psychologist, social worker,
or nurse for any problem you were having with your emotions, nerves, or mental health?
1
Yes
2
No
DK/REF

R21

Did you ever in your life have any of the following experiences happen to you:

R21a. A serious fight or physical assault?
R21b. A sexual assault?
R21c. A life-threatening accident or injury?
R21d. The murder or suicide of a loved one?
R21e. The accidental death of a loved one?
R21f. Witnessed someone being seriously
injured or killed?
R21g. Any experience that put you at risk of
death?
DK/REF

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

1

2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

DISABILITY STATUS
Q0 The next questions are about difficulties that you might have due to a physical, mental, or emotional problem.
Touch the NEXT button to go to the next screen.
Q1

Are you deaf, or do you have serious difficulty hearing?
1 Yes
2 No
DK/REF

Q2

Are you blind, or do you have serious difficulty seeing even when wearing glasses?
1 Yes
2 No
DK/REF

Q3

Because of a physical, mental, or emotional problem, do you have serious difficulty concentrating,
remembering, or making decisions?
1 Yes
2 No
DK/REF

Q4

Do you have serious difficulty walking or climbing stairs?
1 Yes
2 No
DK/REF

Q5

Do you have difficulty dressing or bathing?
1 Yes
2 No
DK/REF

Q6

Because of a physical, mental, or emotional problem, do you have difficulty doing activities on your own,
such as going to meal time, going outside, working in or outside of this facility, going to classes, or attending
programs?
1 Yes
2 No
DK/REF

Q7

[IF Q1 OR Q2 OR Q3 OR Q4 OR Q5 OR Q6 = 1] Is the difficulty you experience doing activities on your
own caused by…

Q7a. A physical problem?
Q7b. A mental or emotional problem?
DK/REF

Yes
1
1

No
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

Q8. Did a doctor, school counselor, or other professional ever tell you that you have…

Q8a. ADD or ADHD?
Q8b. Dyslexia?
Q8c. A learning disability?
Q8d. Autism or Asperger’s?
DK/REF

Yes
1
1
1
1

No
2
2
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

PARENTAL INVOLVEMENT
PIV1

Is your biological mother - that is, the woman who gave birth to you - still alive?
1
Yes
2
No
DK/REF

PIV2

[IF PIV1 = 2] How old were you when your biological mother died?
If you were less than a year old when she died, please enter 0.
AGE: __________[RANGE: 0 – CALCAGE]
DK/REF

PIV3 [IF CALCAGE GT 17 AND (PIV1 = 1 OR PIV2 GT 17)] Thinking about your biological mother and her
involvement in your life before you turned 18, would you say she was very involved, somewhat involved,
or not at all involved?
[IF CALCAGE GT 17 AND PIV2 = 6 - 17] Thinking about your biological mother and her involvement in
your life before she died, would you say she was very involved, somewhat involved, or not at all involved?
[IF CALCAGE = 16 OR 17 AND PIV1 = 1] Thinking about your biological mother and her involvement in
your life, would you say she has been very involved, somewhat involved, or not at all involved?
[IF CALCAGE = 16 OR 17 AND PIV2 GT 5] Thinking about your biological mother and her involvement
in your life before she died, would you say she was very involved, somewhat involved, or not at all
involved?
1
Very involved
2
Somewhat involved
3
Not at all involved
DK/REF
PIV4

Do you know the identity of your biological father?
1
Yes
2
No
DK/REF

PIV5

[IF PIV4 = 1] Is your biological father still alive?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

PIV6

[IF PIV5 = 2] How old were you when your biological father died?
If you had not been born or were less than a year old when he died, please enter 0.
AGE:

[RANGE: 0 – CALCAGE]

DK/REF
PIV7 [IF CALCAGE GT 17 AND (PIV5 = 1 OR PIV6 GT 17)] Thinking about your biological
father and his involvement in your life before you turned 18, would you say he was very
involved, somewhat involved, or not at all involved?
[IF CALCAGE GT 17 AND PIV6 = 6 - 17] Thinking about your biological father and his
involvement in your life before he died, would you say he was very involved, somewhat
involved, or not at all involved?
[IF CALCAGE = 16 OR 17 AND PIV5 = 1] Thinking about your biological father and his
involvement in your life, would you say he has been very involved, somewhat involved, or not
at all involved?
[IF CALCAGE = 16 OR 17 AND PIV6 GT 5] Thinking about your biological father and his
involvement in your life before he died, would you say he was very involved, somewhat
involved, or not at all involved?
1
Very involved
2
Somewhat involved
3
Not at all involved
DK/REF
PIV8

[IF PIV4 = 1] Were your biological parents married to each other at the time you were born?
1
Yes
2
No
DK/REF

PIV9 [IF CALCAGE GT 17 AND PIV8 = 2 OR DK/REF] At any time between when you were born
and when you turned 18, were your biological parents married to each other?
[IF CALCAGE = 16 OR 17 AND PIV8 = 2 OR DK/REF] At any time between when you were
born and now, have your biological parents been married to each other?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

PIV10 [IF CALCAGE GT 17 AND (PIV8 = 1 OR PIV9 = 1)] At any time between when you were
born and when you turned 18, did your biological parents get divorced?
[IF CALCAGE = 16 OR 17 AND (PIV8 = 1 OR PIV9 = 1)] At any time between when you
were born and now, did your biological parents get divorced?
1
Yes
2
No
DK/REF
PIV11 [IF (PIV8 = 1 OR PIV9 = 1)] Between the time you were born and when you turned
[min(18,CALCAGE)], about how long were your biological parents married to each other?

1
2
3

Less than 3 years
At least 3 years but less than 10 years
At least 10 years but less than CALCAGE years

4

CALCAGE years

DK/REF
PIV12 [IF CALCAGE GT 17 AND (PIV4=2 OR PIV6 < 6 OR PIV7 = 2 OR 3 OR DK/REF)] Before you
turned 18 was there another man who was like a father to you?
[IF CALCAGE = 16 OR 17 AND (PIV4=2 OR PIV6 < 6 OR PIV7 = 2 OR 3 OR DK/REF)] Is
there another man who has been like a father to you while you’ve been growing up?
1
Yes
2
No
DK/REF
PIV13 [IF PIV12 = 1 AND CALCAGE GT 17] Who was the other man who was most like a father to
you before you turned 18?
[IF PIV12 = 1 AND CALCAGE = 16 OR 17] Who is the other man who has been most like a
father to you while you’ve been growing up?
1 An adoptive father
2 A stepfather
3 A foster father
4 Your mother’s boyfriend
5 A grandfather
6 An uncle
7 A brother, including a stepbrother or half-brother
8 A cousin
9 A minister or member of the clergy
10 A teacher
11 A neighbor
12 Some other man
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

PIV14 Were you living with a male parent or a male parent-figure at the time you were 14 years old?
1
2

Yes
No

DK/REF
PIV15 [IF PIV14 = 1] Who was the male parent or male parent-figure you were living with when you
were 14 years old?
1
Your biological father
2
Your adoptive father
3
Your stepfather
4
A foster father
5
Your mother’s boyfriend
6
Your grandfather
7
Your uncle
8
Some other male parent-figure
DK/REF
PIV16 Were you living with a female parent or a female parent-figure at the time you were 14 years old?
1
Yes
2
No
DK/REF
PIV17 [IF PIV16 = 1] Who was the female parent or female parent-figure you were living with when
you were 14 years old?
1
Your biological mother
2
Your adoptive mother
3
Your stepmother
4
A foster mother
5
Your father’s girlfriend
6
Your grandmother
7
Your aunt
8
Some other female parent-figure
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

RESTRICTIVE HOUSING
RH0

Next, we would like to know about your experiences with solitary confinement at this facility.
Solitary confinement can include administrative or disciplinary segregation and may also be called
secure housing, the hole, lockdown, the SHU, or protective custody.
Touch the NEXT button to go to the next screen.

RH1

[IF A9a = 2 OR DK OR REF] DOAFILL1, have you spent any time in disciplinary or
administrative segregation, or solitary confinement?
1
Yes
2
No
DK/REF

RH2

[GO TO NEXT MODULE]
[GO TO NEXT MODULE]

[IF A9a = 1 OR RH1 = 1] DOAFILL1, how many different times have you been placed in
disciplinary or administrative segregation, or solitary confinement?
1
1 time
2
2 times
3
3 - 5 times
4
6 – 10 times
5
11 times or more
DK/REF

RH3

[IF RH2 = 1 OR DK OR REF] DOAFILL1, how many days did you spend in disciplinary or
administrative segregation, or solitary confinement?
[IF RH2 > 1] DOAFILL1, how many days altogether have you spent in disciplinary or
administrative segregation, or solitary confinement?
1
1 day or less
2
More than 1 day but less than 7 days
3
At least 7 days but less than 14 days
4
At least 14 days but less than 30 days
5
30 days or more
DK/REF

RH4

[IF RH1 = 1] Please think about the [IF RH2 > 1, INCLUDE “most recent”] time DOAFILL2
that you were placed in disciplinary or administrative segregation, or solitary confinement. Why
do you think you were placed in disciplinary or administrative segregation, or solitary
confinement? Was it…
[IF A9a = 1] Why do you think you have been assigned to disciplinary or administrative
segregation, or solitary confinement? Is it…

RH4a. Because you were a danger to yourself?
RH4b. For mental health reasons?
RH4c. For medical reasons?
RH4d. Because you asked to be placed there for your own protection?
RH4e. As a punishment for breaking rules?
RH4f. For a cool down period?
RH4g. For some other reason?
DK/REF

Yes
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

RH7

[IF RH1 = 1 AND RH2 > 1] How long did you remain in disciplinary or administrative
segregation, or solitary confinement the most recent time you were placed there?
1
1 day or less
2
More than 1 day but less than 7 days
3
At least 7 days but less than 14 days
4
At least 14 days but less than 30 days
5
30 days or more
DK/REF

RH10

[IF RH1 = 1] Were you able to leave your cell at least once every day the [IF RH2>1, INCLUDE
“most recent” ] time you were in disciplinary or administrative segregation, or solitary
confinement?
[IF A9a = 1] Are you able to leave your cell at least once every day?
1
Yes
2
No
DK/REF

RH13

[IF RH1 = 1] Were you able to talk to staff every day while you were in disciplinary or
administrative segregation, or solitary confinement [IF RH2>1, INCLUDE “this most recent
time”]?
[IF A9a = 1] Are you able to talk to staff every day in disciplinary or administrative segregation or
solitary confinement?
1
Yes
2
No
DK/REF

RH14

[IF RH1 = 1] Did a trained counselor or mental health professional check on you while you were
in disciplinary or administrative segregation, or solitary confinement [IF RH2>1, INCLUDE “this
most recent time”]?
[IF A9a = 1] Has a trained counselor or mental health professional checked on you while you have
been in disciplinary or administrative segregation, or solitary confinement?
1
Yes
2
No
DK/REF

RANDOM = 95, SKIP TO M0

Attachment C: NIS-4P ACASI Instrument 4-20-2020

CHILDHOOD EXPERIENCES
CE1

Next, we’ll ask about some experiences you may have had growing up.
Which of the following experiences did you have before age 18?

CE1a Did your mother or father die before you were 18?
CE1b Did your parents separate or divorce before you were 18?
CE1c Did either parent attempt or commit suicide?
CE1d Was either parent in prison or jail for 6 months or longer?
CE1e Did either parent, or person who raised you, have a mental illness?
CE1f Did either parent, or person who raised you, have an alcohol or drug problem?
CE1g Were you sent to a juvenile detention center?
DK/REF
CE2

Yes
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2

[IF CALCAGE GT 17] At any time before you turned 18 did you live…
[IF CALCAGE = 16 OR 17] At any time since you were born have you lived…
Yes
1
1
1

CE2a With your biological mother?
CE2b With your biological father?
CE2c In a foster home?
DK/REF
CE3

No
2
2
2

[IF CALCAGE GT 17] How often did you do each of the following things before age 18?
[IF CALCAGE = 16 OR 17] How often have you done each of the following things?

_CE3a.Bully or threaten other kids?
CE3b. Start fights?
CE3c. Run away from home and stay away
overnight?
CE3d. Lie, or “con” other people?
CE3e. Set fires?
CE3f. Stay out very late, long after you were
supposed to be home?
CE3g. Skip school?
DK/REF

Very
Often
1
1

Often

Sometimes

Rarely

Never

2
2

3
3

4
4

5
5

1

2

3

4

5

1
1

2
2

3
3

4
4

5
5

1

2

3

4

5

1

2

3

4

5

Attachment C: NIS-4P ACASI Instrument 4-20-2020

CE4

[IF CALCAGE GT 17] How often did you do each of the following things before age 18?
[IF CALCAGE = 16 OR 17] How often have you done each of the following things?

CE4a Argue, or “talk back,” to adults?
CE4b Disobey rules at home, school, or work?
CE4c Refuse to follow directions from adults
like your parents, teacher, or boss?
CE4d Blame others for your mistakes or bad
behavior?
CE4e Do mean things to “pay people back”
for things they did that you didn’t like?
DK/REF
CE5

Very
Often
1
1

Often

Sometimes

Rarely

Never

2
2

3
3

4
4

5
5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

[IF CALCAGE GT 17] How often did you have each of the following experiences before age
18?
[IF CALCAGE = 16 OR 17] How often have you had each of the following experiences?

CE5a Your family was on welfare?
CE5b You were homeless?
CE5c You had to do chores too hard or
dangerous for someone your age?
CE5d You didn’t have anyone who would take
care of you or protect you?
CE5e Nobody ensured you had adequate food
or clothing or medical care?
CE5f Someone touched you or made you
touch them in a sexual way against your
will?
CE5g You were sexually abused at home?
CE5h You were beaten up or terrorized by
bullies at school or in the
neighborhood?
DK/REF

Very
Often
1
1

Often

Sometimes

Rarely

Never

2
2

3
3

4
4

5
5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Attachment C: NIS-4P ACASI Instrument 4-20-2020

CE6

[IF CALCAGE GT 17] How often did you have each of the following experiences before age 18?
[IF CALCAGE = 16 OR 17] How often have you had each of the following experiences?

CE6a Someone in your family hit you so hard
that it left bruises or marks?
CE6b You were physically abused at home?
CE6c You felt that someone in your family
hated you?
CE6d You were emotionally abused at home?
CE6e People in your family said hurtful or
insulting things to you?
CE6f Someone in your family made you feel
important?
CE6g You felt loved and cared for?
CE6h Your family was a source of strength
and support?
DK/REF

Very
Often

Often

Sometimes

Rarely

Never

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Attachment C: NIS-4P ACASI Instrument 4-20-2020

LIVING AREA AND ACTIVITIES
DEFINE A9c_FILL:
IF A9c=1, A9c_FILL= “an open dorm”
IF A9c=2, A9c_FILL= “a dorm with cubicles”
IF A9c=3, A9c_FILL= “a unit with cells”
IF A9c=4, A9c_FILL= “a unit with rooms”
IF A9c=5, A9c_FILL= “an area not originally intended as housing, such as a gym, classroom, or
day room”
LA_2

These questions are about this prison and how inmates are housed here.
[IF A9c = 1 OR 2 OR 3 OR 4 OR 5]: Earlier you said you spent last night in [A9c_FILL].
Including you, about how many inmates are currently housed in this housing unit?
[IF A9c=6 OR DK OR REF]: Including you, about how many inmates are currently housed in the
housing unit where you spent last night?
1
1
2
2-5
3
6 - 10
4
11 - 15
5
16 - 30
6
31 or more
DK/REF

LA_3

Does your housing unit have any windows that allow the sun to shine in during the day?
1
Yes
2
No
DK/REF

LA_4

How noisy is it in your housing unit during sleeping hours?
1
Not at all noisy
2
Slightly noisy
3
Pretty noisy
4
Very noisy
DK/REF

LA_17 How crowded is it in your housing unit?
1
Not at all crowded
2
Slightly crowded
3
Pretty crowded
4
Very crowded
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

LA_18 How much privacy do you have in your housing unit?
1
None
2
A little
3
Some
4
A lot
DK/REF
LA_5

How often is it too hot in your housing unit?
1
All of the time
2
Most of the time
3
Some of the time
4
Never
DK/REF

LA_6

How often is it too cold in your housing unit?
1
All of the time
2
Most of the time
3
Some of the time
4
Never
DK/REF

LA_7

How often do you see mice, rats, bugs, or insects in your housing unit?
1
All of the time
2
Most of the time
3
Some of the time
4
Never
DK/REF

LA_19 How crowded is it in other parts of the facility, outside of your housing unit – for example, in the
dining hall, classrooms, gym, or work areas?
1
Not at all crowded
2
Slightly crowded
3
Pretty crowded
4
Very crowded
DK/REF
LA_8

During the last 24 hours, about how many hours did you spend in your housing unit? Please
include time when you were sleeping.
NUMBER OF HOURS: __________ [RANGE: 1 – 24]
DK/REF

LA_9

During the last 24 hours, did you spend any time outdoors?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

LA_10 [IF LA_9 = 1] During the last 24 hours, about how much time did you spend outdoors?
1
Less than 30 minutes
2
At least 30 minutes but less than 1 hour
3
At least 1 hour but less than 2 hours
4
At least 2 hours but less than 5 hours
5
5 hours or more
DK/REF
LA_11 During the past 24 hours, about how many hours did you spend sleeping?
1
Less than 30 minutes
2
At least 30 minutes but less than 1 hour
3
At least 1 hour but less than 2 hours
4
At least 2 hours but less than 5 hours
5
At least 5 hours but less than 7 hours
6
At least 7 hours but less than 9 hours
7
9 hours or more
DK/REF
LA_12 The next questions are about how you spend your time at this prison. Please think about how you
spent the last 24 hours.
During the last 24 hours, did you…

LA_12a. Attend a class or training?
LA_12b. Exercise or work out?
LA_12c. Watch television?
LA_12d. Read books, newspapers or magazines?
LA_12e. Work at a job?
LA_12f. Participate in religious meetings or activities?
LA_12g. Have in-person visits with family or friends?
LA_12h. Talk on the telephone with family or friends?
LA_12i. Play games like cards, chess, checkers, or sports with other
inmates?
LA_12j. Talk with your lawyer – either in person or on the telephone?
LA_12k. Visit the library?
LA_12l. Visit the infirmary or medical ward?
DK/REF

Yes
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2

1
1
1

2
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

LA_14 Now think about how you spent your time during the past 7 days. Did you do any of the
following things during the past 7 days?

LA_14a. [IF LA_12a = 2 OR DK OR REF] Attend a class or training?
LA_14b. [IF LA_12b = 2 OR DK OR REF] Exercise or work out?
LA_14c. [IF LA_12c = 2 OR DK OR REF] Watch television?
LA_14d. [IF LA_12d = 2 OR DK OR REF] Read books, newspapers or
magazines?
LA_14e. [IF LA_12e = 2 OR DK OR REF] Work at a job?
LA_14f. [IF LA_12f = 2 OR DK OR REF] Participate in religious
meetings or activities
LA_14g. [IF LA_12g = 2 OR DK OR REF] Have in-person visits with
family or friends?
LA_14h. [IF LA_12h = 2 OR DK OR REF] Talk on the telephone with
family or friends?
LA_14i. [IF LA_12i = 2 OR DK OR REF] Play games with other
inmates such as cards, chess, checkers, or sports?
LA_14j. [IF LA_12j = 2 OR DK OR REF] Talk with your lawyer – either
in person or on the telephone?
LA_14k. [IF LA_12k = 2 OR DK OR REF] Visit the library?
LA_14l. [IF LA_12l = 2 OR DK OR REF] Visit the infirmary or medical
ward?
DK/REF

Yes
1
1
1
1

No
2
2
2
2

1
1

2
2

1

2

1

2

1

2

1

2

1
1

2
2

LA_15 How would you describe the amount of food you currently receive at this facility?
1
There is too much food
2
There is just the right amount of food
3
There is not enough food
DK/REF
LA_16 How would you describe the quality of the food you currently receive at this facility?
1
Excellent
2
Very good
3
Good
4
Fair
5
Poor
DK/REF
LA_20 Are there inmates in this facility who you think of as your friends?
1
Yes
2
No
DK/REF
LA_21 Are there inmates in this facility who you can talk to about your problems?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

LA_22 Are there inmates in this facility who would protect you if another inmate was trying to hurt you?
1
Yes
2
No
DK/REF
LA_23 Are there correctional officers or other staff at this facility who you can talk to about your personal
problems?
1
Yes
2
No
DK/REF
LA_24 Are there correctional officers or other staff at this facility who would protect you if another
inmate was trying to hurt you?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

ALTERCATIONS, FIGHTS AND GRIEVANCES
AFG2 These next questions are about violence in this facility.
DOAFILL1, how often have inmates at this facility been hit, punched, or assaulted by other
inmates?
1
Frequently
2
Sometimes
3
Rarely
4
Never
DK/REF
AFG3 DOAFILL1, how often have you worried about being hit, punched, or assaulted by other inmates
in this facility?
1
Frequently
2
Sometimes
3
Rarely
4
Never
DK/REF
AFG4 DOAFILL1, how often have you seen other inmates with some type of weapon?
1
Frequently
2
Sometimes
3
Rarely
4
Never
DK/REF
AFG5 DOAFILL1, how often has there been gang activity at this facility?
1
Frequently
2
Sometimes
3
Rarely
4
Never
DK/REF
AFG6

DOAFILL1, have you been in a fight, assault, or incident in which another inmate tried to
harm you?
1
Yes
2
No
DK/REF

AFG7

[IF AFG6 = 1] DOAFILL1, how many times have you been in a fight, assault, or other
incident in which another inmate tried to harm you?
1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

AFG8

[IF AFG6 = 1 AND AFG7 = 1] DOAFILL1, what injuries did you receive in the fight,
assault, or incident in which another inmate tried to harm you?
[IF AFG6 = 1 AND AFG7 = 2 OR 3 OR 4 OR DK OR REF] DOAFILL1, what injuries
did you receive during any of the fights, assaults, or incidents in which another inmate
tried to harm you?

AFG8a. You received knife or stab wounds?
AFG8b. You received broken bones?
AFG8c. Your teeth were chipped or knocked out?
AFG8d. You received internal injuries?
AFG8e. You were knocked unconscious?
AFG8f. You received bruises, a black eye, sprains, cuts, scratches,
swelling, welts, or burns?
DK/REF
AFG9

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

[IF AFG8a = 1 OR AFG8b = 1 OR AFG8c = 1 OR AFG8d = 1 OR AFG8e = 1 OR AFG8f
= 1] Did you see a doctor, nurse, or other health care provider for your injuries?
1
Yes
2
No
DK/REF

AFG10

DOAFILL1, have you been in a fight, assault, or incident in which a correctional officer
or other facility staff person tried to harm you?
1
Yes
2
No
DK/REF

AFG11

[IF AFG10 = 1] DOAFILL1, how many times have you been in a fight, assault, or
incident in which a correctional officer or other facility staff person tried to harm you?
1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

AFG12

[IF AFG10 = 1 AND AFG11 = 1] DOAFILL1, what injuries did you receive in the
fight, assault, or incident in which a correctional officer or other facility staff person
tried to harm you?
[IF AFG10 = 1 AND AFG11 = 2 OR 3 OR 4 OR DK OR REF] DOAFILL1, what
injuries did you receive in any of the fights, assaults, or incidents in which a correctional
officer or other facility staff person tried to harm you?

AFG12a. You received knife or stab wounds?
AFG12b. You received broken bones?
AFG12c. Your teeth were chipped or knocked out?
AFG12d. You received internal injuries?
AFG12e. You were knocked unconscious?
AFG12f. You received bruises, a black eye, sprains, cuts, scratches,
swelling, welts, or burns?
DK/REF
AFG13

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

[IF AFG12a = 1 OR AFG12b = 1 OR AFG12c = 1 OR AFG12d = 1 OR AFG12e = 1 OR
AFG12f = 1] Did you see a doctor, nurse, or other health care provider for your injuries?
1 Yes
2 No
DK/REF

AFG14

DOAFILL1, have any of your personal possessions or belongings been taken by another
inmate without your permission?
1
Yes
2
No
DK/REF

AFG15

[IF AFG14 = 1] DOAFILL1, how many times have any of your personal possessions or
belongings been taken by another inmate without your permission?
1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF

AFG16

DOAFILL1, do you think there has been enough staff at this facility to keep inmates
safe?
1
Yes
2
No
DK/REF

AFG17 DOAFILL1, have you filed a grievance for any reason?
1
Yes
2
No
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

AFG18

[IF AFG17 = 1] DOAFILL1, how many times have you filed a grievance for any
reason?
1
1 time
2
2 times
3
3 – 10 times
4
11 times or more
DK/REF

AFG1 DOAFILL1, have you been written up or charged with…

AFG1a. A drug violation, such as possession, use, or dealing in drugs?
AFG1b. Possession of a weapon?
AFG1c. Possession of stolen property?
AFG1d. Possession of any other unauthorized substance or item?
AFG1e. Verbal assault on a correctional officer or other staff
member?
AFG1f. Physical assault on a correctional officer or other staff
member?
AFG1g. Verbal assault on another inmate?
AFG1h. Physical assault on another inmate?
AFG1i. Escape or attempted escape?
AFG1j. Any other major violation, including work slowdowns, food
strikes, setting fires, rioting, etc.?
AFG1k. Any minor violations relating to facility orderliness and
operation, such as use of abusive language, horseplay, failing to follow
sanitary regulations, etc.?
DK/REF

Yes
1
1
1
1
1

No
2
2
2
2
2

1

2

1
1
1
1

2
2
2
2

1

2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

WORK ASSIGNMENTS
WA1

Now think about work assignments at this facility.
Do you currently have a work assignment outside this prison facility for which you leave the
prison grounds?
1
2

Yes
No

DK/REF
WA2

[IF WA1 = 1] For how many weeks have you been working at this work assignment that requires
you to leave the prison grounds?
1
2
3
4

Less than 1 week
1 – 5 weeks
6 – 12 weeks
13 weeks or longer

DK/REF
WA3

[IF WA1 = 1] In the past 7 days, about how many hours did you work outside the prison facility?
1
2
3
4
5

1 – 8 hours
9 – 16 hours
17 – 24 hours
25 – 32 hours
33 hours or more

DK/REF
WA4

Do you currently have a work assignment inside this prison or on the grounds of the prison?
1
2

Yes
No

DK/REF
WA5

[IF WA4 = 1] For how many weeks have you been working at this work assignment inside the
prison or on the grounds of the prison?
1
2
3
4

Less than 1 week
1 – 5 weeks
6 – 12 weeks
13 weeks or longer

DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

WA6

[IF WA4 = 1] In the past 7 days, about how many hours did you work inside this prison or on the
grounds of the prison?
1
2
3
4
5

1 – 8 hours
9 – 16 hours
17 – 24 hours
25 32 hours
33 hours or more

DK/REF
WA7

[IF WA1 = 1 OR WA4 = 1] Are you required to have a work assignment while in this prison?
1
2

Yes
No

DK/REF
WA8

[IF WA1 = 1 OR WA4 = 1] Are you paid money for the work assignment you have?
1
2

Yes
No

DK/REF
WA9

[IF WA8 = 1] Other than money, do you receive anything else for the work assignment you do,
such as time credits or other privileges?
[IF WA8 = 2 OR DK OR REF] Do you receive anything else for the work assignment you do,
such as time credits or other privileges?
1
2

Yes
No

DK/REF
WA10 [IF WA7 = 2] Inmates choose to have a work assignment for different reasons. Do you have a
work assignment…

WA10a. To break up boredom or see what the work
assignment is like?
WA10b. To spend time with friends or make friends?
WA10c. To try to get out of prison early?
WA10d. To learn some new job skills?
WA10e. To earn spending money?
DK/REF

Yes

No

1
1
1
1
1

2
2
2
2
2

WA11 [IF WA1 = 2 AND WA4 = 2] DOAFILL1, have you ever had a work assignment?
1
2
DK/REF

Yes
No

Attachment C: NIS-4P ACASI Instrument 4-20-2020

WA12

[IF WA11 = 1] When was the last time you had a work assignment at this prison?
1
2
3
4

Within the past month
1 – 3 months ago
4 – 6 months ago
7 – 12 months ago

DK/REF
WA13 [IF WA11 = 1 OR 2] Inmates do not have work assignments for a variety of reasons. For each
reason listed below, please indicate whether or not it is a reason why you don’t currently have a
work assignment.

WA13a. You are not healthy enough to work?
WA13b. You don’t want to do the jobs that
are available?
WA13c. Facility staff will not allow you to
work?
WA13d. You don’t have the skills needed?
WA13e. You would rather do other things
with your time?
DK/REF

Yes
1

No
2

1

2

1
1

2
2

1

2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

PROGRAM PARTICIPATION
PP_1

These next questions are about programs you have participated in at this facility.
DOAFILL1, have you participated in any job training programs, such as employment readiness or
vocational training?
1
2

Yes
No

DK/REF
PP_2

[IF PP_1 = 1] DOAFILL1, were you required to participate in any job training programs?
1
2

Yes
No

DK/REF
PP_3

[IF PP_1 = 1] Are you currently participating in any job training programs?
1
2

Yes
No

DK/REF
PP_4

[IF PP_3 = 2] Why aren’t you participating in any job training programs?

PP_4a. You completed the program?
PP_4b. You quit or dropped out of the program?
PP_4c. You are no longer allowed to participate in the program?
PP_4d. The program is no longer available at this facility?
PP_4e. Some other reason?
DK/REF
PP_5

Yes
1
1
1
1
1

No
2
2
2
2
2

[IF PP_1 = 2] Why haven’t you participated in any job training programs DOAFILL2?

PP_5a. You are not interested in the program?
PP_5b. You are not eligible to participate in the program?
PP_5c. You are too busy to attend the program?
PP_5d. You don’t need job training?
PP_5e. You don’t think the program would be useful?
PP_5f. Job training programs are no longer offered at this facility?
PP_5g. Some other reason?
DK/REF

Yes
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

PP_6

[IF PP_1 = 1] Why did you participate in job training programs DOAFILL2?

PP_6a. To break up boredom or see what the program was like?
PP_6b. To spend time with friends or make friends?
PP_6c. To try to get out of prison early?
PP_6d. To learn some new skills?
PP_6e. Some other reason?
DK/REF
PP_7

Yes
1
1
1
1
1

No
2
2
2
2
2

DOAFILL1, have you participated in any education programs, such as high school, GED, adult
basic education, college courses, or English as a Second Language?
1
2

Yes
No

DK/REF
PP_8

[IF PP_7 = 1] DOAFILL1, were you required to participate in any education programs?
1
2

Yes
No

DK/REF
PP_9

[IF PP_7 = 1] Are you currently participating in any education programs?
1
2

Yes
No

DK/REF
PP_10 [IF PP_9 = 2] Why aren’t you participating in any education programs?

PP_10a. You completed the program?
PP_10b. You quit or dropped out of the program?
PP_10c. You are no longer allowed to participate in the program?
PP_10d. The program is no longer available at this facility?
PP_10e. Some other reason?
DK/REF

Yes
1
1
1
1
1

No
2
2
2
2
2

PP_11 [IF PP_7 = 2] Why haven’t you participated in any education programs DOAFILL2?

PP_11a. You are not interested in the program?
PP_11b. You are not eligible to participate in the program?
PP_11c. You are too busy to attend the program?
PP_11d. You don’t need education training?
PP_11e. You don’t think the program would be useful?
PP_11f. Education programs are no longer offered at this facility?
PP_11g. Some other reason?
DK/REF

Yes
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

PP_12 [IF PP_7 = 1] Why did you participate in education programs DOAFILL2?

PP_12a. To break up boredom or see what the program was like?
PP_12b. To spend time with friends or make friends?
PP_12c. To try to get out of prison early?
PP_12d. To learn some new skills?
PP_12e. Some other reason?
DK/REF

Yes
1
1
1
1
1

No
2
2
2
2
2

PP_13 [IF PP_7 = 1] What types of education programs did you participate in DOAFILL2?

PP_13a. Basic education classes up through 8th grade?
PP_13b. High school or GED classes?
PP_13c. College level classes?
PP_13d. English as a Second Language or ESL classes?
PP_13e. Some other education program?
DK/REF

Yes
1
1
1
1
1

No
2
2
2
2
2

PP_14 DOAFILL1, have you participated in any of the following classes or programs?

PP_14a. A parenting or child rearing class?
PP_14b. An anger management or conflict resolution class?
PP_14c. A money management or financial planning class?
PP_14d. A sex offender treatment program?
PP_14e. A religious study group?
PP_14f. A prisoner assistance group such as a prisoner counseling
group, advisory council, worker’s council, or inmate liaison group?
PP_14g. A drug or alcohol support group such as Alcoholics
Anonymous, Al-Anon, or Narcotics Anonymous?
PP_14h. An arts and crafts program?
PP_14i. A health or nutrition program?
DK/REF

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

1

2

1
1

2
2

PP_15 [IF ANY ITEMS IN PP_14 = 1] Are you currently participating in any of the following classes
or programs?

PP_15a. [IF PP_14a = 1] A parenting or child rearing class?
PP_15b. [IF PP_14b = 1] An anger management or conflict resolution class?
PP_15c. [IF PP_14c = 1] A money management or financial planning class?
PP_15d. [IF PP_14d = 1] A sex offender treatment program?
PP_15e. [IF PP_14e = 1] A religious study group?
PP_15f. [IF PP_14f = 1] A prisoner assistance group such as a prisoner
counseling group, advisory council, worker’s council, or inmate liaison group?
PP_15g. [IF PP_14g = 1] A drug or alcohol support group such as Alcoholics
Anonymous, Al-Anon, or Narcotics Anonymous?
PP_15h. [IF PP_14h = 1] An arts and crafts program?
PP_15i. [IF PP_14i = 1] A health or nutrition program?
DK/REF

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

1

2

1
1

2
2

Attachment C: NIS-4P ACASI Instrument 4-20-2020

VISITORS AND OUTSIDE CONTACT
VOC_1 These next questions are about contact you have with people outside this facility. By contact we
mean phone calls, video visits, e-mails, text messages, letters, DVDs, CDs, tape recordings, or inperson visits.
DOAFILL1, have you had any contact with your relatives?
1
Yes
2
No
DK/REF
VOC_2 [IF VOC_1 = 1] DOAFILL1, what kinds of contact have you had with any of your relatives?
Have you…
YES

NO

VOC_2a. Had in-person visits?

1

2

VOC_2b. Talked on the phone?

1

2

VOC_2c. Received letters?
VOC_2d. Had some other type of contact such as emails, text messaging,
video visiting, DVDs, CDs, or tape recordings?

1

2

1

2

DK/REF
VOC_3

[IF VOC_2a = 1 OR VOC_2b = 1 OR VOC_2c = 1 OR VOC_2d = 1] When was the last
time you had any kind of contact with your relatives?
1
2
3
4
5
6

Within the past day
More than a day ago but within the past week
More than a week ago but within the past month
More than a month ago but within the past 3 months
More than 3 months ago but within the past 6 months
More than 6 months ago

DK/REF
VOC_4

[IF VOC_1 = 2] Why do you think you have not had any kind of contact with your relatives
DOAFILL2? Do you think it is because…
YES

NO

VOC_4a. They live too far away?

1

2

VOC_4b. They cannot afford to travel to this prison?

1

2

VOC_4c. They don’t want to see you while you are incarcerated?

1

2

1

2

1

2

1

2

VOC_4d. You are not allowed to have visitors?
VOC_4e. You do not want to have visitors?
VOC_4f. They are not healthy enough to travel?
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

DOAFILL1, have you had any contact with your friends or acquaintances?

VOC_5

1
Yes
2
No
DK/REF
VOC_6

[IF VOC_5 = 1] DOAFILL1, what kinds of contact have you had with your friends or
acquaintances? Have you…
YES

NO

VOC_6a. Had in-person visits?

1

2

VOC_6b. Talked on the phone?

1

2

VOC_6c. Received letters?
VOC_6d. Had some other type of contact such as emails, text messaging,
video visiting, DVDs, CDs, or tape recordings?

1

2

1

2

DK/REF
VOC_7

[IF VOC_6a = 1 OR VOC_6b = 1 OR VOC_6c = 1 OR VOC_6d = 1] When was the last time
you had any kind of contact with your friends or acquaintances?
1
2
3
4
5
6

Within the past day
More than a day ago but within the past week
More than a week ago but within the past month
More than a month ago but within the past 3 months
More than 3 months ago but within the past 6 months
More than 6 months ago

DK/REF
VOC_8

[IF VOC_5 = 2] Why do you think you have not had any kind of contact with your friends
or acquaintances DOAFILL2? Do you think it is because…
YES

NO

VOC_8a. They live too far away?

1

2

VOC_8b. They cannot afford to travel to this prison?

1

2

VOC_8c. They don’t want to see you while you are incarcerated?
VOC_8d. You are not allowed to have visitors?

1

2

1

2

1

2

1

2

VOC_8e. You do not want to have visitors?
VOC_8f. They are not healthy enough to travel?
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

POST-RELEASE PLANS
PRP1 [IF B24 NE 1] These last questions are about plans you may have for after you are released from
this facility.
Do you have a definite date on which you expect to be released from prison?
1
2

Yes
No

DK/REF
PRP2

[IF PRP1 = 1] In what year do you think you will be released from prison?
1
2
3
4
5
6
7

[CURRENT YEAR]
[CURRENT YEAR + 1]
[CURRENT YEAR +2]
[CURRENT YEAR + 3]
[CURRENT YEAR + 4]
[CURRENT YEAR + 5]
[CURRENT YEAR + 6] or later

DK/REF
PRP3

[IF PRP1 = 2 OR DK OR REF] Do you expect to ever be released from prison?
1
2

Yes
No

DK/REF
PRP4

[IF PRP3 = 1] In what year is your earliest possible release date?
1
2
3
4
5
6
7

[CURRENT YEAR]
[CURRENT YEAR + 1]
[CURRENT YEAR +2]
[CURRENT YEAR + 3]
[CURRENT YEAR + 4]
[CURRENT YEAR + 5]
[CURRENT YEAR + 6] or later

DK/REF
PRP14

[IF B24 NE 1] How far is this prison from where you were living before you entered prison on
your current incarceration?
1
Less than 5 miles
2
5 – 10 miles
3
11 – 20 miles
4
21 – 50 miles
5
51 – 100 miles
6
101 – 500 miles
7
501 miles or more
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

PRP5

[IF PRP3 NE 2 OR PRP1=1] Do you have a plan for where you will live after you are released
from prison?
1
Yes
2
No
DK/REF

PRP6

[IF PRP5 = 1] Did any staff at this prison help you make plans for where you will live after you
are released from prison?
1
Yes
2
No
DK/REF

PRP7

[IF PRP5 = 1] Do you think you will live alone after you are released from prison or do you
think you will live with other people?
1
Will live alone
2
Will live with other people
DK/REF

PRP8

[IF PRP7 = 2] Who do you plan to live with after you are released from prison?

PRP8a. [IF D1 = 1] Your husband or wife?
PRP8b. Your boyfriend or girlfriend?
PRP8c. Your parents or step-parents?
PRP8d. Your brother or sister?
PRP8e. Your children who are younger than 18?
PRP8f. Your children who are at least 18 years old?
PRP8g. Your grandparents?
PRP8h. Your grandchildren?
PRP8i. Some other relative, such as an aunt, uncle, or cousin?
PRP8j. Someone you are not related to?
DK/REF
PRP9

Yes
1
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2
2

Yes
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2

[IF PRP5 = 1] Where do you plan to live after you are released from prison?

PRP9a. In your own house, apartment, condo or mobile home?
PRP9b. In someone else’s house, apartment, condo or mobile home?
PRP9c. In transitional housing for former inmates such as a halfway house?
PRP9d. In a residential treatment facility?
PRP9e. In a rooming house, hotel, or motel?
PRP9f. In a car, truck, or other motor vehicle?
PRP9g. In a homeless shelter, on the street, or in some outdoor location?
PRP9h. In some other place?
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

INTERVIEW DEBRIEFING
M0

Thank you for completing the survey. Now we have a few questions about your experience with
this interview.
Touch the NEXT button to go to the next screen.

M1

How difficult was it for you to use the computer to do this survey?
1
Not difficult at all
2
Sort of difficult
3
Very difficult
DK/REF

DEFINE InterviewTypeFill:
IF RANDOM = 95, then InterviewTypeFill = “your own experiences with sex and sexual assault
in this facility”
IF RANDOM = 5, then InterviewTypeFill = “your childhood and your experiences at this facility”
M2

How comfortable did you feel using the computer to answer questions about
[InterviewTypeFIll])?
1
Very comfortable
2
Somewhat comfortable
3
Somewhat uncomfortable
4
Very uncomfortable
DK/REF

M3.

How upsetting did you find it to answer questions about [InterviewTypeFIll]?
1
Not upsetting at all
2
Somewhat upsetting
3
Very upsetting
DK/REF

M4.

How accurate are the answers you entered into the computer?
1
Not very accurate
2
Fairly accurate
3
Very accurate
DK/REF

M5

Did anyone tell you directly that you were required to participate in this study?
1
Yes
2
No
DK/REF

M6

[IF M5 = 1] Who told you that you were required to participate in this study?
1
A facility staff person
2
An interviewer from RTI
3
Another inmate
4
Someone else
DK/REF

Attachment C: NIS-4P ACASI Instrument 4-20-2020

M7

[IF M6 = 2] Were you ever made to feel that you were required to participate in this study?
1
Yes
2
No
DK/REF

M8.

Did anyone put pressure on you to answer the survey questions in a certain way?
1
Yes
2
No
DK/REF

M9.

[IF M8 = 1] Who pressured you to answer the survey questions in a certain way?
1
A facility staff person
2
An interviewer from RTI
3
Another inmate
4
Someone else
DK/REF

M10.

[IF M8 = 1 AND RANDOM = 95] Are there any types of sex or sexual contact that you didn’t
report in this survey because someone pressured you not to?
1
Yes
2
No
DK/REF

M11.

That is all the questions we have. If you found the survey questions upsetting for any reason, your
interviewer can tell you how to contact a mental health counselor employed by this facility.
Thank you very much for participating in this study.

M11a. Please tell your interviewer that you have completed the survey.
M12.

THANK INMATE FOR PARTICIPATING.
NOTIFY OFFICER THAT THE INMATE IS FINISHED AND CAN LEAVE THE INTERVIEW
ROOM. AFTER THE INMATE LEAVES THE ROOM, ENTER THE PASSWORD TO
CONTINUE ON TO YOUR DEBRIEFING QUESTIONS.
ENTER PASSWORD TO CONTINUE.
NOTE TO PROGRAMMER: WE’LL NEED A SHORT PASSWORD SO THAT
RESPONDENTS CAN’T GO ANY FURTHER IN THE INTERVIEW. THE LAST SET OF
DEBRIEFING QUESTIONS WILL BE FOR THE INTERVIEWER.

M13.

Estimate the respondent’s understanding of the interview
1
2
3

M14

No difficulty – no language or reading problem
Some difficulty
A great deal of difficulty

Please record any comments the respondent made about the nature of the questions or the task of
answering the questions during either the CAPI or ACASI portions of the interview.
__________________________________________________________________

Attachment C: NIS-4P ACASI Instrument 4-20-2020

ALLOW 150 CHARACTERS
M15

How upset did the respondent appear to be during the ACASI portion of the interview?
1
2
3

M16

Not upset at all
Somewhat upset
Very upset

[IF M15 = 2 OR 3] Please provide any details you can about why this inmate appeared to be
somewhat or very upset during the ACASI portion of the interview.
__________________________________________________________________
ALLOW 150 CHARACTERS

M17

Did this inmate complete the interview while wearing shackles?
1
2

Yes
No

M18. Did this inmate complete the interview while wearing handcuffs?
1
2

Yes
No

M19. Did the inmate complain to you about how long they had to wait to be seen by an interviewer?
1 Yes
2 No

M20

How much difficulty did you have persuading this inmate to participate in the NIS?
1
2
3
4
5

No difficulty – the inmate was eager to participate
Just a little difficulty – the inmate was willing, but not eager, to participate
Some difficulty – the inmate wasn’t willing but you were able to persuade him/her
Quite a lot of difficulty – you had to really work to counter the inmate’s objections
This inmate had previously refused to participate and you were working the case as a
refusal converter

M21

Indicate the degree of distractions or interruptions during the interview.
1
None
2
A few
3
A lot

M22

Was the privacy of the interview setting compromised at any point during the interview?
1
2

M23

Yes
No

[IF M22 = 1] In what way was the privacy of the interview setting compromised during this
interview?
________________________________________________________________
ALLOW 150 CHARACTERS

M24

[IF I3 = 1] Did the inmate take the incentive that was offered?

Attachment C: NIS-4P ACASI Instrument 4-20-2020

1
2

M26

YES
NO

PLEASE PROVIDE ANY OTHER COMMENTS ABOUT THE INTERVIEW THAT WOULD
BE USEFUL FOR THE PROJECT TEAM TO KNOW:
________________________________________________________________
ALLOW 150 CHARACTERS

REVIEW

INTERVIEWER: YOU HAVE REACHED THE END OF THE INTERVIEW. ENTER 1
AND TOUCH THE FINISH BUTTON BELOW TO FINALIZE THIS CASE AND
RETURN TO THE CASE MANAGEMENT SYSTEM.

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

Attachment D Contents
Four PAPI questionnaires are included in the attachment, as described below:
Form 1: Intended for female inmates who have been in the facility for 12 months or longer.
Form 2: Intended for male inmates who have been in the facility for 12 months or longer.
Form 3: Intended for female inmates who have been in the facility for a period less than 12 months.
Form 4: Intended for male inmates who have been in the facility for a period less than 12 months.

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

OMB No.:
Exp.:

XXXX-XXXX
XX/XX/XXXX

NATIONAL INMATE
SURVEY - PRISONS
Conducted by the Bureau of Justice Statistics
and
RTI International

NOTICE: Public reporting for this collection of information is estimated to average 15 minutes per response, including the
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to the Director, Bureau of Justice Statistics, 810
Seventh Street, NW, Washington, DC 20531. An agency may not conduct or sponsor, and a person is not required to respond
to a collection of information unless it displays a currently valid 0MB control number. The 0MB control number for this
project is XXXX-XXXX.

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

6. Are you currently being held in this facility for any
of the following:

SECTION A

Mark

Please answer the question in the space provided or
mark your answer in the box, like this . To protect
your privacy, do not put your name on this survey.
1. On what date were you admitted to this facility?
If you cannot remember the exact date, please write
down whatever you can remember, such as the year
and the month.
________ / ________ / ________
Month
Day
Year
2. How old are you?

No

A violent offense, such as physical or
sexual assault, rape, robbery,
manslaughter, attempted murder, or
murder?

1

2

A drug offense, such as possessing,
selling, or manufacturing drugs?

1

2

A property offense, such as burglary,
larceny, auto theft, bad checks, fraud,
forgery or grand theft?

1

2

Any other offense?

1

2

Less than 1 week....................................................
At least 1 week but less than 1 month ...................
At least 1 month but less than 2 months ................
At least 2 months but less than 6 months...............
At least 6 months but less than 1 year ...................
At least 1 year but less than 5 years .......................
At least 5 years but less than 10 years ...................
10 years or more ....................................................

3. Are you of Hispanic, Latino, or Spanish origin?
Yes .........................................................................
No ..........................................................................

1
2

4. Which of these categories describes your race:
“Yes” or “No” for each item.

Yes

7. How long have you been in this facility?

Age: _______

Mark

“Yes” or “No” for each item.

Yes

No

White

1

2

Black or African American

1

2

American Indian or Alaska Native

1

2

Asian

1

2

Native Hawaiian or other Pacific Islander

1

2

2
3
4
5
6
7
8

8. Before you were admitted to this facility, had you
ever spent time as an adult or juvenile in a prison,
jail, or other correctional facility?
Yes .........................................................................
No ..........................................................................

1
2

9. Which of the following best represents how you
think about yourself?

5. What is the highest level of school you have
completed?
Less than a high school graduate ...........................
High school graduate or GED ...............................
Some college .........................................................
College degree or more .........................................

1

Straight, that is not lesbian or gay .........................
Lesbian or gay........................................................
Bisexual, that is, you are sexually attracted
to both men and women .........................................
Something else .......................................................

1
2
3
4

1

1
2

3
4

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

15. This question is about wanted or voluntary sex or
sexual contact you have had with other inmates in
this facility. In the past 12 months, did you do any
of the following:

10. What sex was recorded on your original birth
certificate?
Male ........................................................................
Female ....................................................................

1
2

11. Do you currently think of yourself as…?
Male .......................................................................
Female ...................................................................
Transgender ...........................................................
None of these .........................................................

1
2
3
4

12. Before you entered this facility, had anyone ever
physically forced, pressured, or made you feel you
had to have sex or sexual contact—that is
unwanted touching of the breasts, genitals or butt,
or vaginal, oral, or anal sex?
Yes ..................................
No ...................................

1
2

13. Were you physically forced, pressured, or made to
feel you had to have sex or sexual contact before
you were 18 years old, after you turned 18, or
both?

No

Touch another inmate's body in a sexual
way or have your body touched in a
sexual way?

1

2

Have oral sex with another inmate at
this facility?

1

2

Have vaginal sex with another inmate
at this facility?

1

2

Have anal sex with another inmate at
this facility?

1

2

16. In the past 12 months, did another inmate use
physical force to make you do any of the following:
Mark

1
2
3

14. Before you entered this facility, were you
physically forced, pressured, or made to feel that
you had to have sex or sexual contact while you
were an adult or juvenile in a jail, prison, or other
correctional facility?
Yes .........................................................................
No ..........................................................................

Yes

These next questions ask about unwanted sex or
sexual contact you have had with other inmates in
this facility. By unwanted, we mean sex or sexual
contact that you did not want to happen.

Continue to item 13
Go to item 14

Before you were 18 ...............................................
After you turned 18 ...............................................
Both .......................................................................

“Yes” or “No” for each item.

Mark

“Yes” or “No” for each item.

Yes

No

Touch their body in a sexual way or have
your body touched in a sexual way?

1

2

Have oral sex with them?

1

2

Have vaginal sex with them?

1

2

Have anal sex with them?

1

2

17. In the past 12 months, did another inmate, without
using physical force, pressure you or make you feel
that you had to do any of the following:

1
2

Mark

2

“Yes” or “No” for each item.

Yes

No

Touch their body in a sexual way or have
your body touched in a sexual way?

1

2

Have oral sex with them?

1

2

Have vaginal sex with them?

1

2

Have anal sex with them?

1

2

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

18. In the past 12 months, how many times altogether
were you physically forced, pressured, or made to
feel like you had to have sex or sexual contact with
another inmate?
0 times ..................
1 time ....................
2 times ..................
3–10 times ............
11 times or more ...

1



Go to SECTION B
on page 3



Continue to item 19

2
3
4

SECTION B
These next questions ask about sex or sexual contact
you have had with staff at this facility. By staff, we
mean the employees of this facility and anybody who
works as a volunteer in this facility.
21. This question is about willing sex or sexual contact
you have had with any staff at this facility. In the
past 12 months, did you do any of the following:

5

19. In the past 12 months, when you were physically
forced, pressured, or made to feel that you had to
have sex or sexual contact with another inmate,
were you ever:
Mark

“Yes” or “No” for each item.

Yes

Mark

No

Persuaded or talked into it?

1

2

Given a bribe or blackmailed?

1

2

Given drugs or alcohol to get you drunk
or high?

1

2

Offered protection from other inmates?

1

2

Trying to pay off or settle a debt that you
owed?

1

2

Threatened with harm or a weapon?

1

2

Physically held down or restrained?

1

2

Physically harmed or injured?

1

2

“Yes” or “No” for each item.

Yes
1

2

Receive broken bones?

1

2

Receive anal or vaginal tearing?

1

2

Have your teeth chipped or knocked out?

1

2

Receive internal injuries?

1

2

Get knocked unconscious?

1

2

Receive bruises, a black eye, sprains,
cuts, scratches, swelling, or welts?

1

2

No

Touch a facility staff person's body in a
sexual way or have your body touched in
a sexual way?

1

2

Give or receive a handjob from a facility
staff person?

1

2

Have oral sex (blowjob) with a facility
staff person?

1

2

Have vaginal sex with a facility staff
person?

1

2

Have anal sex with a facility staff person?

1

2

Mark

No

Receive knife or stab wounds?

Yes

22. In the past 12 months, did a facility staff person
use physical force to make you do any of the
following:

20. In the past 12 months, when you were physically
forced, pressured, or made to feel that you had to
have sex or sexual contact with another inmate, did
you ever:
Mark

“Yes” or “No” for each item.

3

“Yes” or “No” for each item.

Yes

No

Touch their body in a sexual way or have
your body touched in a sexual way?

1

2

Give them a handjob or receive a
handjob from them?

1

2

Have oral sex (blowjob) with them?

1

2

Have vaginal sex with them?

1

2

Have anal sex with them?

1

2

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

26. In the past 12 months, when you had sex or sexual
contact with facility staff, were you ever:

23. In the past 12 months, did a facility staff person
without using physical force, pressure you or make
you feel that you had to do any of the following:
Mark

“Yes” or “No” for each item.

Yes

Mark

No

“Yes” or “No” for each item.

Yes

No

Persuaded or talked into it?

1

2

Touch their body in a sexual way or have
your body touched in a sexual way?

1

2

Given a bribe or blackmailed?

1

2

Give them a handjob or receive a
handjob from them?

1

2

Given drugs or alcohol to get you drunk
or high?

1

2

Have oral sex (blowjob) with them?

1

2

Offered protection from other inmates?

1

2

Have vaginal sex with them?

1

2

1

2

Have anal sex with them?

Offered protection from another
correctional officer?

1

2

Trying to pay off or settle a debt that
you owed?

1

2

Threatened with harm or a weapon?

1

2

Physically held down or restrained?

1

2

Physically harmed or injured?

1

2

24. This question is about both wanted and unwanted
sex with staff at this facility. In the past 12 months,
how many times altogether have you had any type
of wanted or unwanted sex or sexual contact with
staff at this facility?
0 times ..................
1 time ....................
2 times ..................
3–10 times ............
11 times or more ...

1



Go to SECTION C
on page 5



Continue to item 25

2
3
4

27. In the past 12 months, when you had sex or sexual
contact with facility staff, was it ever with:
Mark

5

25. In the past 12 months, when you had sex or sexual
contact with facility staff, did any single incident
ever involve more than one facility staff person?
Yes .........................................................................
No ..........................................................................

“Yes” or “No” for each item.

Yes

No

Male facility staff?

1

2

Female facility staff?

1

2

28. In the past 12 months, when you had sex or sexual
contact with facility staff, did you ever:

1

Mark

2

4

“Yes” or “No” for each item.

Yes

No

Receive knife or stab wounds?

1

2

Receive broken bones?

1

2

Receive anal or vaginal tearing?

1

2

Have your teeth chipped or knocked out?

1

2

Receive internal injuries?

1

2

Get knocked unconscious?

1

2

Receive bruises, a black eye, sprains,
cuts, scratches, swelling, or welts?

1

2

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

SECTION C
These last two questions are about your experience
with this survey.
29. How upsetting did you find it to answer questions
about your own experiences with sex and sexual
assault in this facility?
Not upsetting at all.................................................
Somewhat upsetting...............................................
Very upsetting .......................................................

1
2
3

30. How accurate are the answers you gave in this
survey?
Not very accurate...................................................
Fairly accurate .......................................................
Very accurate .........................................................

1
2
3

After you have completed the survey, please put it
in the envelope and seal it before you turn it in.
Thank You!

5

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

OMB No.:
Exp.:

XXXX-XXXX
XX/XX/XXXX

NATIONAL INMATE
SURVEY - PRISONS
Conducted by the Bureau of Justice Statistics
and
RTI International

NOTICE: Public reporting for this collection of information is estimated to average 15 minutes per response, including the
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to the Director, Bureau of Justice Statistics, 810
Seventh Street, NW, Washington, DC 20531. An agency may not conduct or sponsor, and a person is not required to respond
to a collection of information unless it displays a currently valid 0MB control number. The 0MB control number for this
project is XXXX-XXXX.

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

6. Are you currently being held in this facility for any
of the following:

SECTION A

Mark

Please answer the question in the space provided or
mark your answer in the box, like this . To protect
your privacy, do not put your name on this survey.
1. On what date were you admitted to this facility?
If you cannot remember the exact date, please write
down whatever you can remember, such as the year
and the month.
________ / ________ / ________
Month
Day
Year
2. How old are you?

No

A violent offense, such as physical or
sexual assault, rape, robbery,
manslaughter, attempted murder, or
murder?

1

2

A drug offense, such as possessing,
selling, or manufacturing drugs?

1

2

A property offense, such as burglary,
larceny, auto theft, bad checks, fraud,
forgery or grand theft?

1

2

Any other offense?

1

2

Less than 1 week....................................................
At least 1 week but less than 1 month ...................
At least 1 month but less than 2 months ................
At least 2 months but less than 6 months...............
At least 6 months but less than 1 year ...................
At least 1 year but less than 5 years .......................
At least 5 years but less than 10 years ...................
10 years or more ....................................................

3. Are you of Hispanic, Latino, or Spanish origin?
Yes .........................................................................
No ..........................................................................

1
2

4. Which of these categories describes your race:
“Yes” or “No” for each item.

Yes

7. How long have you been in this facility?

Age: _______

Mark

“Yes” or “No” for each item.

Yes

No

White

1

2

Black or African American

1

2

American Indian or Alaska Native

1

2

Asian

1

2

Native Hawaiian or other Pacific Islander

1

2

2
3
4
5
6
7
8

8. Before you were admitted to this facility, had you
ever spent time as an adult or juvenile in a prison,
jail, or other correctional facility?
Yes .........................................................................
No ..........................................................................

1
2

9. Which of the following best represents how you
think of yourself?

5. What is the highest level of school you have
completed?
Less than a high school graduate ...........................
High school graduate or GED ...............................
Some college .........................................................
College degree or more .........................................

1

Straight, that is not gay ..........................................
Gay.........................................................................
Bisexual, that is, you are sexually attracted
to both men and women .........................................
Something else .......................................................

1
2
3
4

1

1
2

3
4

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

15. This question is about wanted or voluntary sex or
sexual contact you have had with other inmates in
this facility. In the past 12 months, did you do any
of the following:

10. What sex was recorded on your original birth
certificate?
Male ........................................................................
Female ....................................................................

1
2

“Yes” or “No” for each item.

Yes

No

Touch another inmate's body in a sexual
way or have your body touched in a
sexual way?

1

2

Give or receive a handjob from another
inmate at this facility?

1

2

4

Have oral sex (blowjob) with another
inmate at this facility?

1

2

12. Before you entered this facility, had anyone ever
physically forced, pressured, or made you feel you
had to have sex or sexual contact—that is
unwanted touching of the genitals or butt, or
vaginal, oral, or anal sex?

Have anal sex with another inmate at
this facility?

1

2

Mark

11. Do you currently think of yourself as…?
Male .......................................................................
Female ...................................................................
Transgender ...........................................................
None of these .........................................................

Yes ..................................
No ...................................

1
2

1
2
3

These next questions ask about unwanted sex or
sexual contact you have had with other inmates in
this facility. By unwanted, we mean sex or sexual
contact that you did not want to happen.

Continue to item 13
Go to item 14

16. In the past 12 months, did another inmate use
physical force to make you do any of the following:

13. Were you physically forced, pressured, or made to
feel you had to have sex or sexual contact before
you were 18 years old, after you turned 18, or
both?
Before you were 18 ...............................................
After you turned 18 ...............................................
Both .......................................................................

Mark

1
2
3

14. Before you entered this facility, were you
physically forced, pressured, or made to feel that
you had to have sex or sexual contact while you
were an adult or juvenile in a jail, prison, or other
correctional facility?
Yes .........................................................................
No ..........................................................................

“Yes” or “No” for each item.

Yes

No

Touch their body in a sexual way or have
your body touched in a sexual way?

1

2

Give them a handjob or receive a handjob
from them?

1

2

Have oral sex (blowjob) with them?

1

2

Have anal sex with them?

1

2

17. In the past 12 months, did another inmate, without
using physical force, pressure you or make you feel
that you had to do any of the following:

1
2

Mark

2

“Yes” or “No” for each item.

Yes

No

Touch their body in a sexual way or have
your body touched in a sexual way?

1

2

Give them a handjob or receive a
handjob from them?

1

2

Have oral sex (blowjob) with them?

1

2

Have anal sex with them?

1

2

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

18. In the past 12 months, how many times altogether
were you physically forced, pressured, or made to
feel like you had to have sex or sexual contact with
another inmate?
0 times ..................
1 time ....................
2 times ..................
3–10 times ............
11 times or more ...

1



Go to SECTION B
on page 3



Continue to item 19

2
3
4

SECTION B
These next questions ask about sex or sexual contact
you have had with staff at this facility. By staff, we
mean the employees of this facility and anybody who
works as a volunteer in this facility.
21. This question is about willing sex or sexual contact
you have had with any staff at this facility. In the
past 12 months, did you do any of the following:

5

19. In the past 12 months, when you were physically
forced, pressured, or made to feel that you had to
have sex or sexual contact with another inmate,
were you ever:
Mark

“Yes” or “No” for each item.

Yes

Mark

No

Persuaded or talked into it?

1

2

Given a bribe or blackmailed?

1

2

Given drugs or alcohol to get you drunk
or high?

1

2

Offered protection from other inmates?

1

2

Trying to pay off or settle a debt that
you owed?

1

2

Threatened with harm or a weapon?

1

2

Physically held down or restrained?

1

2

Physically harmed or injured?

1

2

“Yes” or “No” for each item.

Yes
1

2

Receive broken bones?

1

2

Receive anal tearing?

1

2

Have your teeth chipped or knocked out?

1

2

Receive internal injuries?

1

2

Get knocked unconscious?

1

2

Receive bruises, a black eye, sprains,
cuts, scratches, swelling, or welts?

1

2

No

Touch a facility staff person's body in a
sexual way or have your body touched in
a sexual way?

1

2

Give or receive a handjob from a facility
staff person?

1

2

Have oral sex (blowjob) with a facility
staff person?

1

2

Have vaginal sex with a facility staff
person?

1

2

Have anal sex with a facility staff person?

1

2

Mark

No

Receive knife or stab wounds?

Yes

22. In the past 12 months, did a facility staff person
use physical force to make you do any of the
following:

20. In the past 12 months, when you were physically
forced, pressured, or made to feel that you had to
have sex or sexual contact with another inmate, did
you ever:
Mark

“Yes” or “No” for each item.

3

“Yes” or “No” for each item.

Yes

No

Touch their body in a sexual way or have
your body touched in a sexual way?

1

2

Give them a handjob or receive a handjob
from them?

1

2

Have oral sex (blowjob) with them?

1

2

Have vaginal sex with them?

1

2

Have anal sex with them?

1

2

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

26. In the past 12 months, when you had sex or sexual
contact with facility staff, were you ever:

23. In the past 12 months, did a facility staff person
without using physical force, pressure you or make
you feel that you had to do any of the following:
Mark

“Yes” or “No” for each item.

Yes

Mark

No

“Yes” or “No” for each item.

Yes

No

Persuaded or talked into it?

1

2

Touch their body in a sexual way or have
your body touched in a sexual way?

1

2

Given a bribe or blackmailed?

1

2

Give them a handjob or receive a
handjob from them?

1

2

Given drugs or alcohol to get you drunk
or high?

1

2

Have oral sex (blowjob) with them?

1

2

Offered protection from other inmates?

1

2

Have vaginal sex with them?

1

2

1

2

Have anal sex with them?

Offered protection from another
correctional officer?

1

2

Trying to pay off or settle a debt that
you owed?

1

2

Threatened with harm or a weapon?

1

2

Physically held down or restrained?

1

2

Physically harmed or injured?

1

2

24. This question is about both wanted and unwanted
sex with staff at this facility. In the past 12 months,
how many times altogether have you had any type
of wanted or unwanted sex or sexual contact with
staff at this facility?
0 times ..................
1 time ....................
2 times ..................
3–10 times ............
11 times or more ...

1



Go to SECTION C
on page 5



Continue to item 25

2
3
4

27. In the past 12 months, when you had sex or sexual
contact with facility staff, was it ever with:
Mark

5

25. In the past 12 months, when you had sex or sexual
contact with facility staff, did any single incident
ever involve more than one facility staff person?
Yes .........................................................................
No ..........................................................................

“Yes” or “No” for each item.

Yes

No

Male facility staff?

1

2

Female facility staff?

1

2

28. In the past 12 months, when you had sex or sexual
contact with facility staff, did you ever:

1

Mark

2

4

“Yes” or “No” for each item.

Yes

No

Receive knife or stab wounds?

1

2

Receive broken bones?

1

2

Receive anal tearing?

1

2

Have your teeth chipped or knocked out?

1

2

Receive internal injuries?

1

2

Get knocked unconscious?

1

2

Receive bruises, a black eye, sprains,
cuts, scratches, swelling, or welts?

1

2

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

SECTION C
These last two questions are about your experience
with this survey.
29. How upsetting did you find it to answer questions
about your own experiences with sex and sexual
assault in this facility?
Not upsetting at all.................................................
Somewhat upsetting...............................................
Very upsetting .......................................................

1
2
3

30. How accurate are the answers you gave in this
survey?
Not very accurate...................................................
Fairly accurate .......................................................
Very accurate .........................................................

1
2
3

After you have completed the survey, please put it
in the envelope and seal it before you turn it in.
Thank You!

5

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

OMB No.:
Exp.:

XXXX-XXXX
XX/XX/XXXX

NATIONAL INMATE
SURVEY - PRISONS
Conducted by the Bureau of Justice Statistics
and
RTI International

NOTICE: Public reporting for this collection of information is estimated to average 15 minutes per response, including the
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to the Director, Bureau of Justice Statistics, 810
Seventh Street, NW, Washington, DC 20531. An agency may not conduct or sponsor, and a person is not required to respond
to a collection of information unless it displays a currently valid 0MB control number. The 0MB control number for this
project is XXXX-XXXX.

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

6. Are you currently being held in this facility for any
of the following:

SECTION A

Mark

Please answer the question in the space provided or
mark your answer in the box, like this . To protect
your privacy, do not put your name on this survey.
1. On what date were you admitted to this facility?
If you cannot remember the exact date, please write
down whatever you can remember, such as the year
and the month.
________ / ________ / ________
Month
Day
Year
2. How old are you?

No

A violent offense, such as physical or
sexual assault, rape, robbery,
manslaughter, attempted murder, or
murder?

1

2

A drug offense, such as possessing,
selling, or manufacturing drugs?

1

2

A property offense, such as burglary,
larceny, auto theft, bad checks, fraud,
forgery or grand theft?

1

2

Any other offense?

1

2

Less than 1 week....................................................
At least 1 week but less than 1 month ...................
At least 1 month but less than 2 months ................
At least 2 months but less than 6 months...............
At least 6 months but less than 1 year ...................
At least 1 year but less than 5 years .......................
At least 5 years but less than 10 years ...................
10 years or more ....................................................

3. Are you of Hispanic, Latino, or Spanish origin?
Yes .........................................................................
No ..........................................................................

1
2

4. Which of these categories describes your race:
“Yes” or “No” for each item.

Yes

7. How long have you been in this facility?

Age: _______

Mark

“Yes” or “No” for each item.

Yes

No

White

1

2

Black or African American

1

2

American Indian or Alaska Native

1

2

Asian

1

2

Native Hawaiian or other Pacific Islander

1

2

2
3
4
5
6
7
8

8. Before you were admitted to this facility, had you
ever spent time as an adult or juvenile in a prison,
jail, or other correctional facility?
Yes .........................................................................
No ..........................................................................

1
2

9. Which of the following best represents how you
think about yourself?

5. What is the highest level of school you have
completed?
Less than a high school graduate ...........................
High school graduate or GED ...............................
Some college .........................................................
College degree or more .........................................

1

Straight, that is not lesbian or gay .........................
Lesbian or gay........................................................
Bisexual, that is, you are sexually attracted
to both men and women .........................................
Something else .......................................................

1
2
3
4

1

1
2

3
4

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

15. This question is about wanted or voluntary sex or
sexual contact you have had with other inmates in
this facility. Since you arrived at this facility, did
you do any of the following:

10. What sex was recorded on your original birth
certificate?
Male ........................................................................
Female ....................................................................

1
2

Mark

11. Do you currently think of yourself as…?
Male .......................................................................
Female ...................................................................
Transgender ...........................................................
None of these .........................................................

1
2
3
4

12. Before you entered this facility, had anyone ever
physically forced, pressured, or made you feel you
had to have sex or sexual contact—that is
unwanted touching of the breasts, genitals or butt,
or vaginal, oral, or anal sex?
Yes ..................................
No ...................................

1
2

No

Touch another inmate's body in a sexual
way or have your body touched in a
sexual way?

1

2

Have oral sex with another inmate at
this facility?

1

2

Have vaginal sex with another inmate
at this facility?

1

2

Have anal sex with another inmate at
this facility?

1

2

16. Since you arrived at this facility, did another
inmate use physical force to make you do any of
the following:

13. Were you physically forced, pressured, or made to
feel you had to have sex or sexual contact before
you were 18 years old, after you turned 18, or
both?

Mark

1
2
3

14. Before you entered this facility, were you
physically forced, pressured, or made to feel that
you had to have sex or sexual contact while you
were an adult or juvenile in a jail, prison, or other
correctional facility?
Yes .........................................................................
No ..........................................................................

Yes

These next questions ask about unwanted sex or
sexual contact you have had with other inmates in
this facility. By unwanted, we mean sex or sexual
contact that you did not want to happen.

Continue to item 13
Go to item 14

Before you were 18 ...............................................
After you turned 18 ...............................................
Both .......................................................................

“Yes” or “No” for each item.

“Yes” or “No” for each item.

Yes

No

Touch their body in a sexual way or have
your body touched in a sexual way?

1

2

Have oral sex with them?

1

2

Have vaginal sex with them?

1

2

Have anal sex with them?

1

2

17. Since you arrived at this facility, did another
inmate, without using physical force, pressure you
or make you feel that you had to do any of the
following:

1
2

Mark

2

“Yes” or “No” for each item.

Yes

No

Touch their body in a sexual way or have
your body touched in a sexual way?

1

2

Have oral sex with them?

1

2

Have vaginal sex with them?

1

2

Have anal sex with them?

1

2

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

18. Since you arrived at this facility, how many times
altogether were you physically forced, pressured,
or made to feel like you had to have sex or sexual
contact with another inmate?
0 times ..................
1 time ....................
2 times ..................
3–10 times ............
11 times or more ...

1



Go to SECTION B
on page 3



Continue to item 19

2
3
4

SECTION B
These next questions ask about sex or sexual contact
you have had with staff at this facility. By staff, we
mean the employees of this facility and anybody who
works as a volunteer in this facility.
21. This question is about willing sex or sexual contact
you have had with any staff at this facility. Since
you arrived at this facility, did you do any of the
following:

5

19. Since you arrived at this facility, when you were
physically forced, pressured, or made to feel that
you had to have sex or sexual contact with another
inmate, were you ever:
Mark

“Yes” or “No” for each item.

Yes

Mark

No

Persuaded or talked into it?

1

2

Given a bribe or blackmailed?

1

2

Given drugs or alcohol to get you drunk
or high?

1

2

Offered protection from other inmates?

1

2

Trying to pay off or settle a debt that you
owed?

1

Threatened with harm or a weapon?

1

2

Physically held down or restrained?

1

2

Physically harmed or injured?

1

2

2

“Yes” or “No” for each item.

Yes

Yes

No

Touch a facility staff person's body in a
sexual way or have your body touched in
a sexual way?

1

2

Give or receive a handjob from a facility
staff person?

1

2

Have oral sex (blowjob) with a facility
staff person?

1

2

Have vaginal sex with a facility staff
person?

1

2

Have anal sex with a facility staff person?

1

2

22. Since you arrived at this facility, did a facility staff
person use physical force to make you do any of
the following:
Mark

20. Since you arrived at this facility, when you were
physically forced, pressured, or made to feel that
you had to have sex or sexual contact with another
inmate, did you ever:
Mark

“Yes” or “No” for each item.

No

“Yes” or “No” for each item.

Yes

No

Touch their body in a sexual way or have
your body touched in a sexual way?

1

2

Give them a handjob or receive a handjob
from them?

1

2

Receive knife or stab wounds?

1

2

Have oral sex (blowjob) with them?

1

2

Receive broken bones?

1

2

Have vaginal sex with them?

1

2

Receive anal or vaginal tearing?

1

2

Have anal sex with them?

1

2

Have your teeth chipped or knocked out?

1

2

Receive internal injuries?

1

2

Get knocked unconscious?

1

2

Receive bruises, a black eye, sprains,
cuts, scratches, swelling, or welts?

1

2

3

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

26. Since you arrived at this facility, when you had sex
or sexual contact with facility staff, were you ever:

23. Since you arrived at this facility, did a facility staff
person without using physical force, pressure you
or make you feel that you had to do any of the
following:
Mark

“Yes” or “No” for each item.

Yes

Mark

No

Touch their body in a sexual way or have
your body touched in a sexual way?

1

Give them a handjob or receive a handjob
from them?

1

2

Have oral sex (blowjob) with them?

1

2

Have vaginal sex with them?

1

2

Have anal sex with them?

1

2

2

24. This question is about both wanted and unwanted
sex with staff at this facility. Since you arrived at
this facility, how many times altogether have you
had any type of wanted or unwanted sex or sexual
contact with staff at this facility?
0 times ..................
1 time ....................
2 times ..................
3–10 times ............
11 times or more ...

1



Go to SECTION C
on page 5



Continue to item 25

2
3
4

Yes

No

Persuaded or talked into it?

1

2

Given a bribe or blackmailed?

1

2

Given drugs or alcohol to get you drunk
or high?

1

2

Offered protection from other inmates?

1

2

Offered protection from another
correctional officer?

1

2

Trying to pay off or settle a debt that you
owed?

1

2

Threatened with harm or a weapon?

1

2

Physically held down or restrained?

1

2

Physically harmed or injured?

1

2

27. Since you arrived at this facility, when you had sex
or sexual contact with facility staff, was it ever
with:
Mark

5

25. Since you arrived at this facility, when you had sex
or sexual contact with facility staff, did any single
incident ever involve more than one facility staff
person?
Yes .........................................................................
No ..........................................................................

“Yes” or “No” for each item.

“Yes” or “No” for each item.

Yes

No

Male facility staff?

1

2

Female facility staff?

1

2

28. Since you arrived at this facility, when you had sex
or sexual contact with facility staff, did you ever:
No

Mark

2

Receive knife or stab wounds?

1

2

Receive broken bones?

1

2

Receive anal or vaginal tearing?

1

2

Have your teeth chipped or knocked out?

1

2

Receive internal injuries?

1

2

Get knocked unconscious?

1

2

Receive bruises, a black eye, sprains,
cuts, scratches, swelling, or welts?

1

2

4

“Yes” or “No” for each item.

Yes

1

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

SECTION C
These last two questions are about your experience
with this survey.
29. How upsetting did you find it to answer questions
about your own experiences with sex and sexual
assault in this facility?
Not upsetting at all.................................................
Somewhat upsetting...............................................
Very upsetting .......................................................

1
2
3

30. How accurate are the answers you gave in this
survey?
Not very accurate...................................................
Fairly accurate .......................................................
Very accurate .........................................................

1
2
3

After you have completed the survey, please put it
in the envelope and seal it before you turn it in.
Thank You!

5

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

OMB No.:
Exp.:

XXXX-XXXX
XX/XX/XXXX

NATIONAL INMATE
SURVEY - PRISONS
Conducted by the Bureau of Justice Statistics
and
RTI International

NOTICE: Public reporting for this collection of information is estimated to average 15 minutes per response, including the
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to the Director, Bureau of Justice Statistics, 810
Seventh Street, NW, Washington, DC 20531. An agency may not conduct or sponsor, and a person is not required to respond
to a collection of information unless it displays a currently valid 0MB control number. The 0MB control number for this
project is XXXX-XXXX.

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

6. Are you currently being held in this facility for any
of the following:

SECTION A

Mark

Please answer the question in the space provided or
mark your answer in the box, like this . To protect
your privacy, do not put your name on this survey.
1. On what date were you admitted to this facility?
If you cannot remember the exact date, please write
down whatever you can remember, such as the year
and the month.
________ / ________ / ________
Month
Day
Year
2. How old are you?

No

A violent offense, such as physical or
sexual assault, rape, robbery,
manslaughter, attempted murder, or
murder?

1

2

A drug offense, such as possessing,
selling, or manufacturing drugs?

1

2

A property offense, such as burglary,
larceny, auto theft, bad checks, fraud,
forgery or grand theft?

1

2

Any other offense?

1

2

Less than 1 week....................................................
At least 1 week but less than 1 month ...................
At least 1 month but less than 2 months ................
At least 2 months but less than 6 months...............
At least 6 months but less than 1 year ...................
At least 1 year but less than 5 years .......................
At least 5 years but less than 10 years ...................
10 years or more ....................................................

3. Are you of Hispanic, Latino, or Spanish origin?
Yes .........................................................................
No ..........................................................................

1
2

4. Which of these categories describes your race:
“Yes” or “No” for each item.

Yes

7. How long have you been in this facility?

Age: _______

Mark

“Yes” or “No” for each item.

Yes

No

White

1

2

Black or African American

1

2

American Indian or Alaska Native

1

2

Asian

1

2

Native Hawaiian or other Pacific Islander

1

2

2
3
4
5
6
7
8

8. Before you were admitted to this facility, had you
ever spent time as an adult or juvenile in a prison,
jail, or other correctional facility?
Yes .........................................................................
No ..........................................................................

1
2

9. Which of the following best represents how you
think about yourself?

5. What is the highest level of school you have
completed?
Less than a high school graduate ...........................
High school graduate or GED ...............................
Some college .........................................................
College degree or more .........................................

1

Straight, that is not gay ..........................................
Gay.........................................................................
Bisexual, that is, you are sexually attracted
to both men and women .........................................
Something else .......................................................

1
2
3
4

1

1
2

3
4

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

15. This question is about wanted or voluntary sex or
sexual contact you have had with other inmates in
this facility. Since you arrived at this facility, did
you do any of the following:

10. What sex was recorded on your original birth
certificate?
Male ........................................................................
Female ....................................................................

1
2

Mark

11. Do you currently think of yourself as…?
Male .......................................................................
Female ...................................................................
Transgender ...........................................................
None of these .........................................................

1
2
3
4

12. Before you entered this facility, had anyone ever
physically forced, pressured, or made you feel you
had to have sex or sexual contact—that is
unwanted touching of the genitals or butt, or
vaginal, oral, or anal sex?
Yes ..................................
No ...................................

1
2

No

Touch another inmate's body in a sexual
way or have your body touched in a
sexual way?

1

2

Give or receive a handjob from another
inmate at this facility?

1

2

Have oral sex (blowjob) with another
inmate at this facility?

1

2

Have anal sex with another inmate at
this facility?

1

2

16. Since you arrived at this facility, did another inmate
use physical force to make you do any of the following:

13. Were you physically forced, pressured, or made to
feel you had to have sex or sexual contact before
you were 18 years old, after you turned 18, or
both?

Mark

1
2
3

14. Before you entered this facility, were you
physically forced, pressured, or made to feel that
you had to have sex or sexual contact while you
were an adult or juvenile in a jail, prison, or other
correctional facility?
Yes .........................................................................
No ..........................................................................

Yes

These next questions ask about unwanted sex or
sexual contact you have had with other inmates in
this facility. By unwanted, we mean sex or sexual
contact that you did not want to happen.

Continue to item 13
Go to item 14

Before you were 18 ...............................................
After you turned 18 ...............................................
Both .......................................................................

“Yes” or “No” for each item.

“Yes” or “No” for each item.

Yes

No

Touch their body in a sexual way or have
your body touched in a sexual way?

1

2

Give them a handjob or receive a
handjob from them?

1

2

Have oral sex (blowjob) with them?

1

2

Have anal sex with them?

1

2

17. Since you arrived at this facility, did another inmate,
without using physical force, pressure you or make
you feel that you had to do any of the following:

1
2

Mark

2

“Yes” or “No” for each item.

Yes

No

Touch their body in a sexual way or have
your body touched in a sexual way?

1

2

Give them a handjob or receive a
handjob from them?

1

2

Have oral sex (blowjob) with them?

1

2

Have anal sex with them?

1

2

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

18. Since you arrived at this facility, how many times
altogether were you physically forced, pressured,
or made to feel like you had to have sex or sexual
contact with another inmate?
0 times ..................
1 time ....................
2 times ..................
3–10 times ............
11 times or more ...

1



Go to SECTION B
on page 3



Continue to item 19

2
3
4

SECTION B
These next questions ask about sex or sexual contact
you have had with staff at this facility. By staff, we
mean the employees of this facility and anybody who
works as a volunteer in this facility.
21. This question is about willing sex or sexual contact
you have had with any staff at this facility. Since
you arrived at this facility, did you do any of the
following:

5

19. Since you arrived at this facility, when you were
physically forced, pressured, or made to feel that
you had to have sex or sexual contact with another
inmate, were you ever:
Mark

“Yes” or “No” for each item.

Yes

Mark

No

Persuaded or talked into it?

1

2

Given a bribe or blackmailed?

1

2

Given drugs or alcohol to get you drunk
or high?

1

2

Offered protection from other inmates?

1

2

Trying to pay off or settle a debt that
you owed?

1

Threatened with harm or a weapon?

1

2

Physically held down or restrained?

1

2

Physically harmed or injured?

1

2

2

“Yes” or “No” for each item.

Yes

Yes

No

Touch a facility staff person's body in a
sexual way or have your body touched in
a sexual way?

1

2

Give or receive a handjob from a facility
staff person?

1

2

Have oral sex (blowjob) with a facility
staff person?

1

2

Have vaginal sex with a facility staff
person?

1

2

Have anal sex with a facility staff person?

1

2

22. Since you arrived at this facility, did a facility staff
person use physical force to make you do any of
the following:
Mark

20. Since you arrived at this facility, when you were
physically forced, pressured, or made to feel that
you had to have sex or sexual contact with another
inmate, did you ever:
Mark

“Yes” or “No” for each item.

No

“Yes” or “No” for each item.

Yes

No

Touch their body in a sexual way or have
your body touched in a sexual way?

1

2

Give them a handjob or receive a
handjob from them?

1

2

Receive knife or stab wounds?

1

2

Have oral sex (blowjob) with them?

1

2

Receive broken bones?

1

2

Have vaginal sex with them?

1

2

Receive anal tearing?

1

2

Have anal sex with them?

1

2

Have your teeth chipped or knocked out?

1

2

Receive internal injuries?

1

2

Get knocked unconscious?

1

2

Receive bruises, a black eye, sprains,
cuts, scratches, swelling, or welts?

1

2

3

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

26. Since you arrived at this facility, when you had sex
or sexual contact with facility staff, were you ever:

23. Since you arrived at this facility, did a facility staff
person without using physical force, pressure you
or make you feel that you had to do any of the
following:
Mark

“Yes” or “No” for each item.

Yes

Mark

No

Touch their body in a sexual way or have
your body touched in a sexual way?

1

Give them a handjob or receive a
handjob from them?

1

2

Have oral sex (blowjob) with them?

1

2

Have vaginal sex with them?

1

2

Have anal sex with them?

1

2

2

24. This question is about both wanted and unwanted
sex with staff at this facility. Since you arrived at
this facility, how many times altogether have you
had any type of wanted or unwanted sex or sexual
contact with staff at this facility?
0 times ..................
1 time ....................
2 times ..................
3–10 times ............
11 times or more ...

1



Go to SECTION C
on page 5



Continue to item 25

2
3
4

Yes

No

Persuaded or talked into it?

1

2

Given a bribe or blackmailed?

1

2

Given drugs or alcohol to get you drunk
or high?

1

2

Offered protection from other inmates?

1

2

Offered protection from another
correctional officer?

1

2

Trying to pay off or settle a debt that you
owed?

1

2

Threatened with harm or a weapon?

1

2

Physically held down or restrained?

1

2

Physically harmed or injured?

1

2

27. Since you arrived at this facility, when you had sex
or sexual contact with facility staff, was it ever
with:
Mark

5

25. Since you arrived at this facility, when you had sex
or sexual contact with facility staff, did any single
incident ever involve more than one facility staff
person?
Yes .........................................................................
No ..........................................................................

“Yes” or “No” for each item.

“Yes” or “No” for each item.

Yes

No

Male facility staff?

1

2

Female facility staff?

1

2

28. Since you arrived at this facility, when you had sex
or sexual contact with facility staff, did you ever:
No

Mark

2

Receive knife or stab wounds?

1

2

Receive broken bones?

1

2

Receive anal tearing?

1

2

Have your teeth chipped or knocked out?

1

2

Receive internal injuries?

1

2

Get knocked unconscious?

1

2

Receive bruises, a black eye, sprains,
cuts, scratches, swelling, or welts?

1

2

4

“Yes” or “No” for each item.

Yes

1

Attachment D: NIS-4P PAPI Questionnaires 4-30-2020

SECTION C
These last two questions are about your experience
with this survey.
29. How upsetting did you find it to answer questions
about your own experiences with sex and sexual
assault in this facility?
Not upsetting at all.................................................
Somewhat upsetting...............................................
Very upsetting .......................................................

1
2
3

30. How accurate are the answers you gave in this
survey?
Not very accurate...................................................
Fairly accurate .......................................................
Very accurate .........................................................

1
2
3

After you have completed the survey, please put it
in the envelope and seal it before you turn it in.
Thank You!

5

Attachment E: NIS-4P ACASI Consent Form

Bureau of Justice
Statistics

National Inmate Survey

Consent to Participate in Research

Introduction

The National Inmate Survey is a research study being done by the Bureau of Justice Statistics and RTI
International, a not-for-profit research organization. [You are one of about (175/275/375) inmates at this
facility who have been randomly selected to participate. /All eligible inmates at this facility will be asked
to participate.] Inmates will be interviewed at about 238 facilities across the United States. The purpose of
this research study is to estimate the number of inmates who are sexually assaulted in prisons each year.
Your participation in this study is voluntary.

Description of the Study

This interview will take about 35 minutes. To start, the interviewer will ask you some questions about
your background and education and enter them into the computer. Next, the interviewer will show you
how to use the computer and you can complete the rest of the survey on your own. You will be able to see
the questions on the computer screen and listen to them through headphones. You will enter your answers
directly into the computer by touching the screen. The interviewer will be nearby in case you have
questions but won’t be able to see your answers.
You will be randomly assigned to receive either detailed questions about your own experiences with sex
and sexual assault in this facility (such as the types of sexual acts and where they occurred) or questions
about your childhood and your experiences in this facility. In addition, you will be asked about your
criminal history and military service. You will never be asked to identify anyone by name. You are the
only one who will know which questions you are asked. Not even the interviewer will know unless you
discuss the questions with him or her. To thank you for participating in the study, we will provide you
with [a snack that you must eat before you leave the interview location/ a stamped envelope].

Possible Risks or Discomforts

Some of the questions in this interview are personal and they could make you feel uncomfortable or upset.
You can skip any questions you do not want to answer and you can stop the interview at any time. Please
tell the interviewer if you want to stop or take a break during the interview. If you find the questions
upsetting for any reason, the interviewer can also provide you with instructions for contacting a mental
health counselor employed by this facility or retained by this study.

Benefits

You will not receive any direct benefits for participating in this study. However, the results of this study
may help improve the well-being of inmates in correctional facilities across the United States. If you
choose not to participate you will not lose any benefits or services that you now receive or might receive
in the future. Whether you participate or not will not affect your legal status or any decisions regarding
your release from this facility in any way.

Confidentiality

Your name will never be connected with the information you provide in this interview. We will treat
everything you say as private and confidential and we will not share any information you provide with
anyone at the facility or anyone on the outside who is not working on the study. There is, however, an
exception to our promise of confidentiality. If you tell the interviewer that you intend to seriously harm
yourself or a specific person, he or she may need to inform correctional staff here or authorities outside

Attachment E: NIS-4P ACASI Consent Form

the facility who are responsible for protecting prison inmates.

Further Questions

You may keep a copy of this form. If you have any questions about the project, you may write to the
National Inmate Survey (Project 0216099) at RTI International, P.O. Box 12194, Research Triangle Park,
NC 27709-2194. If you have questions about your rights as a project participant, you can write to RTI's
Office of Research Protection at the same address.

Attachment F: NIS-4P PAPI Consent Form

Bureau of Justice
Statistics

National Inmate Survey

Consent to Participate in Research

Introduction

The National Inmate Survey is a research study being done by the Bureau of Justice Statistics and RTI
International, a not-for-profit research organization. [You are one of about (175/275/375) inmates at this
facility who have been randomly selected to participate. /All eligible inmates at this facility will be asked
to participate.] Inmates will be interviewed at about 238 facilities across the United States. The purpose of
this research study is to estimate the number of inmates who are sexually assaulted in prisons each year.
Your participation in this study is voluntary.

Description of the Study

This interview will take about 15 minutes. The interviewer will provide you with the questionnaire which
you will complete by yourself. The questionnaire includes detailed questions about your own experiences
with sex and sexual assault in this facility (such as the types of sexual acts and where they occurred). You
will never be asked to identify anyone by name. Once you have completed the questionnaire you will seal
in in an envelope and give it back to the interviewer. Neither the interviewer nor anyone at this facility
will ever see your completed questionnaire. To thank you for participating in the study, we will provide
you with [a snack that you must eat before you leave the interview location/ a stamped envelope].

Possible Risks or Discomforts

Some of the questions in this interview are personal and they could make you feel uncomfortable or upset.
You can skip any questions you do not want to answer and you can stop the interview at any time. If you
find the questions upsetting for any reason, the interviewer can provide you with instructions for
contacting a mental health counselor employed by this facility or retained by this study.

Benefits

You will not receive any direct benefits for participating in this study. However, the results of this study
may help improve the well-being of inmates in correctional facilities across the United States. If you
choose not to participate you will not lose any benefits or services that you now receive or might receive
in the future. Whether you participate or not will not affect your legal status or any decisions regarding
your release from this facility in any way.

Confidentiality

Your name will never be connected with the information you provide in this interview. We will treat
everything you say as private and confidential and we will not share any information you provide with
anyone at the facility or anyone on the outside who is not working on the study. There is, however, an
exception to our promise of confidentiality. If you tell the interviewer that you intend to seriously harm
yourself or a specific person, the interviewer may need to inform correctional staff here or authorities
outside the facility who are responsible for protecting prison inmates.

Further Questions

You may keep a copy of this form. If you have any questions about the project, you may write to the
National Inmate Survey (Project 0216099) at RTI International, P.O. Box 12194, Research Triangle Park,
NC 27709-2194. If you have questions about your rights as a project participant, you can write to RTI's
Office of Research Protection at the same address.

Attachment G: NIS-4P FI Script to Read After ACASI Consent

Interviewer Script to be Read After ACASI Consent Form
Instructions for Interviewer: You must read the following script out loud to the inmate and confirm that he/she
understands the information before concluding the informed consent process.
I want to go over the main points covered in this form to make sure everything is clear:
•

•
•

This interview is voluntary. You can say yes or no. It is totally up to you. Nothing about your legal
situation, such as when you will be released or what treatment you might receive, will be changed by
whether or not you participate in the interview.
If you start the interview and then want to quit, that’s okay.
If you want to skip any questions, that’s okay also.

Do you understand?
IF THE INMATE ANSWERS, “NO,” ANSWER ANY QUESTIONS THE INMATE HAS AND THEN
RETRUN TO THE CONSENT FORM AND RE-READ THE TEXT IN THE SECTIONS LABELED,
“POSSIBLE RISKS OR DISCOMFORTS” AND “BENEFITS”. POINT TO THE TEXT ON THE
INMATE’S COPY OF THE CONSENT FORM.
It is possible that some of the questions you answer using the computer may make you feel nervous or upset. If that
happens and you want to take a break or you want to talk to someone about how the questions made you feel, you
can tell me you want to take a break or want to speak with someone.
The form I just read aloud to you also talks about privacy. By private, we mean that the answers you enter into the
computer, even those about being abused or harmed, will always be kept secret. No one will ever know your
answers, not even me.

READ FOR 16 AND 17 YEAR OLDS ONLY:
However, if you tell me out loud that you are being abused at this facility I, or my supervisors, may need to
report that information to the agency in this state that investigates abuse. Once we make a report, we have no
control over what will be done with the information.
Do you understand that what you enter into the computer, even if it is about abuse will always be
kept private?
IF THE INMATE ANSWERS ‘NO’, ANSWER ANY QUESTIONS THE INMATE HAS AND
THEN RETURN TO THE CONSENT FORM AND RE-READ THE TEXT ENTITLED
CONFIDENTIALITY AND POINT TO THIS TEXT ON THE INMATE’S COPY OF THE
CONSENT FORM.
Do you understand that if you say something out loud about being abused, that information is not
secret and may be reported to a state agency?
IF THE INMATE ANSWERS ‘NO’, ANSWER ANY QUESTIONS THE INMATE HAS AND
THEN RETURN TO THE CONSENT FORM AND RE-READ THE TEXT ENTITLED
CONFIDENTIALITY AND POINT TO THIS TEXT ON THE INMATE’S COPY OF THE
CONSENT FORM.
So, please do not say anything out loud to me about being abused unless you want me to pass that
information on to the agency in this state that investigates abuse. Do you have any questions?

Attachment G: NIS-4P FI Script to Read After ACASI Consent

If you think of any questions or comments about the survey later, you can write us at the address provided. If you
would like to participate in the interview, please tell me now and we will begin.
INMATE CAN KEEP A COPY OF THE CONSENT FORM IF HE/SHE WANTS ONE.

Attachment H: NIS-4P FI Script to Read After PAPI Consent

Interviewer Script to be Read After PAPI Consent Form
Instructions for Interviewer: You must read the following script out loud to the inmate and confirm that he/she
understands the information before concluding the informed consent process.
I want to go over the main points covered in this form to make sure everything is clear:
•

•
•

This interview is voluntary. You can say yes or no. It is totally up to you. Nothing about your legal
situation, such as when you will be released or what treatment you might receive, will be changed by
whether or not you participate in the interview.
If you start the interview and then want to quit, that’s okay.
If you want to skip any questions, that’s okay also.

Do you understand?
IF THE INMATE ANSWERS, “NO,” ANSWER ANY QUESTIONS THE INMATE HAS AND THEN
RETRUN TO THE CONSENT FORM AND RE-READ THE TEXT IN THE SECTIONS LABELED,
“POSSIBLE RISKS OR DISCOMFORTS” AND “BENEFITS”. POINT TO THE TEXT ON THE
INMATE’S COPY OF THE CONSENT FORM.
It is possible that some of the questions you answer may make you feel nervous or upset. If that happens and you
want to take a break or you want to talk to someone about how the questions made you feel, you can tell me you
want to take a break or want to speak with someone.
The form I just read aloud to you also talks about privacy. By private, we mean that the answers you mark on the
questionnaire, even those about being abused or harmed, will always be kept secret. No one will ever know your
answers, not even me.

READ FOR 16 AND 17 YEAR OLDS ONLY:
However, if you tell me out loud that you are being abused at this facility I, or my supervisors, may need to
report that information to the agency in this state that investigates abuse. Once we make a report, we have no
control over what will be done with the information.
Do you understand that what you mark on the questionnaire, even if it is about abuse will always be
kept private?
IF THE INMATE ANSWERS ‘NO’, ANSWER ANY QUESTIONS THE INMATE HAS AND
THEN RETURN TO THE CONSENT FORM AND RE-READ THE TEXT ENTITLED
CONFIDENTIALITY AND POINT TO THIS TEXT ON THE INMATE’S COPY OF THE
CONSENT FORM.
Do you understand that if you say something out loud about being abused, that information is not
secret and may be reported to a state agency?
IF THE INMATE ANSWERS ‘NO’, ANSWER ANY QUESTIONS THE INMATE HAS AND
THEN RETURN TO THE CONSENT FORM AND RE-READ THE TEXT ENTITLED
CONFIDENTIALITY AND POINT TO THIS TEXT ON THE INMATE’S COPY OF THE
CONSENT FORM.
So, please do not say anything out loud to me about being abused unless you want me to pass that
information on to the agency in this state that investigates abuse. Do you have any questions?

Attachment H: NIS-4P FI Script to Read After PAPI Consent

If you think of any questions or comments about the survey later, you can write us at the address provided. If you
would like to participate in the interview, please tell me now and we will begin.
INMATE CAN KEEP A COPY OF THE CONSENT FORM IF HE/SHE WANTS ONE.

Attachment I: NIS-4P Facility_Questionnaire 4-14-2020

2021 NATIONAL INMATE SURVEY—PRISONS
[STATE NAME] FACILITY QUESTIONNAIRE

U.S. DEPARTMENT OF JUSTICE
BUREAU OF JUSTICE STATISTICS
AND ACTING AS COLLECTION AGENT
RTI INTERNATIONAL

General Information
The National Inmate Survey (NIS) is a study designed to help Congress and the Department of Justice
understand more about sexual victimization in U.S. jails and prisons. This study is mandated by Congress
under the Prison Rape Elimination Act of 2003. The 2021 NIS is also seeking to gain valuable information
on the facility through the NIS Facility Questionnaire. The purpose of the Facility Questionnaire is to
gather administrative data about the facilities sampled for the National Inmate Survey that will allow the
Bureau of Justice Assistance to better understand facility characterisitcs associated with sexual
victimization in prisons.
Reporting instructions


Click on the blue tab at the bottom of this Instructions worksheet for the Facility Questionnaire worksheet.



On the Facility Questionnaire worksheet, each sampled facility appears in a column; questions appear on
the rows. Please complete all questions for each facility.



If the answer to a question is “not available” or “unknown,” enter “DK” in the space provided.



If the answer to a question is “not applicable,” enter “NA” in the space provided.



If the answer to a question is “none” or “zero,” enter “0” in the space provided.



When exact numeric answers are not available, please provide estimates.

Submission instructions
Please email the completed file to: [email protected].

Help is available
If you have any questions, need help completing the form, or prefer an alternate submission option, please contact
your NIS-4 Logistics Manager, LM NAME, at LM PHONE or [email protected].

BURDEN STATEMENT
OMB No. ####-#### Approval Expires MM/YYYY
Under the Paperwork Reduction Act, we cannot ask you to respond to a collection of information unless it displays a currently valid OMB control number. The
burden of this collection is estimated to average 30 minutes per facility, including reviewing instructions, searching existing data sources, gathering necessary
data, and completing and reviewing this form. Send comments regarding this burden estimate or any aspect of this survey, including suggestions for reducing
this burden, to the Director, Bureau of Justice Statistics, 810 Seventh Street, NW, Washington, DC 20531. Do not send your completed form to this address.

Attachment I: NIS-4P Facility_Questionnaire 4-14-2020

Question

Facility A NAME

1. What are the functions of the facility? Please answer Yes or No for each function.
1A. General adult population confinement

Yes
No

1B. Alcohol / Drug treatment confinement

Yes
No

1C. Reception / Diagnosis / Classification

Yes

1D. Mental health treatment

Yes

1E. Medical treatment / Hospitalization confinement

Yes

1F. Primarily for persons returned to custody (e.g. parole violators)

Yes

1G. Geriatric care

Yes

1H. Youthful offenders

Yes

1I. Close management / Administrative segregation / Disciplinary segregation / Solitary
confinement

Yes

1J. Faith and character-based

Yes

No

No

No

No

No

No

No

No

1K. Re-entry

Yes
No

1L. Some other function

Yes
No

If you answered 'Yes' to Question 1L above,
PLEASE DESCRIBE THIS OTHER FUNCTION:
2. What is the rated operational bed capacity of the facility? By rated operational bed capacity,
we mean the number of beds or inmates assigned by a rating official.
ENTER RATED OPERATIONAL BED CAPACITY:

Facility B NAME

Facility C NAME

Attachment I: NIS-4P Facility_Questionnaire 4-14-2020

3. Please provide the current number of inmates held by custody security level. If this facility
houses no inmates for a specific custody security level, enter 0. Please include any inmates who
are temporarily absent from the facility (e.g., for court appearances, brief furloughs, and medical
leave). Do not include inmates who are on escape or absent without leave (AWOL).
3A. Super maximum / Intensive Management Unit custody inmates / Restrictive housing
3B. Maximum / Close / High custody inmates
3C. Medium custody inmates
3D. Minimum custody inmates
3E. Administrative custody inmates (e.g., Federal medical facilities)  
3F. Not classified / Other (e.g., unsentenced or sentenced and awaiting classification)
TOTAL NUMBER OF INMATES HELD (CALCULATED)

0

4. Of the total number of inmates held at the facility, approximately how many…
4A. have been identified as currently having a serious and persistent mental illness? Please
include inmates whether or not they are currently receiving medication for their mental
illness.

0

4B. have been identified as having a cognitive impairment or intellectual disability?

0

4C. are currently assigned to disciplinary restrictive housing such as administrative
segregation or disciplinary segregation?

0

4D. are currently affiliated with a gang or Security Threat Group?

0

4E. speak a language other than English as their primary language?

0

4F. self-identify as LGBTQ?

0

5. If an inmate self-identifies as LGBTQ, is that self-identification taken into account when making
housing assignments at this facility?

Yes

6. Do inmates at the facility have access to a language line that provides on-demand language
interpretation or translation services?

Yes

7. During the past 12 months, that is since this date last year, was this facility operating under a
court-ordered corrective action plan or consent decree?

Yes

For Questions 8 – 14, please think only about paid staff who are not contractors.

No

No

No

0

0

Attachment I: NIS-4P Facility_Questionnaire 4-14-2020

8. Regardless of the source of the funding used to cover the positions, how many Full-Time
Equivalency (FTE) positions for state employees does the facility currently have? Please include
both uniformed and non-uniformed staff.
ENTER NUMBER OF FTEs:
9. How many of the FTE state positions allocated to this facility are currently vacant? Please do
not include positions that are temporarily vacant because the staff person is on medical leave,
military leave, maternity leave, etc.
ENTER NUMBER OF VACANT FTE POSITIONS:
10. Is a hiring freeze currently in place at the facility?

Yes
No

11. Please provide the number of male and female staff at the facility who are in each job
classification below. If a staff person works in more than one job class, please include them in
the job class where they work the largest portion of their time.
11A. Administrators, including wardens, superintendents, and others in administrative
positions
11B. Staff with custody responsibilities, such as correctional officers, classification officers,
classification counselors, case managers, line staff, and their supervisors who are not
administrators
11C. Clerical and maintenance staff, including typists, secretaries, records clerks, janitors,
cooks, groundskeepers, etc.
11D. Educational staff, including academic and vocational staff, programming staff, etc.
11E. Professional and technical staff, including counselors, psychiatrists, psychologists, social
workers, doctors, dentists, nurses, chaplains, etc.
11F. Staff assigned to the facility but who work at another location on a permanent basis
11G. Other staff
12. During the past 12 months, that is since this date last year, how many staff were new to their
current position at the facility? That is, how many staff were either new hires to the facility or
had moved into positions they had not worked in before?
ENTER NUMBER OF STAFF IN NEW POSITIONS:

MALES

FEMALES

MALES

FEMALES

MALES

FEMALES

Attachment I: NIS-4P Facility_Questionnaire 4-14-2020

13. During the past 12 months, that is since this date last year, how many staff with custody
responsibilities, including entry level Correctional Officers as well as more senior staff, left, for
whatever reason, and no longer work at the facility? Please include staff who resigned, retired,
or transferred as well as those who were discharged or fired.
ENTER NUMBER OF STAFF WITH CUSTODY RESPONSIBILITIES WHO LEFT:
14. How many of the staff with custody responsibilities have:
14A. Less than 1 year of service with the DOC
14B. 1 – 2 years of service with the DOC
14C. 3 – 4 years of service with the DOC
14D. 5 – 9 years of service with the DOC
14E. 10 or more years of service with the DOC
TOTAL NUMBER OF STAFF WITH CUSTODY RESPONSIBILITIES (CALCULATED)

0

15.What is the total number of PREA-related training hours that entry level Correctional Officers
are required to complete? Please include both hours that must be completed pre-service as well
as those that must be completed during the first year of employment at the facility.
ENTER NUMBER OF HOURS:
16. When does a new Correctional Officer who begins employment at the facility have to
complete all required PREA-related trainings?
1 = Pre-service (prior to starting position)
2 = Within first 24 hours of starting position
3 = After first 24 hours but within first week (7 days) of starting position
4 = After first week but within first month (30 days) of starting position
5 = After first month but within first six months (180 days) of starting position
6 = After first six months but within first year (365 days) of starting position
7 = Some other timeframe
ENTER RESPONSE BY NUMBER:
If you selected response #7 to Question 16 above,
PLEASE DESCRIBE THE OTHER TIMEFRAME:
17. Which of the following methods are used at the facility to educate inmates about the fact
that sexual activity is not allowed at the facility? Please select a Yes or No response for each
method.
17A. Facility staff

Yes

0

0

Attachment I: NIS-4P Facility_Questionnaire 4-14-2020

No

17B. Posters / Signs

Yes

17C. Brochures / Flyers / Pamphlets

Yes

No

No
Yes

17D. Handbook that describes facility rules and policies

No
Yes

17E. Video

No
Yes

17F. Peer Educator

No
Yes

17G. New Inmate Orientation

No

17H. Some other way

Yes
No

If you answered 'Yes' to Question 17H above,
PLEASE DESCRIBE THE OTHER METHOD USED TO EDUCATE INMATES:
18. Is there a Sexual Assault Nurse Examiner (SANE) onsite at the facility if an inmate needs to be
seen?
If you answered ‘No’ in Question 18,
19. If there is a need for an inmate at the facility to be seen by a SANE, how does that visit
happen?
PLEASE PROVIDE TEXT RESPONSE:
20. During the past 12 months, that is since this date last year, about how many violations of
facility rules were reported and resulted in a guilty finding? Please include less serious violations
such as use of abusive language or failure to attend class, as well as more significant violations
such as possession of contraband and physical assaults.
ENTER NUMBER OF GUILTY FINDINGS:

Yes
No

Attachment I: NIS-4P Facility_Questionnaire 4-14-2020

21. During what part of the day do most violations that result in a guilty finding occur in the
facility?
1 = After midnight but before 6:00 AM
2 = Between 6:00 AM and noon
3 = After noon but before 6:00 PM
4 = Between 6:00 PM and midnight
ENTER RESPONSE BY NUMBER:
22. During the past 12 months, that is since this date last year, how many allegations of sexual
abuse or sexual harassment were made by inmates at the facility? Please only include
allegations that were made against other inmates or staff at the facility.
ENTER RESPONSE BY ALLEGATIONS:
Please answer this question if your answer in Question 22 was "1" or more:
23. During the past 12 months, that is since this date last year, were allegations of sexual abuse
or sexual harassment at the facility investigated by staff at the facility, referred to an
organization outside the facility to investigate, or both?
1 = Staff at the facility investigated
2 = Referred to an organization outside the facility
3 = Both
ENTER RESPONSE BY NUMBER:
24. Does the facility have a policy that an inmate who makes an allegation of sexual abuse or
sexual harassment must be notified of the outcome of the investigation?

Thank you for providing this important information!

Yes
No

Attachment J: NIS-4P IRB Approvals

APPROVAL
January 14, 2019
Rachel Caspar
919-541-6376, x26376
[email protected]
Dear Rachel Caspar:
On 12/11/2018, the IRB Committee reviewed the following submission below and approved it
with required modifications. On 01/11/19, the required modifications you submitted were
reviewed and accepted.
Type of Review:
Title:
Investigator:
IRB ID:
Funding Source:
Customer/Client Name:
Project/Proposal Number:
Contract/Grant Number:
IND, IDE, or HDE:

Initial Study
National Inmate Survey (NIS-4) 2018-19
Rachel Caspar
STUDY00020413
Dept of Justice BJS
Dept of Justice BJS
0216099
2017-RP-BX-K053
None

At a convened meeting, the IRB Committee approved the protocol from 12/11/2018 to
12/10/2019. Before 12/10/2019 or within 30 days of study close, whichever is earlier, you are to
submit a completed continuing review and required attachments to request continuing approval
or closure. You can submit a continuing review by navigating to the active study and clicking
Create Modification / CR.
If continuing review approval is not granted before the expiration date of 12/10/2019, approval
of this study expires on that date.
In conducting this protocol, you are required to follow the requirements listed in the Investigator
Manual (HRP-103), which can be found by navigating to the IRB Library within the IRB system.
Sincerely,
The RTI Office of Research Protection

Attachment J: NIS-4P IRB Approvals

APPROVAL
February 4, 2019
Rachel Caspar
919-541-6376, x26376
[email protected]
Dear Rachel Caspar:
On 2/4/2019, the IRB reviewed the following submission:
Type of Review:
Title:
Investigator:
IRB ID:
Funding Source:
Customer/Client Name:
Project/Proposal Number:
Contract/Grant Number:
IND, IDE, or HDE:

Modification
National Inmate Survey (NIS-4) 2018-19
Rachel Caspar
MOD00000512 for 20413
Dept of Justice BJS
Dept of Justice BJS
0216099
2017-RP-BX-K053
None

The IRB approved the modification under 28 CFR 46 from 2/4/2019 to 12/10/2019. Before
12/10/2019 or within 30 days of study close, whichever is earlier, you are to submit a completed
continuing review and required attachments to request continuing approval or closure. You can
submit a continuing review by navigating to the active study and clicking Create Modification /
CR.
If continuing review approval is not granted before the expiration date of 12/10/2019, approval
of this study expires on that date.
In conducting this protocol, you are required to follow the requirements listed in the Investigator
Manual (HRP-103), which can be found by navigating to the IRB Library within the IRB system.
Sincerely,
The RTI Office of Research Protection

Attachment J: NIS-4P IRB Approvals

APPROVAL
December 4, 2019
Rachel Caspar
919-541-6376, x26376
[email protected]
Dear Rachel Caspar:
On 12/3/2019, the IRB Committee reviewed the following submission:
Type of Review:
Title:
Investigator:
IRB ID:
Funding Source:
Customer/Client Name:
Project/Proposal Number:
IND, IDE, or HDE:

Continuing Review
National Inmate Survey (NIS-4) 2018-19
Rachel Caspar
CR00000506
Dept of Justice BJS
Dept of Justice BJS
0216099
None

At a convened meeting, the IRB Committee approved the protocol under 28 CFR 46
from 12/3/2019 to 12/2/2020. Before 12/2/2020 or within 30 days of study close,
whichever is earlier, you are to submit a completed continuing review and required
attachments to request continuing approval or closure. You can submit a continuing
review by navigating to the active study and clicking Create Modification / CR.
If continuing review approval is not granted before the expiration date of 12/2/2020,
approval of this study expires on that date.
In conducting this protocol, you are required to follow the requirements listed in the
Investigator Manual (HRP-103), which can be found by navigating to the IRB Library
within the IRB system.
Sincerely,
The RTI Office of Research Protection

Page 1 of 1

Attachment J: NIS-4P IRB Approvals

APPROVAL
April 8, 2020
Rachel Caspar
919-541-6376, x26376
[email protected]
Dear Rachel Caspar:
On 3/17/2020, the IRB Committee reviewed the submission below and approved it with a
required modification. On 4/8/2020, the required modification you submitted was
reviewed and accepted.
Type of Review:
Title:
Investigator:
IRB ID:
Funding Source:
Customer/Client Name:
Project/Proposal Number:
IND, IDE, or HDE:

Modification
National Inmate Survey (NIS-4) 2018-19
Rachel Caspar
MOD00000810
Dept of Justice BJS
Dept of Justice BJS
0216099
None

At a convened meeting, the IRB Committee approved the modification under 28 CFR 46
from 3/17/2020 to 12/2/2020. Before 12/2/2020 or within 30 days of study close,
whichever is earlier, you are to submit a completed continuing review and required
attachments to request continuing approval or closure. You can submit a continuing
review by navigating to the active study and clicking Create Modification / CR.
If continuing review approval is not granted before the expiration date of 12/2/2020,
approval of this study expires on that date.
In conducting this protocol, you are required to follow the requirements listed in the
Investigator Manual (HRP-103), which can be found by navigating to the IRB Library
within the IRB system.
Sincerely,
The RTI Office of Research Protection

Page 1 of 1

Attachment K: Contact Cards

For Additional Information about the National Inmate Survey - Prisons
Questions About the Project

Questions About Your Rights as
A Research Participant

NIS - Prisons Study PI
RTI International
P.O. Box 12194
Research Triangle Park, NC 27709-2194

Office of Research Protection
RTI International
P.O. Box 12194
Research Triangle Park, NC 27709-2194

For Additional Information about the National Inmate Survey - Prisons
Questions About the Project

Questions About Your Rights as
A Research Participant

NIS - Prisons Study PI
RTI International
P.O. Box 12194
Research Triangle Park, NC 27709-2194

Office of Research Protection
RTI International
P.O. Box 12194
Research Triangle Park, NC 27709-2194

For Additional Information about the National Inmate Survey - Prisons
Questions About the Project

Questions About Your Rights as
A Research Participant

NIS - Prisons Study PI
RTI International
P.O. Box 12194
Research Triangle Park, NC 27709-2194

Office of Research Protection
RTI International
P.O. Box 12194
Research Triangle Park, NC 27709-2194

Attachment L: NIS-4P Thank You Letters

[DATE]
[NAME OF COMMISSIONER/SECRETARY]
[TITLE]
[STREET ADDRESS 1]
[STREET ADDRESS 2]
[CITY, STATE, AND ZIP CODE]
Dear [COMMISSIONER/SECRETARY NAME]:
Thank you for your recent participation in the Bureau of Justice Statistics’ Fourth National Inmate Survey
(NIS) of prisons. The commitment you and others in the STATE DOC have shown to helping us
understand more about sexual victimization in US prisons is commendable. We appreciate the
consideration our interviewers were shown during data collection at XX facilities in your state.
The Bureau of Justice Statistics and RTI International worked with many practitioners and researchers in
developing the instrument and protocols for the survey. We hope your staff found the process to be well
organized and efficient. Data collection will be followed by a period of data cleaning, weighting, and
analysis. We anticipate beginning to release findings from the study starting in 2022.
Thank you again for your assistance. We welcome any feedback you might have about the experience.
Please feel free to contact Amy Lauger, BJS PREA Program Manager, at [email protected] or
(202) 307-0711. She can also be contacted for more information about future NIS reports.
Sincerely,
INSERT ELECTRONIC SIGNATURE
Jeffrey H. Anderson
Director, Bureau of Justice Statistics

Attachment L: NIS-4P Thank You Letters

[DATE]
[FACILITY ADMINISTRATOR NAME
[TITLE]
[STREET ADDRESS 1]
[STREET ADDRESS 2]
[CITY, STATE, AND ZIP CODE]
Dear [FACILITY ADMINISTRATOR NAME]:
Thank you for allowing the Bureau of Justice Statistics (BJS) and RTI International (RTI) to interview
inmates in your facility as part of the Fourth National Inmate Survey (NIS) of prisons. Your facility’s
help was crucial to ensuring the success of NIS and generating national statistics of the characteristics of
the U.S. prison population.
In particular, I would like to express my appreciation to [INSERT NAMES OF KEY STAFF WHO
WORKED DIRECTLY WITH RTI] for their help with the study. They facilitated our work in an efficient
and friendly manner. Please convey my thanks to them and all the other facility staff who assisted in this
effort.
Thank you again for your cooperation and assistance. We hope you found the process to be well
organized and efficient. After a period of data cleaning, weighting, and analysis, we anticipate beginning
to release findings from the study in 2022.
We welcome any feedback you would like to share about the experience. Please feel free to contact Amy
Lauger, BJS PREA Program Manager, at [email protected] or (202) 307-0711with comments or
questions.
Sincerely,
INSERT ELECTRONIC SIGNATURE
Jeffrey H. Anderson
Director, Bureau of Justice Statistics