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pdfAttachments
Attachment C: ACASI Survey – Combined Version
Attachment D: Full Study ACASI Consent Form & Script
Attachment E: PAPI Questionnaires
Attachment F: Full Study PAPI Consent Form & Script
Attachment G: Facility Questionnaire
Attachment C: ACASI Survey – Combined Version
National Inmate Survey: Year 4
National Inmate Survey: Year 4
With 11/30/22 Revisions
Intro
Question ID:
INTERVIEW_LANGUAGE
LANGUAGE OF INTERVIEW
Question ID:
1
English
2
Spanish
INTRO1
INTERVIEWER: IF RESPONDENT ASKS ANY QUESTIONS ABOUT OMB APPROVAL FOR THIS
STUDY, YOU MAY READ THE INFORMATION BELOW. OTHERWISE PRESS 1 AND ENTER 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.
Question ID:
I3
IS THIS INMATE BEING OFFERED AN INCENTIVE?
1
YES
2
NO
PROGRAM NOTES: Show this question ONLY IF FRTS value shows that the facility allows an
incentive. If the facility does not allow an incentive, then DO NOT DISPLAY I3 - fill in I3 value as
'missing'.
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CAPI DEMOGRAPHICS (A)
Question ID:
A2
In what year were you born?
4-DIGIT YEAR:
DK/REF
Box ID:
PB_A1
DEFINE TEMPAGE:
TEMPAGE = AGE CALCULATED BY SUBTRACTING A2 YEAR FROM CURRENT YEAR.
IF A2 NE (DK OR RF), CONTINUE TO A3, ELSE GO TO PB_A2
Question ID:
A3
Are you TEMPAGE - 1 or TEMPAGE?
1
TEMPAGE - 1
2
TEMPAGE
DK/REF
Box ID:
PB_A2
UPDATE RESPAGE:
IF A3 = 1 THEN RESPAGE = TEMPAGE - 1
ELSE IF A3=2, THEN RESPAGE = TEMPAGE
ELSE RESPAGE= BLANK
IF (A2=DK OR RF) OR A3=DK OR RF, CONTINUE TO A4, ELSE GO TO PB_A3
Question ID:
A4
How old are you?
AGE:
DK/REF
Box ID:
PB_A3
UPDATE RESPAGE:
IF A4 NE BLANK OR DK OR REF THEN RESPAGE = A4
IF A4 = DK OR RF THEN RESPAGE = ROSTER_AGE
IF (RESPAGE < 18 AND FacCons1617 = 2 (NO)) OR (RESPAGE < 16) CONTINUE TO A4A, ELSE
GO TO B1.
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Question ID:
A4a
Thank you for your willingness to participate, but we cannot interview anyone who is younger
than [16 / 18] for this study.
PRESS 1 AND ENTER TO END INTERVIEW AND ALERT CORRECTION OFFICER THAT INMATE IS
FINISHED.
[IF RESPAGE < 16] DISPLAY ABOVE, FILL = "16"
[IF RESPAGE < 18 AND FacCons1617 = 2 (NO)] DISPLAY ABOVE, FILL = "18"
PROGRAM NOTES: Note to Programmers: Route these cases to M20. Apply status code 829 for
"Inmate under age"
Question ID:
B1
How old were you the first time you were arrested or taken into custody for any offense?
AGE:
DK/REF
NOTES: [RANGE: 6 - RESPAGE]
Question ID:
A5
When were you admitted to this facility?
Question ID:
A5a
2-DIGIT MONTH:
DK/REF
Question ID:
A5b
2-DIGIT DAY:
DK/REF
Question ID:
A5c
4-DIGIT YEAR:
DK/REF
Box ID:
PB_A3a
IF A5a = DK/REF AND A5c NE DK OR REF CONTINUE TO A6, ELSE GO TO PB_A4
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Question ID:
A6
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
Box ID:
PB_A4
DEFINE CALCTIME:
IF A6 NE Null AND A5b = DK/RF, then DOA =
•
If A6 = Winter, then DOA = FEB 1st + A5c
•
IF A6 = Spring, then DOA = MAY 1st + A5c
•
IF A6 = Summer, then DOA = AUG 1st + A5c
•
IF A6 = Fall, then DOA = NOV 1st + A5c
IF A6 NE Null AND A5b NE DK/RF, then DOA =
•
If A6 = Winter, then DOA = FEB + A5b + A5c
•
IF A6 = Spring, then DOA = MAY + A5b + A5c
•
IF A6 = Summer, then DOA = AUG + A5b + A5c
•
IF A6 = Fall, then DOA = NOV + A5b + A5c
DISPLAY: IF CALCTIME >1 year DISPLAY: "That means you have been here for about
[CALCTIME] years."
IF CALCTIME =1 year DISPLAY: "That means you have been here for about [CALCTIME] year."
IF CALCTIME <1 year AND >= 2 months DISPLAY: "That means you have been here for about
[CALCTIME] months."
IF CALCTIME < 2 months DISPLAY: "That means you have been here for about [CALCTIME]
days."
IF CALCTIME = 1 day DISPLAY: "That means you have been here for about [CALCTIME] day."
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 (round down); 12 months or more round to nearest year)
IF ROSTER_DOA = EMPTY, JUMP TO A8
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
IF CALCTIME NE 0 DAYS CONTINUE TO A7, ELSE GO TO PB_A4a
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Question ID:
A7
That means you have been here for about [CALCTIME]. Is that correct?
Box ID:
1
YES
2
NO
PB_A4a
IF( A5a OR A5b OR A5c=DK OR RF) OR CALCTIME=0 DAYS OR A7=2 CONTINUE TO A8, ELSE
GO TO PB_A5
Question ID:
A8
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
Box ID:
PB_A5
UPDATE DOAFILL1:
IF A8 = 1 - 5 THEN DOAFILL1 = Since you arrived at this facility
IF A8 = 6 - 8 , THEN DOAFILL1 = During the past 12 months
IF DK OR REF AND ROSTER_DOA NE EMPTY, THEN DETERMINE DOAFILL1 BASED ON
ROSTER_DOA
IF ROSTER_DOA = EMPTY 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, THEN DOAFILL2 = during the past 12 months
IF DK OR REF AND ROSTER_DOA NE EMPTY, THEN DETERMINE DOAFILL2 BASED ON
ROSTER_DOA
IF ROSTER_DOA = EMPTY, THEN DOAFILL2 = during the past 12 months
RANDOMIZATION: PROGRAMMER, PLEASE IMPLEMENT RANDOMIZING ROUTINE 95/5.
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Question ID:
A9a
Did you spend last night in disciplinary or administrative segregation, or solitary confinement?
Question ID:
1
YES
GO TO A9b
2
NO
GO TO A9c
--
DK/REF
GO TO A9c
A9b
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
Question ID:
A9c
Which of the following best describes the [housing unit /housing unit in disciplinary or
administrative segregation, or solitary confinement] where you spent last night?
IF A9a=2 OR DK OR RF, DISPLAY FILL= "housing unit"
IF A9a=1, DISPLAY FILL= "housing unit in disciplinary or administrative segregation, or solitary
confinement"
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
Question ID:
A10
How tall are you?
Feet:
Inches:
DK/REF
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TUTORIAL (C)
Question ID:
C1
Thanks for agreeing to participate in the survey! Before we begin, we want to show you how to
use this computer. The computer will ask a series of questions. You answer each question by
touching your answer on the screen. After you answer a question, you move on by touching the
NEXT button in the lower right hand corner of the screen. Try touching that button now to move
on.
Question ID:
C2
Here is an example of a question that allows for only one answer.
Do you like ice cream?
Try pressing YES now to enter an answer.
1
Yes
2
No
DK
RF
Question ID:
C3
If you want to change your answer, you can touch the ERASE button located under the list of
answer choices and enter your answer again. Touch the ERASE button and enter your answer
again.
Do you like ice cream?
1
Yes
2
No
DK
RF
Question ID:
C4
Sometimes you will be asked a question with a number answer.
For example, how many meals have you eaten today?
The screen will display a number pad. Touch the numbers to answer the question and that
number will appear in the answer box.
Number pad
DK
RF
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Question ID:
C5
If you want to skip a question, touch the NEXT button without answering the question. The
computer will say you didn't answer the question and will ask you why you didn't answer. Try
touching the NEXT button now, without answering the question below to see how this works.
Do you like ice cream?
WHEN INMATE PRESSES "NEXT" BUTTON SHOW THE DK/REF SCREEN THAT ASKS INMATE TO
CONFIRM IF THE SKIP WAS INTENTIONAL:
You did not answer the previous question. Please select...
I really meant to answer.
I'd rather not answer.
I don't know the answer.
1
Yes
2
No
DK
RF
Question ID:
C6
Sometimes, you will be asked to answer "Yes" or "No" to several questions that appear one after
another on the same screen. After you answer one question, another question will appear on
the screen.
To answer each question, touch the "Yes" or "No" button next to each question. If you want to
skip a question, touch the NEXT button that appears at the bottom of the screen. When you get
to the end of the screen, you will be asked to press the NEXT button.
To see how this works, answer the first question below and then you'll see how the next
questions appear on the screen.
Box ID:
PB_C7
DISPLAY items C7a, C7b, and C7c on the same screen
DISPLAY ALL ITEMS ON SAME SCREEN BUT ONE ITEM AT A TIME.
Question ID:
C7a
Has a doctor or other health care provider ever told you that you are allergic to pollen?
1
Yes
2
No
DK
RF
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Question ID:
C7b
Has a doctor or other health care provider ever told you that you are allergic to dust?
1
Yes
2
No
DK
RF
Question ID:
C7c
Has a doctor or other health care provider ever told you that you are allergic to mold?
1
Yes
2
No
DK
RF
Question ID:
C8
Some questions will appear in a grid format that allows you to select only one answer per row.
For example:
Box ID:
PB_C9
DISPLAY C8, stem question C9, and items C9a, C9b, C9c, C9d on the same screen
DISPLAY ALL ITEMS ON SAME SCREEN IN A GRID FORMAT.
Question ID:
C9
To what extent do you agree or disagree with the following statements. Please select one
answer in each row.
Question ID:
C9a
I like cold weather
1
Strongly Agree
2
Agree
3
Neither agree nor disagree
4
Disagree
5
Strongly disagree
DK
RF
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Question ID:
C9b
I like hot weather
1
Strongly Agree
2
Agree
3
Neither agree nor disagree
4
Disagree
5
Strongly disagree
DK
RF
Question ID:
C9c
I like dogs
1
Strongly Agree
2
Agree
3
Neither agree nor disagree
4
Disagree
5
Strongly disagree
DK
RF
Question ID:
C9d
I like cats
1
Strongly Agree
2
Agree
3
Neither agree nor disagree
4
Disagree
5
Strongly disagree
DK
RF
Question ID:
C10
You do not have to wait for the computer to read all the answers before selecting your answer.
Once you touch the screen, the computer will stop reading.
Question ID:
C11
To hear a question again, touch the question on the screen once the computer has stopped
reading.
For example, to hear this instruction again, touch any of the words on this screen.
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Question ID:
C12
To go back to a previous question, touch the BACK button in the lower left hand corner of the
screen. You use the BACK button if you want to go back and change or look at your answer to
an earlier question.
Question ID:
C13
If there is anything that you do not understand, if you need to stop the interview or if you have
any problems during the interview, please raise your hand and ask the monitor to help you.
You have finished answering the practice questions and are ready to start the actual survey.
Touch the NEXT button to begin.
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ACASI DEMOGRAPHICS (A)
Question ID:
A11
Are you of Hispanic, Latino, or Spanish origin?
1
Yes
2
No
DK/REF
Question ID:
A13
Which of these categories describes your race?
You may answer yes to one or more of these categories.
items A13a-A13e should be displayed on the same screen as much as space allows
Question ID:
A13a
White?
1
Yes
2
No
DK/RF
Question ID:
A13b
Black or African American?
1
Yes
2
No
DK/RF
Question ID:
A13c
American Indian or Alaska Native?
1
Yes
2
No
DK/RF
Question ID:
A13d
Asian?
1
Yes
2
No
DK/RF
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Question ID:
A13e
Native Hawaiian or other Pacific Islander?
1
Yes
2
No
DK/RF
Question ID:
A16
How much do you currently weigh in pounds?
CURRENT WEIGHT:
DK/REF
NOTES: [RANGE: 50 - 700]
Question ID:
A17
Did you graduate from high school?
1
Yes
GO TO A18
2
No
GO TO A19
DK/REF
Question ID:
A18
Did you receive a high school diploma or a GED for finishing high school?
Question ID:
1
A high school Diploma
GO TO PB_A7
2
A GED
GO TO PB_A7
DK/REF
GO TO PB_A7
A19
Did you receive a GED?
1
Yes
2
No
DK/REF
Box ID:
PB_A7
IF A17=1 OR A19=1, CONTINUE TO A20, ELSE GO TO PB_A8
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Question ID:
A20
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
Box ID:
PB_A8
IF A17=2 AND A19=2, CONTINUE TO A21, ELSE GO TO V1
Question ID:
A21
Did you attend high school?
1
Yes
2
No
DK/REF
Question ID:
V1
Have you ever served in the United States Armed Forces?
1
Yes
2
No
GO TO V4
DK/REF
Question ID:
V4
Are you currently serving in the United States Armed Forces?
1
Yes
2
No
GO TO V8
DK/REF
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Question ID:
V8
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
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CRIMINAL HISTORY (B)
Question ID:
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.
Question ID:
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
Question ID:
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
Question ID:
B4
Are you currently in this facility because you have been sentenced to serve time for an offense?
1
Yes
2
No
DK/REF
Box ID:
PB_B1
IF B4=2 Or DK OR RF, CONTINUE TO B5 THROUGH B10, B28, B12, B11, AND B13, ELSE SKIP
TO PB_B2
Question ID:
B5
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
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Question ID:
B6
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
Question ID:
B7
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
Question ID:
B8
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
Question ID:
B9
Are you currently being held in this facility for a sexual offense? Sexual offenses include
crimes like rape, statutory rape, sexual assault, child molestation, pornography, incest, or
indecent exposure.
1
Yes
2
No
DK/REF
Question ID:
B10
Are you currently being held in this facility for a probation, parole, or community supervision
violation?
1
Yes
2
No
DK/REF
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Question ID:
B28
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
Question ID:
B12
Are you currently being held in this facility for driving under the influence or driving while
intoxicated?
1
Yes
2
No
DK/REF
Question ID:
B11
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
Question ID:
B13
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
Box ID:
PB_B2
IF B4=1, CONTINUE TO B14 THROUGH B19, B29, B21, B20, AND B22, ELSE SKIP TO PB_B3
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Question ID:
B14
Are you currently 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
Question ID:
B15
Are you currently 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
Question ID:
B16
Are you currently 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
Question ID:
B17
Are you currently 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
Question ID:
B18
Are you currently serving time in this facility for a sexual offense? Sexual offenses include
crimes like rape, statutory rape, sexual assault, child molestation, pornography, incest, or
indecent exposure.
1
Yes
2
No
DK/REF
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Question ID:
B19
Are you currently serving time in this facility for a probation, parole, or community supervision
violation?
1
Yes
2
No
DK/REF
Question ID:
B29
Are you currently 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
Question ID:
B21
Are you currently serving time in this facility for driving under the influence or driving while
intoxicated?
1
Yes
2
No
DK/REF
Question ID:
B20
Are you currently 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
Question ID:
B22
Are you currently 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
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Box ID:
PB_B3
IF B4=1 OR DK OR RF, CONTINUE TO B25, ELSE GO TO SECTION D
Question ID:
B25
What is your total maximum sentence length for all of the sentences you are serving?
1
Less than 30 days
2
At least 30 days but less than 6 months
3
At least 6 months but less than 1 year
4
At least 1 year but less than 5 years
5
5 years or more
DK/REF
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SEXUAL IDENTITY AND PRE-INCARCERATION
INFORMATION (D)
Question ID:
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
Question ID:
D2
Which of the following best represents how you think of yourself?
IF A13c=1, DISPLAY response option: "Two-Spirit"
1
Lesbian or gay
2
Straight; that is, not lesbian or gay
3
Bisexual; that is, you are sexually attracted to
both men and women
4
Two-Spirit
95 Something else
-- DK/REF
Box ID:
PB_Da
DEFINE SexualOrientationFill:
IF D2=1, then SexualOrientationFill = "lesbian or gay"
IF D2=3, then SexualOrientationFill = "bisexual"
IF D2 = 4, then SexualOrientationFill = "Two-Spirit"
ELSE SexualOrientationFill = BLANK
Question ID:
D3a
What sex were you assigned at birth, on your original birth certificate?
1
Male
2
Female
DK/REF
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Question ID:
D3b
Do you currently think of yourself as...?
IF A13c=1 DISPLAY response option: "Two-Spirit"
1
Male
2
Female
3
Transgender
4
Two-Spirit
95 None of these
-- DK/REF
Box ID:
PB_D1
DEFINE CURRSEX
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 = "describe yourself as Two-Spirit"
IF D3b = 95 AND A13c NE 1 THEN CURRSEX FILL = "do not describe yourself as male, female,
or transgender"
IF D3b = 95 AND A13c = 1 THEN CURRSEX FILL = "do not describe yourself as male, female,
Two-Spirit, or transgender"
DEFINE BIRTHSEX
IF D3a=1 THEN BIRTHSEX= "male"
IF D3a=2 THEN BIRTHSEX= "female"
ELSE, BIRTHSEX = BLANK
[IF (D3a = 1 AND D3b = 2 OR 3 OR 4 OR 95) OR (D3a = 2 AND D3b = 1 OR 3 OR 4 OR
95) CONTINUE TO D3c, ELSE SKIP TO PB_D1c.
Question ID:
D3c
Just to confirm what you entered, you were assigned [BIRTHSEX] on your original birth
certificate and now you [CURRSEX FILL]. Is that correct?
1
Yes
2
No
-- DK/REF
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Box ID:
PB_D1a
IF D3c=2 CONTINUE TO D3d, ELSE GO TO PB_D1b
Question ID:
D3d
Please answer this question again: What sex was recorded on your original birth certificate?
1
Male
2
Female
-- DK/REF
Box ID:
PB_D1b
IF D3c=2 CONTINUE TO D3e, ELSE GO TO PB_D1c
Question ID:
D3e
Please answer this question again: Do you currently think of yourself as [male, female, TwoSpirit, or transgender/male, female, or transgender]?
IF A13c=1 DISPLAY response option: "Two-Spirit"
IF D3c = 2 AND A13c = 1 DISPLAY fill = "male, female, Two-Spirit, or transgender"
IF D3c = 2 AND A13c NE 1 DISPLAY fill = "male, female, or transgender"
1
Male
2
Female
3
Transgender
4
Two-Spirit
95 None of these
-- DK/REF
Box ID:
PB_D1c
UPDATE GENDER
IF (D3c = 1 OR DK OR REF) OR (D3d = 1 AND D3e = 2 OR 3 OR 4 OR 95) OR (D3d = 2 AND
D3e = 1 OR 3 OR 4 OR 95) THEN GENDER = 3
IF BIRTHSEX = BLANK AND (D3b = 3 OR 4), THEN GENDER = 3
IF (D3d = DK OR REF) AND (D3e = 3 OR 4), THEN GENDER = 3
IF RANDOM 5, SKIP TO FH_1, ELSE CONTINUE TO D6.
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Question ID:
D6
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?
1
Yes
2
No
DK/REF
Question ID:
D7
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?
1
Yes
2
No
DK/REF
Box ID:
PB_D2
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
IF D6=1 OR D7=1, CONTINUE TO D8, ELSE GO TO PB_D2a
Question ID:
D8
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
Box ID:
PB_D2a
IF D8 NE 1 AND SEXTYPE1 NE BLANK AND RESPAGE=18 OR OLDER, CONTINUE TO D9, ELSE
GO TO PB_D2b.
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Question ID:
D9
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
Box ID:
PB_D2b
IF D8=1 AND RESPAGE=18 OR OLDER, CONTINUE TO D10, ELSE GO TO PB_D2c
Question ID:
D10
Were you [SEXTYPE1 FILL] to have sex or sexual contact before you were 18 years old?
1
Yes
2
No
DK/REF
Box ID:
PB_D2c
IF (D6=1 OR D7=1) AND B3=1, CONTINUE TO D11, ELSE GO TO PB_D3
Question ID:
D11
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?
1
Yes
2
No
DK/REF
Box ID:
PB_D3
IF RANDOM=95, SKIP TO D16, ELSE CONTINUE TO FH_1
Question ID:
FH_1
Is this the only facility you've been held in during your current incarceration?
1
Yes
2
No
GO TO FH_2
--
DK/REF
GO TO FH_2
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Question ID:
FH_2
During your current incarceration, how many jails have you been held in for at least one night,
including this one? Include all jails, even if in another county or state.
NUMBER OF JAILS:
DK/REF
PROGRAM NOTES: RANGE: 1 -15
Question ID:
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
Question ID:
D13
Have you ever had a job working for pay?
1
Yes
2
No
DK/REF
Question ID:
D14
At any point during the 6 months before you were incarcerated, did you have a job where you
worked for pay?
1
Yes
2
No
DK/REF
Question ID:
D15
How did you support yourself during the 6 months before you were incarcerated?
items D15a-D15f should be displayed on the same screen as much as space allows
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Question ID:
D15a
A job?
1
Yes
2
No
-- DK/REF
Question ID:
D15b
Support from your family?
1
Yes
2
No
-- DK/REF
Question ID:
D15c
Support from your friends?
1
Yes
2
No
-- DK/REF
Question ID:
D15d
A government program or public assistance?
1
Yes
2
No
-- DK/REF
Question ID:
D15e
Illegal income?
1
Yes
2
No
-- DK/REF
Question ID:
D15f
Some other type of support?
1
Yes
2
No
-- DK/REF
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Question ID:
D16
[Still thinking about the 6 months before you were incarcerated, had anyone you/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?
IF RANDOM =5, DISPLAY, "Still thinking about the 6 months before you were incarcerated, had
anyone you..."
IF RANDOM =95, DISPLAY, "Now think about the 6 months before you were incarcerated. Had
anyone you.."
1
Yes
2
No
DK/REF
Question ID:
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.
1
0
2
1
3
2
4
3
5
4
6
5 or more
DK/REF
Box ID:
PB_D3a
IF D17>0, CONTINUE TO D18, ELSE GO TO D19
Question ID:
D18
During the 6 months before you were incarcerated, how many of those children lived with you?
1
0
2
1
3
2
4
3
5
4
6
5 or more
DK/REF
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Question ID:
D19
Have any of your parents or guardians ever been incarcerated in a prison or jail?
1
Yes
GO TO D20
2
No
GO TO D21
--
DK/REF
GO TO D21
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Question ID:
D20
Are any of your parents or guardians currently incarcerated in a prison or jail?
1
Yes
2
No
DK/REF
Question ID:
D21
Have any of your brothers or sisters ever been incarcerated in a prison or jail?
Question ID:
1
Yes
GO TO D22
2
No
GO TO D23
3
I do not have any brothers or sisters
GO TO D23
--
DK/REF
GO TO D23
D22
Are any of your brothers or sisters currently incarcerated in a prison or jail?
1
Yes
2
No
DK/REF
Question ID:
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?
Question ID:
1
Yes
GO TO D24
2
No
GO TO PB_D4
--
DK/REF
GO TO PB_D4
D24
Are any of those close friends currently incarcerated in a prison or jail?
1
Yes
2
No
DK/REF
Box ID:
PB_D4
IF RANDOM =5 SKIP TO SECTION CE, ELSE CONTINUE TO SECTION E
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SEXUAL ACTIVITY WITH INMATES (E)
Question ID:
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.
Question ID:
E2
DOAFILL1, have you been touched on your [butt, thighs, or penis/butt, thighs, breasts, or
vagina/butt, thighs, breasts, penis, or vagina] in a sexual way by another inmate?
IF GENDER=1, DISPLAY FILL= " butt, thighs, or penis"
IF GENDER=2, DISPLAY FILL= "butt, thighs, breasts, or vagina"
IF GENDER=3, DISPLAY FILL= "butt, thighs, breasts, penis, or vagina"
1
Yes
2
No
DK/REF
Box ID:
PB_Ea
IF GENDER=1 OR GENDER =3, CONTINUE TO E6, ELSE GO TO E8
Question ID:
E6
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
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Question ID:
E8
DOAFILL1, have you given or received [oral sex or a blowjob? Oral sex is when one inmate
puts their mouth on the penis or butt of another inmate/oral sex? Oral sex is when one inmate
puts their mouth on the vagina or butt of another inmate/oral sex or a blowjob? Oral sex is
when one inmate puts their mouth on the penis, vagina, or butt of another inmate].
IF GENDER=1, DISPLAY FILL= "oral sex or a blowjob? Oral sex is when one inmate puts their
mouth on the penis or butt of another inmate"
IF GENDER =2, DISPLAY FILL = "oral sex? Oral sex is when one inmate puts their mouth on the
vagina or butt of another inmate"
IF GENDER =3, DISPLAY FILL = "oral sex or a blowjob? Oral sex is when one inmate puts their
mouth on the penis, vagina, or butt of another inmate"
1
Yes
2
No
DK/REF
Box ID:
PB_Eb
IF GENDER =2 or GENDER =3, CONTINUE TO E10, ELSE SKIP TO E12
Question ID:
E10
DOAFILL1, have you had vaginal sex? Vaginal sex is when one inmate inserts their [finger or
an object/finger, penis, or an object] into another inmate's vagina.
IF GENDER =2, DISPLAY FILL = "finger or an object"
IF GENDER =3, DISPLAY FILL = "finger, penis, or an object"
1
Yes
2
No
DK/REF
Question ID:
E12
DOAFILL1, have you had anal sex? Anal sex is when one inmate inserts their [finger, penis, or
an object/finger or an object] into another inmate's butt.
IF GENDER=1 OR GENDER=3, DISPLAY FILL= "finger, penis, or an object"
IF GENDER=2, DISPLAY FILL= "finger or an object"
1
Yes
2
No
DK/REF
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Question ID:
E14
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/oral sex, vaginal sex, or anal
sex/handjobs, oral sex or blowjobs, vaginal sex, or anal sex]?
IF GENDER =1, DISPLAY FILL = "handjobs, oral sex or blowjobs, or anal sex"
IF GENDER=2, DISPLAY FILL = "oral sex, vaginal sex, or anal sex"
IF GENDER=3, DISPLAY FILL = "handjobs, oral sex or blowjobs, vaginal sex, or anal sex"
1
Yes
2
No
DK/REF
Box ID:
PB_Ebb
IF (GENDER=1 AND (E2=1 OR E6=1 OR E8=1 OR E12=1 OR E14=1)) OR (GENDER=2 AND
(E2=1 OR E8=1 OR E10=1 OR E12=1 OR E14=1) OR (GENDER=3 AND (E2 = 1 OR E6 = 1 OR
E8 = 1 OR E10 = 1 OR E12 = 1 OR E14 = 1)), CONTINUE TO E15, ELSE GO TO PB_Ec
Question ID:
E15
These next questions are only about unwanted sex or sexual contact.
Touch the NEXT button to go to the next screen.
Box ID:
PB_Ec
IF GENDER=1 AND E2=1, CONTINUE TO E16, ELSE GO TO PB_Ed
Question ID:
E16
DOAFILL1, did another inmate use physical force to touch your butt, thighs, or penis in a
sexual way?
1
Yes
2
No
DK/REF
Box ID:
PB_Ed
IF GENDER=1 AND E2=1, CONTINUE TO E17, ELSE GO TO PB_Ee
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Question ID:
E17
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
Box ID:
PB_Ee
IF GENDER=2 AND E2=1, CONTINUE TO E18, ELSE GO TO PB_Ef
Question ID:
E18
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
Box ID:
PB_Ef
IF GENDER=2 AND E2=1, CONTINUE TO E19, ELSE GO TO PB_Ef1
Question ID:
E19
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
Box ID:
PB_Ef1
IF GENDER=3 AND E2=1, CONTINUE TO E20, ELSE GO TO PB_Ef2
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Question ID:
E20
DOAFILL1, did another inmate use physical force to touch your butt, thighs, breast, penis, or
vagina in a sexual way?
1
Yes
2
No
DK/REF
Box ID:
PB_Ef2
IF GENDER=3 AND E2=1, CONTINUE TO E21, ELSE GO TO PB_Eg
Question ID:
E21
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, penis, or vagina in a sexual way?
1
Yes
2
No
DK/REF
Box ID:
PB_Eg
IF (GENDER=1 OR GENDER=3) AND E6=1, CONTINUE TO E22, ELSE GO TO PB_Eh
Question ID:
E22
DOAFILL1, did another inmate use physical force to make you give or receive a handjob?
1
Yes
2
No
DK/REF
Box ID:
PB_Eh
IF (GENDER=1 OR GENDER=3) AND E6=1, CONTINUE TO E23, ELSE GO TO PB_Ei
Question ID:
E23
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
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Box ID:
PB_Ei
IF GENDER=2 AND E8=1, CONTINUE TO E24, ELSE GO TO PB_Ej
Question ID:
E24
DOAFILL1, did another inmate use physical force to make you give or receive oral sex?
1
Yes
2
No
DK/REF
Box ID:
PB_Ej
IF GENDER=2 AND E8=1, CONTINUE TO E25, ELSE GO TO PB_Ek
Question ID:
E25
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
Box ID:
PB_Ek
IF GENDER=1 OR GENDER=3) AND E8=1, CONTINUE TO E26, ELSE GO TO PB_El
Question ID:
E26
DOAFILL1, did another inmate use physical force to make you give or receive oral sex or a
blowjob?
1
Yes
2
No
DK/REF
Box ID:
PB_El
IF (GENDER=1 OR GENDER=3) AND E8=1, CONTINUE TO E27, ELSE GO TO PB_Em
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Question ID:
E27
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
Box ID:
PB_Em
IF (GENDER=2 OR GENDER=3) AND E10=1, CONTINUE TO E28, ELSE GO TO PB_En
Question ID:
E28
DOAFILL1, did another inmate use physical force to make you have vaginal sex?
1
Yes
2
No
DK/REF
Box ID:
PB_En
IF (GENDER=2 or GENDER=3) AND E10=1, CONTINUE TO E29, ELSE GO TO PB_Eo
Question ID:
E29
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
Box ID:
PB_Eo
IF E12=1, CONTINUE TO E32, ELSE GO TO PB_Ep
Question ID:
E32
DOAFILL1, did another inmate use physical force to make you have anal sex?
1
Yes
2
No
DK/REF
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Box ID:
PB_Ep
IF E12=1, CONTINUE TO E33, ELSE GO TO PB_Eq
Question ID:
E33
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
Box ID:
PB_Eq
IF E14=1, CONTINUE TO E34, ELSE GO TO PB_Er
Question ID:
E34
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/oral sex, vaginal
sex/handjobs, oral sex or blowjobs, vaginal sex], or anal sex?
IF GENDER=1, DISPLAY FILL = "handjobs, oral sex or blowjobs"
IF GENDER =2, DISPLAY FILL= "oral sex, vaginal sex"
IF GENDER =3, DISPLAY FILL= "handjobs, oral sex or blowjobs, vaginal sex"
1
Yes
2
No
DK/REF
Box ID:
PB_Er
IF E14=1, CONTINUE TO E35, ELSE GO TO PB_E1
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Question ID:
E35
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/oral sex, vaginal sex/handjobs, oral sex or blowjobs, vaginal sex], or anal
sex?
IF GENDER=1, DISPLAY FILL = "handjobs, oral sex or blowjobs"
IF GENDER =2, DISPLAY FILL= "oral sex, vaginal sex"
IF GENDER =3, DISPLAY FILL= "handjobs, oral sex or blowjobs, vaginal sex"
1
Yes
2
No
DK/REF
Box ID:
PB_E1
DEFINE forced:
If at least one of (E16, E18, E20, E22, E24, E26, E28, E32, E34) is YES, then forced = YES
else forced = NO
DEFINE pressured:
If at least one of (E17, E19, E21, 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.
IF GENDER=1 AND (E22=1 OR E23=1 OR E26=1 OR E27=1 OR E32=1 OR E33=1), CONTINUE
TO E36, ELSE CONTINUE TO PB_E1a
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Question ID:
E36
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?
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 ?
1
1 time
2
2 times
3
3 - 10 times
4
11 times or more
DK/REF
Box ID:
PB_E1a
IF E36=3, CONTINUE TO E36a, ELSE GO TO PB_E1b
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Question ID:
E36a
DOAFILL1, how many time 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?
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 ?
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
Box ID:
PB_E1b
IF E36=4, CONTINUE TO E36b, ELSE GO TO PB_E1c
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Question ID:
E36b
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?
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 ?
NUMBER OF TIMES:
DK/REF
NOTES: [RANGE: 11 - 300]
Box ID:
PB_E1c
IF GENDER = 2 AND (E24 = 1 OR E25 = 1 OR E28 = 1 OR E29 = 1 OR E32 = 1 OR E33 = 1),
CONTINUE TO E37, ELSE GO TO PB_E1d
Question ID:
E37
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?
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 ?
1
1 time
2
2 times
3
3 - 10 times
4
11 times or more
DK/REF
NIS-4 Jails Survey
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National Inmate Survey: Year 4
Box ID:
PB_E1d
IF E37=3, CONTINUE TO E37a, ELSE GO TO PB_E1e
Question ID:
E37a
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?
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 ?
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
Box ID:
PB_E1e
IF E37=4, CONTINUE TO E37b, ELSE GO TO PB_E1e1
NIS-4 Jails Survey
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National Inmate Survey: Year 4
Question ID:
E37b
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?
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 ?
NUMBER OF TIMES:
DK/REF
NOTES: [RANGE: 11 - 300]
Box ID:
PB_E1e1
IF GENDER = 3 AND (E22 = 1 OR E23 = 1 OR E26 = 1 OR E27 = 1 OR E28 = 1 OR E29 = 1 OR
E32 = 1 OR E33 = 1) CONTINUE TO E41 ELSE GO TO PB_E1e2
Question ID:
E41
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
·
·
·
·
[IF
[IF
[IF
[IF
E22
E26
E28
E32
OR
OR
OR
OR
E23
E27
E29
E33
=
=
=
=
1]
1]
1]
1]
Give or receive a handjob,
Give or receive oral sex or a blowjob,
Have vaginal sex, or
Have anal sex?
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 ?
ITEMS - 1ST ITEM END WITH , ; 2ND ITEM END WITH , ; 3RD ITEM END WITH , or; 4TH ITEM
END WITH ?
1
1 time
2
2 times
3
3 -10 times
4
11 times or more
DK/REF
NIS-4 Jails Survey
Westat
45
11/30/2022
National Inmate Survey: Year 4
Box ID:
PB_E1e2
IF E41=3, CONTINUE TO E41a, ELSE CONTINUE TO PB_E1e3
Question ID:
E41a
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2:
·
·
·
·
[IF
[IF
[IF
[IF
E22
E26
E28
E32
OR
OR
OR
OR
E23
E27
E29
E33
=
=
=
=
1]
1]
1]
1]
Give or receive a handjob,
Give or receive oral sex or a blowjob,
Have vaginal sex, or
Have anal sex?
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 ?
ITEMS - 1ST ITEM END WITH , ; 2ND ITEM END WITH , ; 3RD ITEM END WITH , or; 4TH ITEM
END WITH ?
1
3 times
2
4 times
3
5 times
4
6 times
5
7 times
6
8 times
8
9 times
10 10 times
DK/REF
Box ID:
PB_E1e3
IF E41=4, CONTINUE TO E41b, ELSE CONTINUE TO PB_E1f
NIS-4 Jails Survey
Westat
46
11/30/2022
National Inmate Survey: Year 4
Question ID:
E41b
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
·
·
·
·
[IF
[IF
[IF
[IF
E22
E26
E28
E32
OR
OR
OR
OR
E23
E27
E29
E33
=
=
=
=
1]
1]
1]
1]
Give or receive a handjob,
Give or receive oral sex or a blowjob,
Have vaginal sex, or
Have anal sex?
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 ?
4 ITEMS - 1ST ITEM END WITH , ; 2ND ITEM END WITH , ; 3RD ITEM END WITH , or; 4TH ITEM
END WITH ?
NUMBER OF TIMES:
DK/REF
NOTES: [RANGE: 11 - 300]
Box ID:
PB_E1f
IF E16=1 OR E17=1, CONTINUE TO E38, ELSE CONTINUE TO PB_E1g
Question ID:
E38
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
Box ID:
PB_E1g
IF E38=3, CONTINUE TO E38a, ELSE GO TO PB_E1h
NIS-4 Jails Survey
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National Inmate Survey: Year 4
Question ID:
E38a
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
Box ID:
PB_E1h
IF E38=4, CONTINUE TO E38b, ELSE GO TO PB_E1i
Question ID:
E38b
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate
touch your butt, thighs, or penis in a sexual way?
NUMBER OF TIMES:
DK/REF
NOTES: [RANGE: 11 - 300]
Box ID:
PB_E1i
IF E18=1 OR E19=1, CONTINUE TO E39, ELSE GO TO PB_E1j
Question ID:
E39
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
NIS-4 Jails Survey
Westat
48
11/30/2022
National Inmate Survey: Year 4
Box ID:
PB_E1j
IF E39=3, CONTINUE to E39a, ELSE GO TO PB_E1k
Question ID:
E39a
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
Box ID:
PB_E1k
IF E39=4, CONTINUE TO E39b, ELSE GO TO PB_E1k1
Question ID:
E39b
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:
DK/REF
NOTES: [RANGE: 11 - 300]
Box ID:
PB_E1k1
IF E20=1 OR E21=1, CONTINUE TO E42, ELSE GO TO PB_E1k2
NIS-4 Jails Survey
Westat
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National Inmate Survey: Year 4
Question ID:
E42
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate
touch your butt, thighs, breasts, penis, or vagina in a sexual way?
1
1 time
2
2 times
3
3 - 10 times
4
11 times or more
DK/REF
Box ID:
PB_E1k2
IF E42=3, CONTINUE TO E42a, ELSE GO TO PB_E1k3
Question ID:
E42a
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate
touch your butt, thighs, breasts, penis, 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
Box ID:
PB_E1k3
IF E42=4, CONTINUE TO E42b, ELSE GO TO E40
Question ID:
E42b
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate
touch your butt, thighs, breasts, penis, or vagina in a sexual way?
NUMBER OF TIMES:
DK/REF
NOTES: [RANGE: 11 - 300]
NIS-4 Jails Survey
Westat
50
11/30/2022
National Inmate Survey: Year 4
Question ID:
E40
How soon after you arrived at this facility were you [ForcedOrPressuredFill2] have sex or sexual
contact with [another inmate for the first time/another inmate]?
IF E36 > 1 OR E37 > 1 OR E41>1, DISPLAY FILL= "another inmate for the first time"
IF E36 = 1 OR E37 = 1 OR E41=1, DISPLAY FILL= "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
Question ID:
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
Question ID:
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
Box ID:
PB_E1l
IF GENDER=1 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1
OR LCM2a = 1 OR 2 OR 3)), CONTINUE TO E162, ELSE GO TO PB_E1m
NIS-4 Jails Survey
Westat
51
11/30/2022
National Inmate Survey: Year 4
Question ID:
E162
DOAFILL1, did another inmate use physical force to touch your butt, thighs, or penis in a
sexual way?
1
Yes
2
No
DK/REF
Box ID:
PB_E1m
IF GENDER =1 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 =
1 OR LCM2a = 1 OR 2 OR 3)), CONTINUE TO E172, ELSE GO TO PB_E1n
Question ID:
E172
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
Box ID:
PB_E1n
IF GENDER=2 AND (E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 =
1 OR LCM2a = 1 OR 2 OR 3)), CONTINUE TO E182, ELSE GO TO PB_E1o
Question ID:
E182
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
Box ID:
PB_E1o
IF GENDER=2 AND (E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 =
1 OR LCM2a = 1 OR 2 OR 3)), CONTINUE TO E192, ELSE GO TO PB_E1o1
NIS-4 Jails Survey
Westat
52
11/30/2022
National Inmate Survey: Year 4
Question ID:
E192
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
Box ID:
PB_E1o1
IF GENDER=3 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)), CONTINUE TO E202, ELSE GO TO PB_E1o2
Question ID:
E202
DOAFILL1, did another inmate use physical force to touch your butt, thighs, breasts, penis, or
vagina in a sexual way?
1
Yes
2
No
DK/REF
Box ID:
PB_E1o2
IF GENDER=3 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)), CONTINUE TO E212, ELSE GO TO PB_E1p
Question ID:
E212
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, penis, or vagina in a sexual way?
1
Yes
2
No
DK/REF
Box ID:
PB_E1p
IF (GENDER=1 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 =
1 OR LCM2a = 1 OR 2 OR 3)))
OR (GENDER=3 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3))), CONTINUE TO E222, ELSE GO TO PB_E1q
NIS-4 Jails Survey
Westat
53
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National Inmate Survey: Year 4
Question ID:
E222
DOAFILL1, did another inmate use physical force to make you give or receive a handjob?
1
Yes
2
No
DK/REF
Box ID:
PB_E1q
IF (GENDER=1 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 =
1 OR LCM2a = 1 OR 2 OR 3)))
OR (GENDER=3 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3))), CONTINUE TO E232, ELSE GO TO PB_E1r
Question ID:
E232
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
Box ID:
PB_E1r
IF GENDER=2 AND (E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 =
1 OR LCM2a = 1 OR 2 OR 3)), CONTINUE TO E242, ELSE GO TO PB_E1s
Question ID:
E242
DOAFILL1, did another inmate use physical force to make you give or receive oral sex?
1
Yes
2
No
DK/REF
Box ID:
PB_E1s
IF GENDER=2 AND (E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 =
1 OR LCM2a = 1 OR 2 OR 3)), CONTINUE TO E252, ELSE GO TO PB_E1t
NIS-4 Jails Survey
Westat
54
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National Inmate Survey: Year 4
Question ID:
E252
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
Box ID:
PB_E1t
IF (GENDER=1 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 =
1 OR LCM2a = 1 OR 2 OR 3)))
OR (GENDER=3 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3))) CONTINUE TO E262, ELSE GO TO PB_E1u
Question ID:
E262
DOAFILL1, did another inmate use physical force to make you give or receive oral sex or a
blowjob?
1
Yes
2
No
DK/REF
Box ID:
PB_E1u
IF (GENDER=1 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 =
1 OR LCM2a = 1 OR 2 OR 3)))
OR (GENDER=3 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3))), CONTINUE TO E272, ELSE GO TO PB_E1v
Question ID:
E272
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
NIS-4 Jails Survey
Westat
55
11/30/2022
National Inmate Survey: Year 4
Box ID:
PB_E1v
IF (GENDER=2 AND (E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 =
1 OR LCM2a = 1 OR 2 OR 3)))
OR (GENDER=3 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3))), CONTINUE TO E282, ELSE GO TO PB_E1w
Question ID:
E282
DOAFILL1, did another inmate use physical force to make you have vaginal sex?
1
Yes
2
No
DK/REF
Box ID:
PB_E1w
IF (GENDER=2 AND (E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 =
1 OR LCM2a = 1 OR 2 OR 3)))
OR (GENDER=3 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3))), CONTINUE TO E292, ELSE GO TO PB_E1x
Question ID:
E292
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
Box ID:
PB_E1x
IF (GENDER = 1 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 =
1 OR LCM2a = 1 OR 2 OR 3)))
OR (GENDER = 2 AND (E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1
= 1 OR LCM2a = 1 OR 2 OR 3)))
OR (GENDER=3 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3))), CONTINUE TO E322, ELSE GO TO PB_E1y
NIS-4 Jails Survey
Westat
56
11/30/2022
National Inmate Survey: Year 4
Question ID:
E322
DOAFILL1, did another inmate use physical force to make you have anal sex?
1
Yes
2
No
DK/REF
Box ID:
PB_E1y
IF (GENDER = 1 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 =
1 OR LCM2a = 1 OR 2 OR 3)))
OR (GENDER = 2 AND (E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1
= 1 OR LCM2a = 1 OR 2 OR 3)))
OR (GENDER=3 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3))), CONTINUE TO E332, ELSE GO TO PB_E1z
Question ID:
E332
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
Box ID:
PB_E1z
IF (GENDER = 1 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 =
1 OR LCM2a = 1 OR 2 OR 3)))
OR (GENDER = 2 AND (E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1
= 1 OR LCM2a = 1 OR 2 OR 3)))
OR (GENDER=3 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3))), CONTINUE TO E342, ELSE GO TO PB_E1aa
Question ID:
E342
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/oral sex, vaginal
sex/handjobs, oral sex or blowjobs, vaginal sex], or anal sex?
IF GENDER =1, DISPLAY FILL= "handjobs, oral sex or blowjobs"
IF GENDER=2, DISPLAY FILL= "oral sex, vaginal sex"
IF GENDER=3, DISPLAY FILL= "handjobs, oral sex or blowjobs, vaginal sex"
1
Yes
2
No
DK/REF
NIS-4 Jails Survey
Westat
57
11/30/2022
National Inmate Survey: Year 4
Box ID:
PB_E1aa
IF (GENDER=1 AND (E2=2 AND E6=2 AND E8=2 AND E12=2 AND E14=2 AND (LCM1=1 OR
LCM2a=1 OR 2 OR 3))) OR (GENDER=2 AND (E2=2 AND E8=2 AND E10=2 AND E12=2 AND
E14=2 AND (LCM1=1 OR LCM2a=1 OR 2 OR 3)))
OR (GENDER=3 AND (E2 = 2 AND E6 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2
AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3))), CONTINUE TO E352, ELSE GO TO PB_E2
Question ID:
E352
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/oral sex, vaginal sex/handjobs, oral sex or blowjobs, vaginal sex], or anal
sex?
IF GENDER =1, DISPLAY FILL= "handjobs, oral sex or blowjobs"
IF GENDER=2, DISPLAY FILL= "oral sex, vaginal sex"
IF GENDER=3, DISPLAY FILL= “handjobs, oral sex or blowjobs, vaginal sex”
1
Yes
2
No
DK/REF
NIS-4 Jails Survey
Westat
58
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National Inmate Survey: Year 4
Box ID:
PB_E2
UPDATE forced:
If at least one of (E162, E182, E202, E222, E242, E262, E282, E322, E342) is YES, then forced
= YES
else forced = NO
UPDATE pressured:
If at least one of (E172, E192, E212, 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.]
IF GENDER = 1 AND (E222 = 1 OR E232 = 1 OR E262 = 1 OR E272 = 1 OR E322 = 1 OR E332
= 1), CONTINUE TO E353, ELSE GO TO PB_E2a
Question ID:
E353
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?
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 ?
1
1 time
2
2 times
3
3 - 10 times
4
11 times or more
DK/REF
NIS-4 Jails Survey
Westat
59
11/30/2022
National Inmate Survey: Year 4
Box ID:
PB_E2a
IF E353=3, CONTINUE TO E354, ELSE GO TO PB_E2b
Question ID:
E354
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?
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 ?
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
Box ID:
PB_E2b
IF E353=4, CONTINUE TO E355, ELSE GO TO PB_E2c
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Question ID:
E355
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?
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 ?
NUMBER OF TIMES:
DK/REF
NOTES: [RANGE 11 - 300]
Box ID:
PB_E2c
IF GENDER = 2 AND (E242 = 1 OR E252 = 1 OR E282 = 1 OR E292 = 1 OR E322 = 1 OR E332
= 1), CONTINUE TO E356, ELSE GO TO PB_E2d
Question ID:
E356
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?
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 ?
1
1 time
2
2 times
3
3 - 10 times
4
11 times or more
DK/REF
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Box ID:
PB_E2d
IF E356=3, CONTINUE TO E357, ELSE GO TO PB_E2e
Question ID:
E357
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?
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 ?
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
Box ID:
PB_E2e
IF E356=4, CONTINUE TO E358, ELSE GO TO PB_E2e1
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Question ID:
E358
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?
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 ?
NUMBER OF TIMES:
DK/REF
NOTES: [RANGE: 11 - 300]
Box ID:
PB_E2e1
IF GENDER = 3 AND (E222 = 1 OR E232 = 1 OR E262 = 1 OR E272 = 1 OR E282=1 OR E292=1
OR E322 = 1 OR E332 = 1), CONTINUE TO E366, ELSE GO TO PB_E2e2
Question ID:
E366
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
·
·
·
·
[IF
[IF
[IF
[IF
E222
E262
E282
E322
OR
OR
OR
OR
E232
E272
E292
E332
=
=
=
=
1]
1]
1]
1]
Give or receive a handjob,
Give or receive oral sex or a blowjob,
Have vaginal sex, or
Have anal sex?
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 ?
4 ITEMS - 1ST ITEM END WITH , ; 2ND ITEM END WITH , ; 3RD ITEM END WITH , or; 4TH ITEM
END WITH ?
1
1 time
2
2 times
3
3 - 10 times
4
11 times or more
DK/REF
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Box ID:
PB_E2e2
IF E366=3, CONTINUE TO E367, ELSE GO TO PB_E2e3
Question ID:
E367
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
·
·
·
·
[IF
[IF
[IF
[IF
E222
E262
E282
E322
OR
OR
OR
OR
E232
E272
E292
E332
=
=
=
=
1]
1]
1]
1]
Give or receive a handjob,
Give or receive oral sex or a blowjob,
Have vaginal sex, or
Have anal sex?
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 ?
4 ITEMS - 1ST ITEM END WITH , ; 2ND ITEM END WITH , ; 3RD ITEM END WITH , or; 4TH ITEM
END WITH ?
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
Box ID:
PB_E2e3
IF E366=4, CONTINUE TO E368, ELSE GO TO PB_E2f
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Question ID:
E368
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
·
·
·
·
[IF
[IF
[IF
[IF
E222
E262
E282
E322
OR
OR
OR
OR
E232
E272
E292
E332
=
=
=
=
1]
1]
1]
1]
Give or receive a handjob,
Give or receive oral sex or a blowjob,
Have vaginal sex, or
Have anal sex?
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 ?
4 ITEMS - 1ST ITEM END WITH , ; 2ND ITEM END WITH , ; 3RD ITEM END WITH , or; 4TH ITEM
END WITH ?
NUMBER OF TIMES:
DK/REF
NOTES: [RANGE: 11 - 300]
Box ID:
PB_E2f
IF E162 = 1 OR E172 = 1, CONTINUE TO E359, ELSE GO TO PB_E2g
Question ID:
E359
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
Box ID:
PB_E2g
IF E359 = 3, CONTINUE TO E360, ELSE GO TO PB_E2h
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Question ID:
E360
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
Box ID:
PB_E2h
IF E359 = 4, CONTINUE TO E361, ELSE GO TO PB_E2i
Question ID:
E361
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate
touch your butt, thighs, or penis in a sexual way?
NUMBER OF TIMES:
DK/REF
NOTES: [RANGE: 11 - 300]
Box ID:
PB_E2i
IF E182 = 1 OR E192 = 1, CONTINUE TO E362, ELSE GO TO PB_E2j
Question ID:
E362
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
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Box ID:
PB_E2j
IF E362 = 3, CONTINUE TO E363, ELSE GO TO PB_E2k
Question ID:
E363
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
Box ID:
PB_E2k
IF E362 = 4, CONTINUE TO E364, ELSE GO TO PB_E2k1
Question ID:
E364
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:
DK/REF
NOTES: [RANGE: 11 - 300]
Box ID:
PB_E2k1
IF E202=1 OR E212=1, CONTINUE TO E369, ELSE GO TO PB_E2k2
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Question ID:
E369
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate
touch your butt, thighs, breasts, penis, or vagina in a sexual way?
1
1 time
2
2 times
3
3 - 10 times
4
11 times or more
DK/REF
Box ID:
PB_E2k2
IF E369 = 3, CONTINUE TO E370, ELSE GO TO PB_E2k3
Question ID:
E370
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate
touch your butt, thighs, breasts, penis, 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
Box ID:
PB_E2k3
IF E369 = 4, CONTINUE TO E371, ELSE GO TO PB_E2l
Question ID:
E371
DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate
touch your butt, thighs, breasts, penis, or vagina in a sexual way?
NUMBER OF TIMES:
DK/REF
NOTES: [RANGE: 11 - 300]
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Box ID:
PB_E2l
IF E353 >= 1 OR E356 >= 1 OR E366>= 1, CONTINUE TO E365, ELSE GO TO PB_F1.
Question ID:
E365
How soon after you arrived at this facility were you [ForcedOrPressuredFill2] have sex or sexual
contact with [another inmate for the first time/another inmate]?
IF E353 > 1 OR E356 > 1 OR E366 >1, DISPLAY FILL ="another inmate for the first time"
[IF E353 = 1 OR E356 = 1 OR E366 = 1, DISPLAY FILL= "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
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DESCRIPTION OF NON-CONSENSUAL SEXUAL ACTS
(NCSAs) (F)
Box ID:
PB_F1
DEFINE NCSA:
IF E16 = 1 OR E17 = 1 OR E18 = 1 OR E19 = 1 OR E20 = 1 OR E21 = 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 E202 = 1
OR E212 = 2 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
Box ID:
PB_F2
UPDATE forced:
If at least one of (E16, E18, E20, E22, E24, E26, E28, E32, E34, E162, E182, E202, E222, E242,
E262, E282, E322, E342) is YES, then forced = YES
else forced = NO
UPDATE pressured:
If at least one of (E17, E19, E21, E23, E25, E27, E29, E33, E35, E172, E192, E212, 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.]
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Box ID:
PB_F3
DEFINE #NCSA1
IF E36 + E37 + E38 + E39 + E41 + E42 + E353 + E356 + E359 + E362 +E366 + E369= 1
THEN #NCSA1 = did it
IF E36 + E37 + E38 + E39 + E41 + E42 + E353 + E356 + E359 + E362 + E366 + E369 > 1
THEN #NCSA1 = did it ever
IF ALL (E36, E37, E38, E39, E41, E42, E353, E356, E359, E362, E366, E369) = DK OR REF
THEN #NCSA1 = did it ever
DEFINE #NCSA2
IF E36 + E37 + E38 +E39 + E41 + E42 + E353 + E356 + E359 + E362 + E366 + E369= 1
THEN #NCSA2 = were you
IF E36 + E37 + E38 +E39 + E41 + E42 + E353 + E356 + E359 + E362 +E366 +E369 > 1
THEN #NCSA2= were you ever
IF ALL (E36, E37, E38, E39, E41, E42, E353, E356, E359, E362, E366, E369) = DK OR REF
THEN #NCSA2 = were you ever
DEFINE #NCSA3
IF E36 + E37 + E38 + E39 + E41 + E42 + E353 + E356 + E359 + E362 + E366 + E369 = 1
THEN #NCSA3 = was it
IF E36 + E37 + E38 + E39 + E41 + E42 + E353 + E356 + E359 + E362+ E366 + E369 > 1
THEN #NCSA3 = was it ever
IF ALL (E36, E37, E38, E39, E41, E42, E353, E356, E359, E362 , E366. E369)= DK OR REF
THEN #NCSA3 = was it ever
DEFINE #NCSA4
IF E36 + E37 + E38 + E39 + E41 + E42 + E353 + E356 + E359 + E362+ E366 + E369 = 1
THEN #NCSA4 = did you
IF E36 + E37 + E38 + E39 + E41 + E42 + E353 + E356 + E359 + E362 + E366 + E369> 1
THEN #NCSA4 = did you ever
IF ALL (E36, E37, E38, E39, E41, E42, E353, E356, E359, E362, E366, E369) = DK OR REF
THEN #NCSA4 = did you ever
DEFINE #NCSA5
IF E36 + E37 + E38 + E39 + E41 + E42 + E353 + E356 + E359 + E362 + E366 + E369= 1
THEN #NCSA5 = why didn't you
IF E36 + E37 + E38 + E39 + E41 + E42 + E353 + E356 + E359 + E362 + E366 + E369> 1
THEN #NCSA5 = why didn't you ever
IF ALL (E36, E37, E38, E39, E41, E42, E353, E356, E359, E362, E366, E369) = DK OR REF
THEN #NCSA5 = why didn't you ever
IF NCSA = 1, CONTINUE TO F1, ELSE GO TO PB_F4
Question ID:
F1
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
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Box ID:
PB_F4
IF NCSA = 1, CONTINUE TO F6a THROUGH F6j, ELSE GO TO PB_F5
Question ID:
F6
DOAFILL1, when you were [ForcedOrPressuredFill2] have sex or sexual contact with another
inmate, [#NSCA2 FILL] ...
items F6a- F6j should be displayed on the same screen as much as space allows
Question ID:
F6a
Persuaded or talked into it?
1
Yes
2
No
-- DK/REF
Question ID:
F6b
Given a bribe?
1
Yes
2
No
-- DK/REF
Question ID:
F6c
Blackmailed?
1
Yes
2
No
-- DK/REF
Question ID:
F6d
Given drugs or alcohol to get you drunk or high?
1
Yes
2
No
-- DK/REF
Question ID:
F6e
Offered protection from other inmates?
1
Yes
2
No
-- DK/REF
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Question ID:
F6f
Trying to pay off or settle a debt that you owed?
1
Yes
2
No
-- DK/REF
Question ID:
F6g
Threatened with harm?
1
Yes
2
No
-- DK/REF
Question ID:
F6h
Physically held down or restrained?
1
Yes
2
No
-- DK/REF
Question ID:
F6i
Physically harmed or injured?
1
Yes
2
No
-- DK/REF
Question ID:
F6j
Threatened with a weapon?
1
Yes
2
No
-- DK/REF
Box ID:
PB_F5
IF NCSA = 1, CONTINUE TO F8, ELSE GO TO PB_F6
Question ID:
F8
DOAFILL1, when you were [ForcedOrPressuredFill2] have sex or sexual contact with another
inmate, [#NCSA3] initiated by a gang?
1
Yes
2
No
DK/REF
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Box ID:
PB_F6
IF NCSA = 1, CONTINUE TO F9, ELSE GO TO PB_F7
Question ID:
F9
DOAFILL1, when you were [ForcedOrPressuredFill2] have sex or sexual contact with another
inmate, [#NCSA2] injured?
1
Yes
2
No
DK/REF
Box ID:
PB_F7
IF F9 = 1, CONTINUE TO F10a THROUGH F10g, ELSE GO TO SECTION G.
Question ID:
F10
DOAFILL1, when you were [ForcedOrPressuredFill2] have sex or sexual contact with another
inmate, [#NCSA4] ...
items F10a - F10g should be displayed on the same screen as much as space allows
Question ID:
F10a
Receive knife or stab wounds?
1
Yes
2
No
-- DK/REF
Question ID:
F10b
Receive broken bones?
1
Yes
2
No
-- DK/REF
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Question ID:
F10c
Have [anal/anal or vaginal] tearing?
If GENDER=1, DISPLAY FILL= "anal"
IF GENDER=2 OR GENDER=3, DISPLAY FILL= "anal or vaginal"
1
Yes
2
No
-- DK/REF
Question ID:
F10d
Have your teeth chipped or knocked out?
1
Yes
2
No
-- DK/REF
Question ID:
F10e
Receive internal injuries?
1
Yes
2
No
-- DK/REF
Question ID:
F10f
Get knocked unconscious?
1
Yes
2
No
-- DK/REF
Question ID:
F10g
Receive bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
Yes
2
No
-- DK/REF
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STAFF SEXUAL MISCONDUCT (G)
Question ID:
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.
Question ID:
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
Question ID:
G5
DOAFILL1, have you been physically forced by any facility staff to have sex or sexual contact?
1
Yes
2
No
DK/REF
Box ID:
PB_G1
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
IF G4=1 OR G5=1, CONTINUE TO G6, ELSE GO TO G7
Question ID:
G6
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
GO TO G6a
4
11 times or more
GO TO G6b
DK/REF
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Question ID:
G6a
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
Question ID:
G6b
DOAFILL1, how many times were you [SEXTYPE2 FILL] have sex or sexual contact with any
facility staff?
NUMBER OF TIMES:
DK/REF
NOTES: [RANGE: 11 - 300}
Question ID:
G8
How soon after you arrived at this facility were you [SEXTYPE2] have sex or sexual contact [with
facility staff for the first time/with facility staff]?
IF (G4 = 1 OR G5 = 1) AND G6 > 1, DISPLAY FILL= "with facility staff for the first time"
IF (G4 = 1 OR G5 = 1) AND G6 = 1), DISPLAY FILL="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
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Question ID:
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
Question ID:
G2
DOAFILL1, have you willingly had sex or sexual contact with any facility staff?
1
Yes
2
No
GO TO G3
DK/REF
Question ID:
G3
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
GO TO G3a
4
11 times or more
GO TO G3b
DK/REF
Question ID:
G3a
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
Question ID:
G3b
DOAFILL1, how many times have you willingly had sex or sexual contact with any facility
staff?
NUMBER OF TIMES:
DK/REF
NOTES: [RANGE: 11 - 300]
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Box ID:
PB_G2
IF G4 = 1 OR G5 = 1, CONTINUE TO G9, ELSE GO TO PB_G3
Question ID:
G9
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
Box ID:
PB_G3
IF G2 = 1 OR G4 = 1 OR G5 = 1, CONTINUE TO G10, ELSE GO TO PB_G4
Question ID:
G10
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.
Box ID:
PB_G4
IF G2=1 OR G4=1 OR G5=1, CONTINUE TO G11a THROUGH G11e, ELSE GO TO PB_G5
Question ID:
G11
DOAFILL1, which of the following types of sex or sexual contact did you have with a facility
staff person?
items G11a - G11e should be displayed on the same screen as much as space allows
Question ID:
G11a
You touched a facility staff person's body or had your body touched in a sexual way?
1
Yes
2
No
-- DK/REF
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Question ID:
G11b
You gave or received a handjob?
1
Yes
2
No
-- DK/REF
Question ID:
G11c
You gave or received oral sex or a blowjob?
1
Yes
2
No
-- DK/REF
Question ID:
G11d
You had vaginal sex? Vaginal sex is when one person inserts their penis, finger, or an object into
another person's vagina.
1
Yes
2
No
-- DK/REF
Question ID:
G11e
You had anal sex? Anal sex is when one person inserts their penis, finger, or an object into
another person's butt.
1
Yes
2
No
-- DK/REF
Box ID:
PB_G5
IF G2 =1 OR G4 = 1 OR G5 = 1, CONTINUE TO G12, ELSE GO TO PB_G6
Question ID:
G12
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
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National Inmate Survey: Year 4
Box ID:
PB_G6
IF G2=1 OR G4=1 OR G5=1, CONTINUE TO G17a THROUGH G17l, ELSE GO TO PB_G7
Question ID:
G17
DOAFILL1, when you had sex or sexual contact with facility staff were any of the following
methods used to get you to participate?
items G17a - G17l should be displayed on the same screen as much as space allows
Question ID:
G17a
You were persuaded or talked into it?
1
Yes
2
No
-- DK/REF
Question ID:
G17b
You were given a bribe?
1
Yes
2
No
-- DK/REF
Question ID:
G17c
You were offered favors or special privileges?
1
Yes
2
No
-- DK/REF
Question ID:
G17d
You were blackmailed?
1
Yes
2
No
-- DK/REF
Question ID:
G17e
You were given drugs or alcohol to get you drunk or high?
1
Yes
2
No
-- DK/REF
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Question ID:
G17f
You were offered protection from other inmates?
1
Yes
2
No
-- DK/REF
Question ID:
G17g
You were offered protection from another correctional officer?
1
Yes
2
No
-- DK/REF
Question ID:
G17h
You were trying to pay off or settle a debt that you owed?
1
Yes
2
No
-- DK/REF
Question ID:
G17i
You were threatened with harm?
1
Yes
2
No
-- DK/REF
Question ID:
G17j
You were physically held down or restrained?
1
Yes
2
No
-- DK/REF
Question ID:
G17k
You were physically harmed or injured?
1
Yes
2
No
-- DK/REF
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National Inmate Survey: Year 4
Question ID:
G17l
You were threatened with a weapon?
1
Yes
2
No
-- DK/REF
Box ID:
PB_G7
IF G2 = 1 OR G4 = 1 OR G5 = 1, CONTINUE TO G28, ELSE GO TO PB_G8
Question ID:
G28
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
Box ID:
PB_G8
IF G28 = 1 OR 2, CONTINUE TO G29a THROUGH G29c, ELSE GO TO PB_G9
Question ID:
G29
DOAFILL1, did you have sex or sexual contact with any...
items G29a - G29c should be displayed on the same screen as much as space allows
Question ID:
G29a
Correctional officers?
1
Yes
2
No
-- DK/REF
Question ID:
G29b
Other staff working in the facility?
1
Yes
2
No
-- DK/REF
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National Inmate Survey: Year 4
Question ID:
G29c
Volunteers in the facility?
1
Yes
2
No
-- DK/REF
Box ID:
PB_G9
IF G28 = 3, CONTINUE TO G31a THROUGH G31f, ELSE GO TO PB_G10
Question ID:
G31
DOAFILL1, did you have sex or sexual contact with any...
items G31a - G31f should be displayed on the same screen as much as space allows
Question ID:
G31a
Male correctional officers?
1
Yes
2
No
-- DK/REF
Question ID:
G31b
Female correctional officers?
1
Yes
2
No
-- DK/REF
Question ID:
G31c
Other male staff working in the facility?
1
Yes
2
No
-- DK/REF
Question ID:
G31d
Other female staff working in the facility?
1
Yes
2
No
-- DK/RF
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National Inmate Survey: Year 4
Question ID:
G31e
Male volunteers in the facility?
1
Yes
2
No
-- DK/RF
Question ID:
G31f
Female volunteers in the facility?
1
Yes
2
No
-- DK/RF
Box ID:
PB_G10
IF G2 =1 OR G4 = 1 OR G5 = 1, CONTINUE TO G19, ELSE GO TO Section X (XINTRO)
Question ID:
G19
DOAFILL1, when you had sex or sexual contact with facility staff, were you ever injured?
1
Yes
2
No
GO TO G20
DK/REF
Question ID:
G20
DOAFILL1, when you had sex or sexual contact with facility staff, did you ever ...
items G20a - G20g should be displayed on the same screen as much as space allows
Question ID:
G20a
Receive knife or stab wounds?
1
Yes
2
No
-- DK/RF
Question ID:
G20b
Receive broken bones?
1
Yes
2
No
-- DK/RF
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National Inmate Survey: Year 4
Question ID:
G20c
Have [anal/anal or vaginal] tearing?
IF GENDER= 1, DISPLAY FILL= "anal"
IF GENDER= 2 OR GENDER= 3, DISPLAY FILL= "anal or vaginal"
1
Yes
2
No
-- DK/RF
Question ID:
G20d
Have your teeth chipped or knocked out?
1
Yes
2
No
-- DK/RF
Question ID:
G20e
Receive internal injuries?
1
Yes
2
No
-- DK/RF
Question ID:
G20f
Get knocked unconscious?
1
Yes
2
No
-- DK/RF
Question ID:
G20g
Receive bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
Yes
2
No
-- DK/RF
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National Inmate Survey: Year 4
Box ID:
PB_G11
DEFINE RANDOMIZATION_INCIDENT
IF NCSA = 1 AND [G2 OR G4 OR G5 =1]: RANDOMIZATION_INCIDENT = 1
ELSE, RANDOMIZATION_INCIDENT = 2
IF RANDOMIZATION_INCIDENT = 1, INITIATE RANDOMIZATION AT A 50/50 RATIO TO
DETERMINE WHETHER TO ADMINISTER MODULES DIR AND IIC OR MODULES DIRS AND SI
IF RANDOMIZATION=2 AND NCSA=1, CONTINUE TO SECTION DIR;
ELSE IF RANDOMIZATION=2 AND [G2 OR G4 OR G5 =1] CONTINUE TO DIRS
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DETERMINATION OF SPECIFIC INCIDENT FOR
INMATE INCIDENT REPORT (DIR)
Box ID:
PB_DIR1
DEFINE NUMBER_OF_TIMES:
IF E36=1 OR E353=1 OR E37=1 OR E356=1 OR E41 = 1 OR E366 = 1, NUMBER_OF_TIMES = "1
time"
IF E36=2 OR E353=2 OR E37=2 OR E356=2 OR E41 =2 OR E366 = 2, NUMBER_OF_TIMES= "2
times"
IF E36=3 OR E353=3 OR E37=3 OR E356 = 3 OR E41 = 3 OR E366 = 3, NUMBER_OF_TIMES=
"3 to 10 times"
IF E36=4 OR E353=4 OR E37=4 OR E356=4 OR E41 = 4 OR E366 = 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), OR E41 = (DK OR REF) OR E366 = (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 OR E42 = 1 OR E369 = 1,
NUMBER_OF_TIMES_TOUCH = "1 time"
IF E38=2 OR E359=2 OR E39=2 OR E362=2 OR E42 = 2 OR E369 = 2,
NUMBER_OF_TIMES_TOUCH="2 times"
IF E38=3 OR E359=3 OR E39=3 OR E362=3 OR E42 = 3 OR E369 = 3,
NUMBER_OF_TIMES_TOUCH = "3 to 10 times"
IF E38=4 OR E359=4 OR E39=4 OR E362=4 OR E42 = 4 OR E369 = 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), OR E42 = (DK OR REF) OR E369 = (DK OR REF), NUMBER_OF_TIMES_TOUCH = NO FILL
ELSE NUMBER_OF_TIMES_TOUCH = MISSING
IF NUMBER_OF_TIMES=1 time AND (NUMBER_OF_TIMES_TOUCH IS MISSING), CONTINUE TO
DIR1, ELSE GO TO PB_DIR2
Question ID:
DIR1
Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] to 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.
Box ID:
PB_DIR2
IF NUMBER_OF_TIMES_TOUCH=1 time AND NUMBER_OF_TIMES IS MISSING, CONTINUE TO
DIR2, ELSE GO TO PB_DIR3
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Question ID:
DIR2
Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] let another inmate
touch your [butt, thighs, or penis/butt, thighs, breasts, or vagina/butt, thighs, breasts, penis, 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.
IF GENDER=1, DISPLAY FILL= "butt, thighs, or penis"
IF GENDER=2, DISPLAY FILL = "butt, thighs, breasts, or vagina"
IF GENDER=3, DISPLAY FILL = "butt, thighs, breasts, penis, or vagina"
Box ID:
PB_DIR3
IF NUMBER_OF_TIMES_>=2 times AND NUMBER_OF_TIMES_TOUCH IS MISSING, CONTINUE
TO DIR3 SERIES,
IF E22=1 OR E23=1 OR E222=1 OR E232=1, GO TO DIR3a, ELSE GO TO PB_DIR3a
Question ID:
DIR3
Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] have sex or sexual
contact with another inmate [NUMBER_OF_TIMES].
[As you answer the next questions, please think about the most recent time you were
[ForcedOrPressuredFill2] have sex or sexual contact with another inmate./Think about the most
recent time this happened to you. What were you [ForcedOrPressuredFill2] do?]
Touch the NEXT button to go to the next screen.
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, DISPLAY FILL= "As you answer
the next questions, please think about the most recent time you were [ForcedOrPressuredFill2]
have sex or sexual contact with another inmate."
[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 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_) are true, DISPLAY FILL = "Think about
the most recent time this happened to you. What were you [ForcedOrPressuredFill2] do?"
Question ID:
DIR3a
Give or receive a handjob?
1
Yes
2
No
-- DK/RF
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Box ID:
PB_DIR3a
IF E26=1 OR E27=1 OR E262=1 OR E272=1, GO TO DIR3b, ELSE GO TO PB_DIR3b
Question ID:
DIR3b
Give or receive oral sex or a blowjob?
1
Yes
2
No
-- DK/RF
Box ID:
PB_DIR3b
IF E24=1 OR E25=1 OR E242=1 OR E252=1, CONTINUE TO DIR3c, ELSE GO TO PB_DIR3c
Question ID:
DIR3c
Give or receive oral sex?
1
Yes
2
No
-- DK/RF
Box ID:
PB_DIR3c
IF E28=1 OR E29=1 OR E282=1 OR E292=1, CONTINUE TO DIR3d, ELSE GO TO PB_DIR3d
Question ID:
DIR3d
Have vaginal sex?
1
Yes
2
No
-- DK/RF
Box ID:
PB_DIR3d
IF E32=1 OR E33=1 OR E322=1 OR E332=1, GO TO DIR3e, ELSE GO TO PB_DIR4
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Question ID:
DIR3e
Have anal sex?
1
Yes
2
No
-- DK/RF
Box ID:
PB_DIR4
As you answer the next questions, please think about the most recent time you were
[ForcedOnPressuredFill2] have sex or sexual contact with another inmate.
Touch the NEXT button to go to the next screen.
IF NUMBER_OF_TIMES_TOUCH >=2 times AND NUMBER_OF_TIMES IS MISSING, GO TO DIR4,
ELSE GO TO PB_DIR5
Question ID:
DIR4
Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] let another inmate
touch your [butt, thighs, or penis/butt, thighs, breasts, or vagina/butt, thighs, breasts, penis, 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.
IF GENDER=1, DISPLAY FILL = "butt, thighs, or penis"
IF GENDER= 2, DISPLAY FILL= "butt, thighs, breasts, or vagina"
IF GENDER= 3, DISPLAY FILL= "butt, thighs, breasts, penis, or vagina"
Box ID:
PB_DIR5
IF ((NUMBER_OF_TIMES >= 1 time) OR (E36 = (DK OR REF) OR E353 = (DK OR REF) OR E37 =
(DK OR REF) OR E356 = (DK OR REF) OR E41 = (DK OR REF) OR E366 = (DK OR REF))) AND
((NUMBER_OF_TIMES_TOUCH >=1 time) OR (E38 = (DK OR REF) OR E359 = (DK OR REF) OR
E39 = (DK OR REF) OR E362 = (DK OR REF) OR E42 = (DK OR REF) OR E369 = (DK OR REF))),
CONTINUE TO DIR5 SERIES, ELSE GO TO DIR00
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National Inmate Survey: Year 4
Question ID:
DIR5
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/butt, thighs, breasts, or vagina/butt, thighs, breasts, penis, or
vagina] in a sexual way.
Think about the most recent time this happened to you. What were you
[ForcedOrPressuredFill2] do?
IF GENDER=1, DISPLAY FILL= "butt, thighs, or penis"
IF GENDER=2, DISPLAY FILL= "butt, thighs, breasts, or vagina"
IF GENDER=3, DISPLAY FILL= "butt, thighs, breasts, penis, or vagina"
Box ID:
PB_DIR5a_
IF E22=1 OR E23=1 OR E222=1 OR E232=1, CONTINUE TO DIR5a, ELSE GO TO PB_DIR5a
Question ID:
DIR5a
Give or receive a handjob?
1
Yes
2
No
-- DK/RF
Box ID:
PB_DIR5a
IF E26=1 OR E27=1 OR E262=1 OR E272=1, CONTINUE TO DIR5b, ELSE GO TO PB_DIR5b
Question ID:
DIR5b
Give or receive oral sex or a blowjob?
1
Yes
2
No
-- DK/RF
Box ID:
PB_DIR5b
IF E24=1 OR E25=1 OR E242=1 OR E252=1, CONTINUE TO DIR5c, ELSE GO TO PB_DIR5c
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Question ID:
DIR5c
Give or receive oral sex?
1
Yes
2
No
-- DK/RF
Box ID:
PB_DIR5c
IFE28=1 OR E29=1 OR E282=1 OR E292=1, CONTINUE TO DIR5d, ELSE GO TO PB_DIR5d
Question ID:
DIR5d
Have vaginal sex?
1
Yes
2
No
-- DK/RF
Box ID:
PB_DIR5d
IF E32=1 OR E33=1 OR E322=1 OR E332=1, CONTINUE TO DIR5e, ELSE GO TO PB_DIR5e
Question ID:
DIR5e
Have anal sex?
1
Yes
2
No
-- DK/RF
Box ID:
PB_DIR5e
IF E16=1 OR E17=1 OR E162=1 OR E172=1, CONTINUE TO DIR5f, ELSE GO TO PB_DIR5f
Question ID:
DIR5f
Be touched on your butt, thighs, or penis in a sexual way?
1
Yes
2
No
-- DK/RF
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Box ID:
PB_DIR5f
IF E18=1 OR E19=1 OR E182=1 OR E192=1, CONTINUE TO DIR5g, ELSE GO TO PB_DIR5g
Question ID:
DIR5g
Be touched on your butt, thighs, breasts, or vagina in a sexual way?
1
Yes
2
No
-- DK/RF
Box ID:
PB_DIR5g
IF E20 = 1 OR E21 = 1 OR E202 = 1 OR E212 = 1, CONTINUE TO DIR5h, ELSE GO TO DIR00
Question ID:
DIR5h
Be touched on your butt, thighs, breasts, penis, or vagina in a sexual way?
1
Yes
2
No
-- DK/RF
Question ID:
DIR00
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/butt, thighs, breasts, or vagina/butt, thighs, breasts, penis, or
vagina] in a sexual way.
Touch the NEXT button to go to the next screen.
IF GENDER=1, DISPLAY FILL= "butt, thighs, or penis"
IF GENDER=2, DISPLAY FILL= "butt, thighs, breasts, or vagina"
IF GENDER=3, DISPLAY FILL="butt, thighs, breasts, penis, or vagina"
Box ID:
PB_DIR6
IF DIR1 OR DIR2 Or DIR3 OR DIR4 OR DIR5 IS DISPLAYED, CONTINUE WITH MODULE (IIC),
ELSE SKIP TO DETERMINATION OF SPECIFIC INCIDENT OF STAFF INCIDENT REPORT(DIRS)
NIS-4 Jails Survey
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National Inmate Survey: Year 4
INCIDENT CHARACTERISTICS FOR INMATE-ONINMATE VICTIMIZATION (IIC)
Box ID:
PB_IIC1
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 DIR2 OR DIR4 is displayed AND GENDER=3, then I-ON-I_FILL = "another inmate touching
your butt, thighs, breasts, penis, 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"
IF DIR5 is displayed AND GENDER=3, then I-ON-I_FILL = "sex or sexual contact with another
inmate or another inmate touching your butt, thighs, breasts, penis, or vagina in a sexual way"
Question ID:
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
Box ID:
PB_IIC2
DEFINE IIC1_FILL:
IF IIC1=1, then IIC1_FILL=CURRENT YEAR
IF IIC1=2, then, IIC1_FILL=CURRENT YEAR - 1
IF IIC1 NE DK OR RF, CONTINUE TO IIC2, ELSE GO TO IIC3
NIS-4 Jails Survey
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Question ID:
IIC2
In what month in [IIC1_FILL] did this [RECENT_FILL] happen/In what month did this
[RECENT_FILL] happen]?
IF IIC1=1, DISPLAY: JANUARY UP TO CURRENT MONTH IN THE YEAR AS RESPONSE OPTIONS
IF IIC1 NE DK OR REF, DISPLAY FILL= "In what month in [IIC1_FILL] did this [RECENT_FILL]
happen"
[IF IIC1 = DK OR REF, DISPLAY FILL = "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
Question ID:
IIC3
Did the [RECENT_FILL] happen...
items IIC3a - IIC3d should be displayed on the same screen as much as space allows
Question ID:
IIC3a
Between 6:00 in the morning and noon?
1
Yes
2
No
-- DK/RF
Question ID:
IIC3b
After noon but before 6:00 in the evening?
1
Yes
2
No
-- DK/RF
NIS-4 Jails Survey
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National Inmate Survey: Year 4
Question ID:
IIC3c
After 6:00 in the evening but before midnight?
1
Yes
2
No
-- DK/RF
Question ID:
IIC3d
After midnight but before 6:00 in the morning?
1
Yes
2
No
-- DK/RF
Question ID:
IIC4
Where did the [RECENT_FILL] happen?
items IIC4a - IIC4d should be displayed on the same screen as much as space allows
Question ID:
IIC4a
In your own cell, room, or sleeping area?
1
Yes
2
No
-- DK/REF
Question ID:
IIC4b
In the cell, room, or housing area of another inmate?
1
Yes
2
No
-- DK/RF
Question ID:
IIC4c
Somewhere else in the facility?
Question ID:
1
Yes
2
No
--
DK/RF
GO TO IIC5
IIC4d
Off facility grounds?
1
Yes
2
No
--
DK/RF
NIS-4 Jails Survey
Westat
GO TO IIC6
97
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC5
Where were you when the incident happened?
items IIC5a - IIC5h should be displayed on the same screen as much as space allows
Question ID:
IIC5a
In a shower?
1
Yes
2
No
-- DK/RF
Question ID:
IIC5b
In a bathroom?
1
Yes
2
No
-- DK/RF
Question ID:
IIC5c
In the yard or recreation area?
1
Yes
2
No
-- DK/RF
Question ID:
IIC5d
In a classroom or library?
1
Yes
2
No
-- DK/RF
Question ID:
IIC5e
In a workshop, kitchen, or other workplace?
1
Yes
2
No
-- DK/RF
Question ID:
IIC5f
In a closet?
1
Yes
2
No
-- DK/RF
NIS-4 Jails Survey
Westat
98
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC5g
In an office or other locked room?
1
Yes
2
No
-- DK/RF
Question ID:
IIC5h
On the stairs?
1
Yes
2
No
-- DK/RF
Box ID:
PB_IIC2a_
IF IIC4d=1, CONTINUE TO IIC6, ELSE GO TO IIC7
Question ID:
IIC6
Where were you when the incident happened?
items IIC6a - IIC6d should be displayed on the same screen as much as space allows
Question ID:
IIC6a
A bus, van, or car?
1
Yes
2
No
-- DK/RF
Question ID:
IIC6b
A courthouse?
1
Yes
2
No
-- DK/RF
Question ID:
IIC6c
Some type of temporary holding facility?
1
Yes
2
No
-- DK/RF
NIS-4 Jails Survey
Westat
99
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC6d
A hospital or other type of medical facility?
1
Yes
2
No
-- DK/RF
Question ID:
IIC7
Just before or during this [RECENT_FILL], which, if any of these things, happened? Were
you...
items IIC7a - IIC7j should be displayed on the same screen as much as space allows
Question ID:
IIC7a
Persuaded or talked into the sex or sexual contact?
1
Yes
2
No
-- DK/RF
Question ID:
IIC7b
Given a bribe?
1
Yes
2
No
-- DK/RF
Question ID:
IIC7c
Blackmailed?
1
Yes
2
No
-- DK/RF
Question ID:
IIC7d
Given drugs or alcohol to get you drunk or high?
1
Yes
2
No
-- DK/RF
NIS-4 Jails Survey
Westat
100
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC7e
Offered protection from other inmates?
1
Yes
2
No
-- DK/RF
Question ID:
IIC7f
Trying to pay off or settle a debt that you owed?
1
Yes
2
No
-- DK/RF
Question ID:
IIC7g
Threatened with harm?
1
Yes
2
No
-- DK/RF
Question ID:
IIC7h
Physically held down or restrained?
1
Yes
2
No
-- DK/RF
Question ID:
IIC7i
Physically harmed or injured?
1
Yes
2
No
-- DK/RF
Question ID:
IIC7j
Threatened with a weapon?
1
Yes
2
No
-- DK/RF
Question ID:
IIC8
Do you think this [RECENT_FILL] happened because of your...
items IIC8a - IIC8e should be displayed on the same screen as much as space allows
NIS-4 Jails Survey
Westat
101
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC8a
Race or ethnicity?
1
Yes
2
No
-- DK/RF
Question ID:
IIC8b
Age?
1
Yes
2
No
-- DK/RF
Question ID:
IIC8c
Religion?
1
Yes
2
No
-- DK/RF
Question ID:
IIC8d
Gang affiliation?
1
Yes
2
No
-- DK/RF
Box ID:
PB_IIC2ab
IF GENDER=3, CONTINUE TO IIC8e, ELSE GO TO PB_IIC3
Question ID:
IIC8e
Gender identity?
1
Yes
2
No
-- DK/RF
Box ID:
PB_IIC3
IF D2 = 1 OR 3 OR 4, CONTINUE TO IIC33, ELSE GO TO IIC9
NIS-4 Jails Survey
Westat
102
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC33
Do you think this [RECENT_FILL] happened because you are [SexualOrientationFill]?
1
Yes
2
No
DK/REF
Question ID:
IIC9
During this [RECENT_FILL], did one inmate or more than one inmate have sexual contact with
you?
1
One inmate
GO TO IIC10a
2
More than one inmate
GO TO IIC10b
DK/REF
Question ID:
IIC10a
Was the other inmate male, female, or transgender?
1
Male
2
Female
3
Transgender
DK/REF
Question ID:
IIC10b
Were any of the inmates involved in this incident...
items IIC10b1-IIC10b3 should be displayed on the same screen as much as space allows
Question ID:
IIC10b1
Male?
1
Yes
2
No
-- DK/RF
Question ID:
IIC10b2
Female?
1
Yes
2
No
-- DK/RF
Question ID:
IIC10b3
Transgender?
1
Yes
2
No
-- DK/RF
NIS-4 Jails Survey
Westat
103
11/30/2022
National Inmate Survey: Year 4
Box ID:
PB_IIC4
DEFINE PerpGenderFill1:
If IIC9=1 AND IIC10a=1
then PerpGenderFill1= "he"
IF HC9=1 AND IIC10a=2
then PerpGenderFill1= "she"
IF IIC9=1 AND IIC10a=3
then PerpGenderFill1= "they"
If IIC9=2
then PerpGenderFill1= "they"
DEFINE PerpGenderFill2:
If HC9=1 AND IIC10a=1
then PerpGenderFill2= "his"
If HC9=1 AND IIC10a=2
then PerpGenderFill2= "her"
If HC9=1 AND IIC10a=3
then PerpGenderFill2= "their"
If IIC9=2
then PerpGenderFill2= "their"
Question ID:
IIC11
[Was the other inmate/Were any of the other inmates] of Hispanic, Latino, or Spanish origin?
IF IIC9=1, DISPLAY FILL= "Was the other inmate"
IF IIC9= 2, DISPLAY FILL = "Were any of the other inmates"
1
Yes
2
No
DK/REF
Question ID:
IIC12
[Was the other inmate.../Were any of the other inmates...]
IF IIC9=1, DISPLAY FILL= "Was the other inmate..."
IF IIC9= 2, DISPLAY FILL = "Were any of the other inmates..."
NIS-4 Jails Survey
Westat
104
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC12a
White?
1
Yes
2
No
-- DK/REF
Question ID:
IIC12b
Black or African American?
1
Yes
2
No
-- DK/RF
Question ID:
IIC12c
American Indian or Alaska Native?
1
Yes
2
No
-- DK/RF
Question ID:
IIC12d
Asian?
1
Yes
2
No
-- DK/RF
Question ID:
IIC12e
Native Hawaiian or other Pacific Islander?
1
Yes
2
No
-- DK/RF
Box ID:
PB_IIC5
IF IIC9=1, CONTINUE TO IIC13a, ELSE GO TO PB_IIC6
NIS-4 Jails Survey
Westat
105
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC13a
How old was this other inmate?
1
Under 25
2
25 - 34
3
35 - 44
4
45 - 54
5
55 or older
DK/REF
Box ID:
PB_IIC6
IF IIC9=2, CONTINUE TO IIC13b, ELSE GO TO PB_IIC7
Question ID:
IIC13b
Were any of the inmates...
items IIC13b1 - IIC13b3 should be displayed on the same screen as much as space allows
Question ID:
IIC13b1
Older than you?
1
Yes
2
No
-- DK/RF
Question ID:
IIC13b2
Younger than you?
1
Yes
2
No
-- DK/RF
Question ID:
IIC13b3
About the same age as you?
1
Yes
2
No
-- DK/RF
Box ID:
PB_IIC7
IF IIC13a=DK, CONTINUE TO IIC13DK, ELSE GO TO PB_IIC8
NIS-4 Jails Survey
Westat
106
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC13DK
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
Box ID:
PB_IIC8
IF IIC9=1, CONTINUE TO IIC14a, ELSE GO TO PB_IIC9
Question ID:
IIC14a
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
Box ID:
PB_IIC9
IF IIC9=2, CONTINUE TO IIC14b, ELSE GO TO PB_IIC10
Question ID:
IIC14b
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
Box ID:
PB_IIC10
IF IIC9=1, CONTINUE TO IIC15a, ELSE GO TO PB_IIC11
NIS-4 Jails Survey
Westat
107
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC15a
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
Box ID:
PB_IIC11
IF IIC9=2, CONTINUE TO IIC15b, ELSE GO TO PB_IIC12
Question ID:
IIC15b
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
Box ID:
PB_IIC12
IF IIC9=1, CONTINUE TO IIC16a, ELSE GO TO PB_IIC13
Question ID:
IIC16a
Was this other inmate a member of a gang?
1
Yes
2
No
DK/REF
Box ID:
PB_IIC13
IF IIC9=2, CONTINUE TO IIC16b, ELSE GO TO IIC17
NIS-4 Jails Survey
Westat
108
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC16b
Were any of these inmates members of a gang?
1
Yes
2
No
DK/REF
Question ID:
IIC17
Before this incident happened, were you worried that [this inmate/any of these inmates]
might be planning to have sex or sexual contact with you?
IF IIC9=1, DISPLAY FILL= "this inmate"
IF IIC9=2, DISPLAY FILL =any of these inmates"
1
Yes
2
No
DK/REF
Question ID:
IIC18
Before this incident happened, had you had any arguments or fights with [this inmate/any of
these inmates]?
IF IIC9=1, DISPLAY FILL= "this inmate"
IF IIC9=2, DISPLAY FILL= "any of these inmates"
1
Yes
2
No
DK/REF
Question ID:
IIC19
Were you injured during this [RECENT_FILL]?
1
Yes
2
No
GO TO IIC20
DK/REF
Question ID:
IIC20
How were you injured during the incident? Did you...
items IIC20a - IIC20g should be displayed on the same screen as much as space allows
NIS-4 Jails Survey
Westat
109
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC20a
Receive knife or stab wounds?
1
Yes
2
No
-- DK/RF
Question ID:
IIC20b
Receive broken bones?
1
Yes
2
No
-- DK/RF
Question ID:
IIC20c
Have [anal/anal or vaginal] tearing?
IF GENDER=1, DISPLAY FILL= "anal"
IF GENDER=2 or 3, DISPLAY FILL= "anal or vaginal"
1
Yes
2
No
-- DK/RF
Question ID:
IIC20d
Have your teeth chipped or knocked out?
1
Yes
2
No
-- DK/RF
Question ID:
IIC20e
Receive internal injuries?
1
Yes
2
No
-- DK/RF
Question ID:
IIC20f
Get knocked unconscious?
1
Yes
2
No
-- DK/RF
NIS-4 Jails Survey
Westat
110
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC20g
Receive bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
Yes
2
No
-- DK/RF
Box ID:
PB_IIC14
IF IIC19=1, CONTINUE TO IIC21, ELSE GO TO IIC22
Question ID:
IIC21
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
Question ID:
IIC22
Did [this inmate/these inmates] do any of the following things after the incident happened?
IF IIC9=1, DISPLAY FILL= "this inmate"
IF IIC9=2, DISPLAY FILL= "these inmates"
Question ID:
IIC22a
Gave you gifts or money so that you would keep it a secret?
1
Yes
2
No
-- DK/RF
Question ID:
IIC22b
Threatened to hurt you so that you would keep it a secret?
1
Yes
2
No
-- DK/RF
NIS-4 Jails Survey
Westat
111
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC22c
Said [PerpGenderFill1] would blame it on you if you told anyone?
1
Yes
2
No
-- DK/RF
Question ID:
IIC22d
Said [PerpGenderFill1] would stop spending time with you if you told anyone?
1
Yes
2
No
-- DK/RF
Question ID:
IIC22e
Had some type of sexual contact with you again?
1
Yes
2
No
-- DK/RF
Question ID:
IIC22f
Ignored you or stayed away from you?
1
Yes
2
No
-- DK/RF
Question ID:
IIC22g
Threatened to harm your family?
1
Yes
2
No
-- DK/RF
Question ID:
IIC22h
Hurt you or beat you up?
1
Yes
2
No
-- DK/RF
NIS-4 Jails Survey
Westat
112
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC23
Did you report this [RECENT_FILL] to anyone?
1
Yes
2
No
GO TO IIC24
DK/REF
Question ID:
IIC24
Did you report the incident to...
items IIC24a - IIC24k should be displayed on the same screen as much as space allows
Question ID:
IIC24a
A correctional officer?
1
Yes
2
No
-- DK/RF
Question ID:
IIC24b
An administrative staff person?
1
Yes
2
No
-- DK/RF
Question ID:
IIC24c
A medical or healthcare staff person?
1
Yes
2
No
-- DK/RF
Question ID:
IIC24d
An instructor or teacher?
1
Yes
2
No
-- DK/RF
Question ID:
IIC24e
A counselor or other mental health care provider?
1
Yes
2
No
-- DK/RF
NIS-4 Jails Survey
Westat
113
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC24f
A chaplain or other religious official?
1
Yes
2
No
-- DK/RF
Question ID:
IIC24g
A volunteer?
1
Yes
2
No
-- DK/RF
Question ID:
IIC24h
Some other type of facility staff person?
1
Yes
2
No
-- DK/RF
Question ID:
IIC24i
A telephone hotline?
1
Yes
2
No
-- DK/RF
Question ID:
IIC24j
Another inmate?
1
Yes
2
No
-- DK/RF
Question ID:
IIC24k
A family member or friend?
1
Yes
2
No
-- DK/RF
NIS-4 Jails Survey
Westat
114
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC25
At the time the [RECENT_FILL] happened, were any other inmates aware that it was
happening?
1
Yes
2
No
DK/REF
Question ID:
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
Box ID:
PBIIC15
IF IIC23=1 CONTINUE TO IIC27, ELSE GO TO PB_IIC16
Question ID:
IIC27
Did any of the following things happen to you as a result of the report you made?
items IIC27a - IIC27f should be displayed on the same screen as much as space allows
Question ID:
IIC27a
You were moved to administrative segregation or some other protective housing?
1
Yes
2
No
-- DK/RF
Question ID:
IIC27b
You were placed in a medical unit, ward, or hospital?
1
Yes
2
No
-- DK/RF
Question ID:
IIC27c
You were confined to your own cell, room, or housing area?
1
Yes
2
No
-- DK/RF
NIS-4 Jails Survey
Westat
115
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC27d
You were given a higher level of custody within the facility?
1
Yes
2
No
-- DK/RF
Question ID:
IIC27e
You were offered a transfer to another facility?
1
Yes
2
No
-- DK/RF
Question ID:
IIC27f
You were written up?
1
Yes
2
No
-- DK/RF
Box ID:
PB_IIC16
IF IIC9=1 AND IIC23=1, CONTINUE TO IIC28a, ELSE GO TO PB_IIC17
Question ID:
IIC28a
Did any of the following things happen to the inmate who had sex or sexual contact with you?
items IIC28a1 - IIC28a8 should be displayed on the same screen as much as space allows
Question ID:
IIC28a1
The inmate was moved to administrative segregation or some other protective housing?
1
Yes
2
No
-- DK/RF
Question ID:
IIC28a2
The inmate was placed in a medical unit, ward, or hospital?
1
Yes
2
No
-- DK/RF
NIS-4 Jails Survey
Westat
116
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC28a3
The inmate was confined to [PerpGenderFill2] own cell, room, or housing area?
1
Yes
2
No
-- DK/RF
Question ID:
IIC28a4
The inmate was given a higher level of custody at this facility?
1
Yes
2
No
-- DK/RF
Question ID:
IIC28a5
The inmate was transferred to another facility?
1
Yes
2
No
-- DK/RF
Question ID:
IIC28a6
The inmate was written up?
1
Yes
2
No
-- DK/RF
Question ID:
IIC28a7
The inmate lost privileges?
1
Yes
2
No
-- DK/RF
Question ID:
IIC28a8
The inmate was charged with a crime?
1
Yes
2
No
-- DK/RF
Box ID:
PB_IIC17
IF IIC9=2 AND IIC23=1, CONTINUE TO IIC28b, ELSE GO TO IIC29
NIS-4 Jails Survey
Westat
117
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC28b
Did any of the following things happen to the inmates who had sex or sexual contact with you?
items IIC28b1 - IIC28b8 should be displayed on the same screen as much as space allows
Question ID:
IIC28b1
One or more of the inmates were moved to administrative segregation or some other protective
housing?
1
Yes
2
No
-- DK/RF
Question ID:
IIC28b2
One or more of the inmates were placed in a medical unit, ward, or hospital?
1
Yes
2
No
-- DK/RF
Question ID:
IIC28b3
One or more of the inmates were confined to their own cell, room, or housing area?
1
Yes
2
No
-- DK/RF
Question ID:
IIC28b4
One or more of the inmates were given a higher level of custody at this facility?
1
Yes
2
No
-- DK/RF
Question ID:
IIC28b5
One or more of the inmates were transferred to another facility?
1
Yes
2
No
-- DK/RF
Question ID:
IIC28b6
One or more of the inmates were written up?
1
Yes
2
No
-- DK/RF
NIS-4 Jails Survey
Westat
118
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC28b7
One or more of the inmates lost privileges?
1
Yes
2
No
-- DK/RF
Question ID:
IIC28b8
One or more of the inmates were charged with a crime?
1
Yes
2
No
-- DK/RF
Question ID:
IIC29
Since this [RECENT_FILL] happened, [has this inmate/have any of these inmates]
attempted any type of sexual contact with you?
IF IIC9=1, DISPLAY FILL= "has this inmate"
IF IIC9=2, DISPLAY FILL= "have any of these inmates"
1
Yes
2
No
DK/REF
Question ID:
IIC30
Since this [RECENT_FILL] happened, have you been worried that [this inmate will/any of
these inmates would] try to initiate sexual contact with you again?
IF IIC9 = 1 AND IIC29 NE 1, DISPLAY FILL= "this inmate will"
IF IIC9 = 2 AND IIC29 NE 1, DISPLAY FILL= "any of these inmates would"
1
Yes
2
No
DK/REF
Question ID:
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?
items IIC31a - IIC31o should be displayed on the same screen as much as space allows
NIS-4 Jails Survey
Westat
119
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC31a
Joined a gang?
1
Yes
2
No
-- DK/RF
Question ID:
IIC31b
Carried a weapon?
1
Yes
2
No
-- DK/RF
Question ID:
IIC31c
Fought more?
1
Yes
2
No
DK/RF
Question ID:
IIC31d
Worked out in order to bulk up?
1
Yes
2
No
DK/RF
Question ID:
IIC31e
Avoided certain areas?
1
Yes
2
No
DK/RF
Question ID:
IIC31f
Kept to yourself more?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
120
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC31g
Stayed in your own cell or housing area more?
1
Yes
2
No
DK/RF
Question ID:
IIC31h
Joined a religious group?
1
Yes
2
No
DK/RF
Question ID:
IIC31i
Avoided certain inmates?
1
Yes
2
No
DK/RF
Question ID:
IIC31j
Requested protective custody?
1
Yes
2
No
DK/RF
Question ID:
IIC31k
Requested transfer to another facility?
1
Yes
2
No
DK/RF
Question ID:
IIC31l
Requested a different housing unit, pod, or dormitory?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
121
11/30/2022
National Inmate Survey: Year 4
Question ID:
IIC31m
Contacted someone on the outside for help?
1
Yes
2
No
DK/RF
Question ID:
IIC31n
Tried to stay near facility staff?
1
Yes
2
No
DK/RF
Question ID:
IIC31o
Paid another inmate for protection?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
122
11/30/2022
National Inmate Survey: Year 4
DETERMINATION OF SPECIFIC INCIDENT FOR STAFF
INCIDENT REPORT (DIRS)
Question ID:
DIRS1
[Earlier you reported that, DOAFILL2, you had sex or sexual contact with a facility staff person
more than 1 time./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./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?]
IF G3 + G6 = GT 1 TIME, DISPLAY FILL ="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, DISPLAY FILL= "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, DISPLAY FILL ="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"
Box ID:
PB_DIRSa
IF G11a=1, CONTINUE TO DIRS1a, ELSE GO TO PB_DIRSb
Question ID:
DIRS1a
You touched a facility staff person's body or had your body touched in a sexual way?
1
Yes
2
No
DK/RF
Box ID:
PB_DIRSb
IF G11b=1, CONTINUE TO DIRS1b, ELSE GO TO PB_DIRSc
Question ID:
DIRS1b
You gave or received a handjob?
1
Yes
2
No
DK/RF
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Box ID:
PB_DIRSc
IF G11c=1, CONTINUE TO DIRS1c, ELSE GO TO PB_DIRSd
Question ID:
DIRS1c
You gave or received oral sex or a blowjob?
1
Yes
2
No
DK/RF
Box ID:
PB_DIRSd
IF G11d=1, CONTINUE TO DIRS1d, ELSE GO TO PB_DIRSe
Question ID:
DIRS1d
You had vaginal sex?
1
Yes
2
No
DK/RF
Box ID:
PB_DIRSe
IF G11e=1, CONTINUE TO DIRS1e, ELSE GO TO PB_DIRS1
Question ID:
DIRS1e
You had anal sex?
1
Yes
2
No
DK/RF
Box ID:
PB_DIRS1
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.
IF G3 + G6 = 1 TIME, CONTINUE TO DIRS2, ELSE GO TO PB_DIRS2
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Question ID:
DIRS2
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.
Box ID:
PB_DIRS2
IF (G6 = DK OR REF) AND (G3 = DK OR REF) OR (G2 <> 1 AND G6 = DK OR REF) OR ((G4
AND G5 <> 1) AND G3 = DK OR REF), CONTINUE TO DIRS3, ELSE GO TO PB_DIRS3
Question ID:
DIRS3
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.
Box ID:
PB_DIRS3
IF DIRS1 OR DIRS2 OR DIRS3 IS DISPLAYED, CONTINUE WITH THIS MODULE (SI), ELSE SKIP
TO VICTIMIZATION WHILE INCARCERATED (X).
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INCIDENT CHARACTERISTICS FOR STAFF-ON-INMATE
VICTIMIZATION (SI)
Box ID:
PB_SIC1
DEFINE RECENT_FILL2:
IF DIRS1 is displayed, then RECENT_FILL2 = "most recent incident" IF DIRS2 OR DIRS3 is
displayed, then RECENT_FILL2 = "incident"
Question ID:
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
Box ID:
PB_SIC2
DEFINE SI1_FILL:
IF SI1=1, then SI_FILL=CURRENT YEAR
IF SI1=2, then SI_FILL=CURRENT YEAR - 1
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Question ID:
SI2
[In what month in [SI1_FILL] did this [RECENT_FILL2] happen/In what month did this
[RECENT_FILL2] happen]?
IF SI1=1, DISPLAY: JANUARY UP TO CURRENT MONTH IN THE YEAR AS RESPONSE OPTIONS
IF SI1 NE DK OR REF, DISPLAY FILL= "In what month in [SI1_FILL] did this [RECENT_FILL2]
happen"
IF SI1= DK OR REF, DISPLAY FILL= "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
Question ID:
SI3
Did the [RECENT_FILL2] happen...
items SI3a - SI3d should be displayed on the same screen as much as space allows
Question ID:
SI3a
Between 6:00 in the morning and noon?
1
Yes
2
No
DK/RF
Question ID:
SI3b
After noon but before 6:00 in the evening?
1
Yes
2
No
DK/RF
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Question ID:
SI3c
After 6:00 in the evening but before midnight?
1
Yes
2
No
DK/RF
Question ID:
SI3d
After midnight but before 6:00 in the morning?
1
Yes
2
No
DK/RF
Question ID:
SI4
Where did the [RECENT_FILL2] happen?
items SI4a - SI4d should be displayed on the same screen as much as space allows
Question ID:
SI4a
In your own cell, room, or sleeping area?
1
Yes
2
No
DK/RF
Question ID:
SI4b
In the cell, room, or housing area of another inmate?
1
Yes
2
No
DK/RF
Question ID:
SI4c
Somewhere else in the facility?
1
Yes
2
No
GO TO SI5
DK/RF
Question ID:
SI4d
Off facility grounds?
1
Yes
2
No
GO TO SI6
DK/RF
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Box ID:
PB_SIC2_a
If SI4c=1 CONTINUE TO SI5, ELSE GO TO PB_SIC2_aa
Question ID:
SI5
Where were you when the incident happened?
items SI5a - SI5h should be displayed on the same screen as much as space allows
Question ID:
SI5a
In a shower?
1
Yes
2
No
DK/RF
Question ID:
SI5b
In a bathroom?
1
Yes
2
No
DK/RF
Question ID:
SI5c
In the yard or recreation area?
1
Yes
2
No
DK/RF
Question ID:
SI5d
In a classroom or library?
1
Yes
2
No
DK/RF
Question ID:
SI5e
In a workshop, kitchen, or other workplace?
1
Yes
2
No
DK/RF
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Question ID:
SI5f
In a closet?
1
Yes
2
No
DK/RF
Question ID:
SI5g
In an office or other locked room?
1
Yes
2
No
DK/RF
Question ID:
SI5h
On the stairs?
1
Yes
2
No
DK/RF
Box ID:
PB_SIC2_aa
If SI4d=1 CONTINUE TO SI6, ELSE GO TO SI9
Question ID:
SI6
Where were you when the incident happened?
items SI6a - SI6d should be displayed on the same screen as much as space allows
Question ID:
SI6a
A bus, van, or car?
1
Yes
2
No
DK/RF
Question ID:
SI6b
A courthouse?
1
Yes
2
No
DK/RF
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Question ID:
SI6c
Some type of temporary holding facility?
1
Yes
2
No
DK/RF
Question ID:
SI6d
A hospital or other type of medical facility?
1
Yes
2
No
DK/RF
Question ID:
SI9
Just before or during this [RECENT_FILL2], which, if any, of these things happened? Were
you...
items SI9a - SI9m should be displayed on the same screen as much as space allows
Question ID:
SI9a
Persuaded or talked into the sex or sexual contact?
1
Yes
2
No
DK/RF
Question ID:
SI9b
Given a bribe?
1
Yes
2
No
DK/RF
Question ID:
SI9c
Blackmailed?
1
Yes
2
No
DK/RF
Question ID:
SI9d
Given drugs or alcohol to get you drunk or high?
1
Yes
2
No
DK/RF
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Question ID:
SI9e
Offered protection from other inmates?
1
Yes
2
No
DK/RF
Question ID:
SI9f
Trying to pay off or settle a debt that you owed?
1
Yes
2
No
DK/RF
Question ID:
SI9g
Threatened with harm?
1
Yes
2
No
DK/RF
Question ID:
SI9h
Physically held down or restrained?
1
Yes
2
No
DK/RF
Question ID:
SI9i
Physically harmed or injured?
1
Yes
2
No
DK/RF
Question ID:
SI9j
Threatened with a weapon?
1
Yes
2
No
DK/RF
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Question ID:
SI9l
Told that your family would be deported?
1
Yes
2
No
DK/RF
Question ID:
SI9m
Told that you would lose visitation privileges?
1
Yes
2
No
DK/RF
Box ID:
PB_SIC3
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
IF TOUCHING ONLY=1, CONTINUE TO SI7, ELSE GO TO PB_SIC3a
Question ID:
SI7
Did this incident happen as part of a strip search?
1
Yes
2
No
DK/REF
Box ID:
PB_SIC3a
IF TOUCHING ONLY=1 AND SI7 NE 1, CONTINUE TO SI8, ELSE GO TO SI10
Question ID:
SI8
Did this incident happen as part of a pat down?
1
Yes
2
No
DK/REF
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Question ID:
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
Question ID:
SI11
Do you think this [RECENT_FILL2] happened because of your...
items SI11a-SI11e should be displayed on the same screen as much as space allows
Question ID:
SI11a
Race or ethnicity?
1
Yes
2
No
DK/RF
Question ID:
SI11b
Age?
1
Yes
2
No
DK/RF
Question ID:
SI11c
Religion?
1
Yes
2
No
DK/RF
Question ID:
SI11d
Gang affiliation?
1
Yes
2
No
DK/RF
Box ID:
PB_SIC3ab
IF GENDER=3, CONTINUE TO SI11e, ELSE GO TO PB_SIC3c
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Question ID:
SI11e
Gender identity?
1
Yes
2
No
DK/RF
Box ID:
PB_SIC3c
IF D2 = 1 OR 3 OR 4, CONTINUE TO SI32, ELSE GO TO PB_SIC3d
Question ID:
SI32
Do you think this [RECENT_FILL2] happened because you are [SexualOrientationFill]?
1
Yes
2
No
DK/REF
Box ID:
PB_SIC3d
IF SI10 = 1, CONTINUE TO SI12a, ELSE GO TO PB_SIC3e
Question ID:
SI12a
Was the staff person male or female?
1
Male
2
Female
DK/REF
Box ID:
PB_SIC3e
IF SI10 = 2 OR DK OR REF, CONTINUE TO SI12b, ELSE GO TO PB_SIC4
Question ID:
SI12b
Were any of the staff involved in this incident...
items SI12b1 - SI12b2 should be displayed on the same screen as much as space allows
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Question ID:
SI12b1
Male?
1
Yes
2
No
-- DK/RF
Question ID:
SI12b2
Female?
1
Yes
2
No
-- DK/RF
Box ID:
PB_SIC4
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"
Question ID:
SI13
[Was the staff person/Were any of the staff] of Hispanic, Latino, or Spanish origin?
IF SI10 = 1, DISPLAY FILL= "Was the staff person"
IF SI10=2 OR DK OR RF, DISPLAY FILL= "Were any of the staff"
1
Yes
2
No
DK/REF
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Question ID:
SI14
[Was the staff person.../Were any of the staff...]
IF SI10 = 1, DISPLAY FILL= "Was the staff person"
IF SI10=2 OR DK OR RF, DISPLAY FILL= "Were any of the staff"
Question ID:
SI14a
White?
1
Yes
2
No
DK/RF
Question ID:
SI14b
Black or African American?
1
Yes
2
No
DK/RF
Question ID:
SI14c
American Indian or Alaska Native?
1
Yes
2
No
DK/RF
Question ID:
SI14d
Asian?
1
Yes
2
No
DK/RF
Question ID:
SI14e
Native Hawaiian or other Pacific Islander?
1
Yes
2
No
DK/RF
Box ID:
PB-SIC4a
IF SI10=1 CONTINUE TO SI15a, ELSE GO TO PB_SIC4b
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Question ID:
SI15a
How old was this staff person?
1
Under 25
2
25 - 34
3
35 - 44
4
45 - 54
5
55 or older
DK/REF
Box ID:
PB_SIC4b
IF SI10 = 2 OR DK OR REF, CONTINUE TO SI15b, ELSE GO TO PB_SIC4c
Question ID:
SI15b
Were any of the staff...
items SI15b1 - SI15b3 should be displayed on the same screen as much as space allows
DK/REF
Question ID:
SI15b1
Older than you?
1
Yes
2
No
DK/RF
Question ID:
SI15b2
Younger than you?
1
Yes
2
No
DK/RF
Question ID:
SI15b3
About the same age as you?
1
Yes
2
No
DK/RF
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Box ID:
PB_SIC4c
IF SI15a = DK, CONTINUE TO SI15DK, ELSE GO TO PB_SIC4d
Question ID:
SI15DK
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
Box ID:
PB_SIC4d
IF SI10 = 1, GO TO SI16a, ELSE GO TO PB_SIC4e
Question ID:
SI16a
Was the staff person who had sexual contact with you...
items SI16a1 - SI16a3 should be displayed on the same screen as much as space allows
Question ID:
SI16a1
A correctional officer?
1
Yes
2
No
DK/RF
Question ID:
SI16a2
Another staff person working in the facility?
1
Yes
2
No
DK/RF
Question ID:
SI16a3
A volunteer in the facility?
1
Yes
2
No
DK/RF
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Box ID:
PB_SIC4e
IF SI10 = 2 OR DK OR REF, GO TO SI16b, ELSE GO TO PB_SIC4f
Question ID:
SI16b
Were any of the staff who had sexual contact with you...
items SI16b1 - SI16b3 should be displayed on the same screen as much as space allows
Question ID:
SI16b1
Correctional officers?
1
Yes
2
No
DK/RF
Question ID:
SI16b2
Other staff working in the facility?
1
Yes
2
No
DK/RF
Question ID:
SI16b3
Volunteers in the facility?
1
Yes
2
No
DK/RF
Box ID:
PB_SIC4f
IF SI10 = 1, CONTINUE TO SI17a, ELSE GO TO PB_SIC4g
Question ID:
SI17a
Before the [RECENT_FILL2] happened, did any of these things ever happen?
items SI17a1 - SI17a9 should be displayed on the same screen as much as space allows
Question ID:
SI17a1
The staff person talked to you about [StaffGenderFill2] personal life outside of work?
1
Yes
2
No
DK/RF
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Question ID:
SI17a2
The staff person gave you pictures of [StaffGenderFill3]?
1
Yes
2
No
DK/RF
Question ID:
SI17a3
The staff person wrote letters to you?
1
Yes
2
No
DK/RF
Question ID:
SI17a4
The staff person offered you things like drugs, cigarettes, alcohol, or other things you are not
allowed to have in this facility?
1
Yes
2
No
DK/RF
Question ID:
SI17a5
The staff person offered you money?
1
Yes
2
No
DK/RF
Question ID:
SI17a6
The staff person did things for you to help you get out of trouble?
1
Yes
2
No
DK/RF
Question ID:
SI17a7
The staff person spent time alone with you and asked that you not tell anyone else about that
time?
1
Yes
2
No
DK/RF
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Question ID:
SI17a8
The staff person told you that [StaffGenderFill1] had special feelings for you or was in love with
you?
1
Yes
2
No
DK/RF
Question ID:
SI17a9
The staff person talked or joked with you about sex or shared sexual stories with you?
1
Yes
2
No
DK/RF
Box ID:
PB_SIC4g
IF SI10 = 2 OR DK OR REF, CONTINUE TO SI17b, ELSE GO TO SI18
Question ID:
SI17b
Before the [RECENT_FILL2] happened, did any of these things ever happen?
items SI17b1 - SI17b9 should be displayed on the same screen as much as space allows
Question ID:
SI17b1
One or more of the staff talked to you about his or her personal life outside of work?
1
Yes
2
No
DK/RF
Question ID:
SI17b2
One or more of the staff gave you pictures of themselves?
1
Yes
2
No
DK/RF
Question ID:
SI17b3
One or more of the staff wrote letters to you?
1
Yes
2
No
DK/RF
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Question ID:
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?
1
Yes
2
No
DK/RF
Question ID:
SI17b5
One or more of the staff offered you money?
1
Yes
2
No
DK/RF
Question ID:
SI17b6
One or more of the staff did things for you to help you get out of trouble?
1
Yes
2
No
DK/RF
Question ID:
SI17b7
One or more of the staff spent time alone with you and asked that you not tell anyone else
about that time?
1
Yes
2
No
DK/RF
Question ID:
SI17b8
One or more of the staff told you that they had special feelings for you or were in love with you?
1
Yes
2
No
DK/RF
Question ID:
SI17b9
One or more of the staff talked or joked with you about sex or shared sexual stories with you?
1
Yes
2
No
DK/RF
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Question ID:
SI18
During the [RECENT_FILL2] were you injured?
1
Yes
2
No
DK/REF
Box ID:
PB_SIC4h
[IF SI18 = 1, CONTINUE TO SI19, ELSE GO TO PB_SIC4i
Question ID:
SI19
How were you injured during the incident? Did you...
items SI19a - SI19g should be displayed on the same screen as much as space allows
Question ID:
SI19a
Receive knife or stab wounds?
1
Yes
2
No
DK/RF
Question ID:
SI19b
Receive broken bones?
1
Yes
2
No
DK/RF
Question ID:
SI19c
Have [anal/anal or vaginal] tearing?
IF GENDER=1, DISPLAY FILL= "anal"
IF GENDER=2 OR 3, DISPLAY FILL= "anal or vaginal"
1
Yes
2
No
DK/RF
Question ID:
SI19d
Have your teeth chipped or knocked out?
1
Yes
2
No
DK/RF
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Question ID:
SI19e
Receive internal injuries?
1
Yes
2
No
DK/RF
Question ID:
SI19f
Get knocked unconscious?
1
Yes
2
No
DK/RF
Question ID:
SI19g
Receive bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
Yes
2
No
DK/RF
Box ID:
PB_SIC4i
IF SI18 = 1, CONTINUE TO SI20, ELSE GO TO SI21
Question ID:
SI20
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?
Question ID:
1
Yes
2
No
SI21
[Did this staff person do any of the following things after the incident happened/Did any of the
staff involved do any of the following things after the [RECENT_FILL2] happened]?
IF SI10 = 1, DISPLAY FILL= "Did this staff person do any of the following things after the
incident happened"
IF SI10=2 OR DK OR RF, DISPLAY FILL= "Did any of the staff involved do any of the following
things after the [RECENT_FILL2] happened"
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Question ID:
SI21a
Gave you gifts or money so that you would keep it secret?
1
Yes
2
No
DK/RF
Question ID:
SI21b
Threatened to hurt you so that you would keep it secret?
1
Yes
2
No
DK/RF
Question ID:
SI21c
Said [StaffGenderFill1] would blame it on you if you told anyone?
1
Yes
2
No
DK/RF
Question ID:
SI21d
Said [StaffGenderFill1] would stop spending time with you if you told anyone?
1
Yes
2
No
DK/RF
Question ID:
SI21e
Had sexual contact with you again?
1
Yes
2
No
DK/RF
Question ID:
SI21f
Ignored you or stayed away from you?
1
Yes
2
No
DK/RF
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Question ID:
SI22
Did you report this [RECENT_FILL2] to anyone?
1
Yes
2
No
DK/REF
Box ID:
PB_SIC4j
IF SI22 = 1, CONTINUE TO SI23, ELSE GO TO SI24
Question ID:
SI23
Did you report the incident to...
items SI23a - SI23k should be displayed on the same screen as much as space allows
Question ID:
SI23a
A correctional officer?
1
Yes
2
No
DK/RF
Question ID:
SI23b
An administrative staff person?
1
Yes
2
No
DK/RF
Question ID:
SI23c
A medical or healthcare staff person?
1
Yes
2
No
DK/RF
Question ID:
SI23d
An instructor or teacher?
1
Yes
2
No
DK/RF
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147
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National Inmate Survey: Year 4
Question ID:
SI23e
A counselor or other mental health care provider?
1
Yes
2
No
DK/RF
Question ID:
SI23f
A chaplain or other religious official?
1
Yes
2
No
DK/RF
Question ID:
SI23g
A volunteer?
1
Yes
2
No
DK/RF
Question ID:
SI23h
Some other type of facility staff person?
1
Yes
2
No
DK/RF
Question ID:
SI23i
A telephone hotline?
1
Yes
2
No
DK/RF
Question ID:
SI23j
Another inmate?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
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148
11/30/2022
National Inmate Survey: Year 4
Question ID:
SI23k
A family member or friend?
1
Yes
2
No
DK/RF
Question ID:
SI24
At the time the [RECENT_FILL2] happened, were any inmates aware that it was happening?
1
Yes
2
No
DK/REF
Question ID:
SI25
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
Box ID:
PB_SIC4k
IF SI22 = 1, CONTINUE TO SI26, ELSE GO TO PB_SIC4l
Question ID:
SI26
Did any of the following things happen to you as a result of the report you made?
items SI26a - SI26f should be displayed on the same screen as much as space allows
Question ID:
SI26a
You were moved to administrative segregation or some other protective housing?
1
Yes
2
No
DK/RF
Question ID:
SI26b
You were placed in a medical unit, ward, or hospital?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
149
11/30/2022
National Inmate Survey: Year 4
Question ID:
SI26c
You were confined to your own cell, room, or housing area?
1
Yes
2
No
DK/RF
Question ID:
SI26d
You were given a higher level of custody within the facility?
1
Yes
2
No
DK/RF
Question ID:
SI26le
You were offered a transfer to another facility?
1
Yes
2
No
DK/RF
Question ID:
SI26f
You were written up?
1
Yes
2
No
DK/RF
Box ID:
PB_SIC4l
IF SI10 = 1 AND SI22 =1, GO TO SI27a, ELSE GO TO PB_SIC4m
Question ID:
SI27a
Did any of the following things happen to the staff person who had sex or sexual contact with
you?
items SI27a1 - SI27a6 should be displayed on the same screen as much as space allows
Question ID:
SI27a1
The staff person was fired?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
150
11/30/2022
National Inmate Survey: Year 4
Question ID:
SI27a2
The staff person was transferred to another facility?
1
Yes
2
No
DK/RF
Question ID:
SI27a3
The staff person was transferred to a different job at this facility?
1
Yes
2
No
DK/RF
Question ID:
SI27a4
The staff person was charged with a crime?
1
Yes
2
No
DK/RF
Question ID:
SI27a5
The staff person was suspended for a period of time?
1
Yes
2
No
DK/RF
Question ID:
SI27a6
The staff person was punished or disciplined in some way other than those listed above?
1
Yes
2
No
DK/RF
Box ID:
PB_SIC4m
IF (SI10 = 2 OR DK OR REF) AND SI22 = 1, CONTINUE TO SI27b, ELSE GO TO SI28
Question ID:
SI27b
Did any of the following things happen to any of the staff who had sex or sexual contact with
you?
items SI27b1 - SI27b6 should be displayed on the same screen as much as space allows
NIS-4 Jails Survey
Westat
151
11/30/2022
National Inmate Survey: Year 4
Question ID:
SI27b1
One or more of the staff were fired?
1
Yes
2
No
DK/RF
Question ID:
SI27b2
One or more of the staff were transferred to another facility?
1
Yes
2
No
DK/RF
Question ID:
SI27b3
One or more of the staff were transferred to a different job at this facility?
1
Yes
2
No
DK/RF
Question ID:
SI27b4
One or more of the staff were charged with a crime?
1
Yes
2
No
DK/RF
Question ID:
SI27b5
One or more of the staff were suspended for a period of time?
1
Yes
2
No
DK/RF
Question ID:
SI27b6
One or more of the staff were punished or disciplined in some way other than those listed
above?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
152
11/30/2022
National Inmate Survey: Year 4
Question ID:
SI28
Since this [RECENT_FILL2] happened, [has this staff person/have any of the staff involved]
attempted any type of sexual contact with you?
IF SI10 = 1, DISPLAY FILL="has this staff person"
IF SI10=2, DK OR RF, DISPLAY FILL= "have any of the staff involved"
1
Yes
2
No
GO TO SI30
DK/REF
Question ID:
SI29
Since this [RECENT_FILL2] happened, have you been worried that [this staff person will/any
of the staff involved would] try to initiate sexual contact with you again?
IF SI10 = 1 AND SI28 NE 1, DISPLAY FILL= "this staff person will"
IF (SI10 = 2 OR DK OR REF) AND SI28 NE 1, DISPLAY FILL= "any of the staff involved would"
1
Yes
2
No
DK/REF
Question ID:
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?
items SI30a - SI30l should be displayed on the same screen as much as space allows
Question ID:
SI30a
Joined a gang?
1
Yes
2
No
DK/RF
Question ID:
SI30b
Carried a weapon?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
153
11/30/2022
National Inmate Survey: Year 4
Question ID:
SI30c
Fought more?
1
Yes
2
No
DK/RF
Question ID:
SI30d
Worked out in order to bulk up?
1
Yes
2
No
DK/RF
Question ID:
SI30e
Tried to make yourself look less attractive?
1
Yes
2
No
DK/RF
Question ID:
SI30f
Avoided certain areas?
1
Yes
2
No
DK/RF
Question ID:
SI30g
Kept to yourself more?
1
Yes
2
No
DK/RF
Question ID:
SI30h
Stayed in your own cell or housing area more?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
154
11/30/2022
National Inmate Survey: Year 4
Question ID:
SI30i
Joined a religious group?
1
Yes
2
No
DK/RF
Question ID:
SI30j
Avoided certain staff?
1
Yes
2
No
DK/RF
Question ID:
SI30k
Requested protective custody?
1
Yes
2
No
DK/RF
Question ID:
SI30l
Requested transfer to another facility?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
155
11/30/2022
National Inmate Survey: Year 4
OTHER VICTIMIZATION WHILE INCARCERATED (X)
Box ID:
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.
Question ID:
X6a
DOAFILL1, have you been written up or charged with assaulting another inmate?
1
Yes
2
No
DK/REF
Question ID:
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
Question ID:
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
Question ID:
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
NIS-4 Jails Survey
Westat
156
11/30/2022
National Inmate Survey: Year 4
Question ID:
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
NIS-4 Jails Survey
Westat
157
11/30/2022
National Inmate Survey: Year 4
PAT DOWNS AND STRIP SEARCHES (L)
Box ID:
PB_L1
IF G11a = 1, CONTINUE TO L0, ELSE GO TO S0
Box ID:
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.
Question ID:
L23
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
Box ID:
PB_L2
IF L23 =1, CONTINUE TO L23a, ELSE GO TO PB_L3
Question ID:
L23a
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...
items L23a1- L23a2 should be displayed on the same screen as much as space allows
Question ID:
L23a1
Male facility staff?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
158
11/30/2022
National Inmate Survey: Year 4
Question ID:
L23a2
Female facility staff?
1
Yes
2
No
DK/RF
Box ID:
PB_L3
IF G11a = 1, CONTINUE TO L24, ELSE GO TO PB_L4
Question ID:
L24
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
Box ID:
PB_L4
IF G11a = 1, CONTINUE TO L25, ELSE GO TO PB_L5
Question ID:
L25
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
Box ID:
PB_L5
IF L25 = 1, CONTINUE TO L25a, ELSE GO TO PB_L6
Question ID:
L25a
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...
items L25a1 - L25a2 should be displayed on the same screen as much as space allows
NIS-4 Jails Survey
Westat
159
11/30/2022
National Inmate Survey: Year 4
Question ID:
L25a1
Male facility staff?
1
Yes
2
No
DK/RF
Question ID:
L25a2
Female facility staff?
1
Yes
2
No
DK/RF
Box ID:
PB_L6
IF G11a = 1, CONTINUE TO L26, ELSE GO TO SECTION S
Question ID:
L26
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
NIS-4 Jails Survey
Westat
160
11/30/2022
National Inmate Survey: Year 4
FACILITY CONDITIONS, SUPPORT AND SAFETY (S)
Box ID:
S0
These next questions are about everyday living in this facility.
Touch the NEXT button to go to the next screen.
Question ID:
S1
Are there inmates in this facility who you think of as your friends?
1
Yes
2
No
DK/REF
Question ID:
S2
Are there inmates in this facility who you can talk to about your personal problems?
1
Yes
2
No
DK/REF
Question ID:
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
Question ID:
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
Question ID:
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
NIS-4 Jails Survey
Westat
161
11/30/2022
National Inmate Survey: Year 4
Question ID:
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
Question ID:
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
Question ID:
S8
How much privacy do you have in your housing unit?
1
None
2
A little
3
Some
4
A lot
DK/REF
Question ID:
S9
Please indicate whether you agree or disagree with each of the following statements.
Staff at this facility...
items S9a - S9i should be displayed on the same screen as much as space allows
Question ID:
S9a
Are generally fair?
1
Agree
2
Disagree
DK/RF
NIS-4 Jails Survey
Westat
162
11/30/2022
National Inmate Survey: Year 4
Question ID:
S9b
Do their best to make this facility safe and secure?
1
Agree
2
Disagree
DK/RF
Question ID:
S9c
Try to meet the needs of the inmates?
1
Agree
2
Disagree
DK/RF
Question ID:
S9d
Break up fights quickly?
1
Agree
2
Disagree
DK/RF
Question ID:
S9e
Use physical force only when necessary?
1
Agree
2
Disagree
DK/RF
Question ID:
S9f
Let inmates know what is expected of them?
1
Agree
2
Disagree
DK/RF
Question ID:
S9g
Generally treat inmates with respect?
1
Agree
2
Disagree
DK/RF
NIS-4 Jails Survey
Westat
163
11/30/2022
National Inmate Survey: Year 4
Question ID:
S9h
Follow facility rules when handling inmate complaints and grievances?
1
Agree
2
Disagree
DK/RF
Question ID:
S9i
Often write up inmates who don't deserve it?
1
Agree
2
Disagree
DK/RF
Question ID:
S13
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
Question ID:
S14
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
Question ID:
S15
DOAFILL1, how often have you seen other inmates with some type of weapon?
1
Frequently
2
Sometimes
3
Rarely
4
Never
DK/REF
NIS-4 Jails Survey
Westat
164
11/30/2022
National Inmate Survey: Year 4
Question ID:
S16
DOAFILL1, how much gang activity has there been at this facility?
1
None
2
A little
3
Some
4
A lot
DK/RF
Question ID:
S17
DOAFILL1, have you been in a fight, assault, or incident in which another inmate tried to
harm you?
1
Yes
2
No
GO TO S18
DK/RF
Question ID:
S18
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
Box ID:
PB_Sa
IF S17=1, CONTINUE TO S36, ELSE GO TO PB_S1
Question ID:
S36
DOAFILL1, what injuries have you received in a fight, assault, or incident in which another
inmate hurt you?
items S36a - S36f should be displayed on the same screen as much as space allows
Question ID:
S36a
You received knife or stab wounds?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
165
11/30/2022
National Inmate Survey: Year 4
Question ID:
S36b
You received broken bones?
1
Yes
2
No
DK/RF
Question ID:
S36c
Your teeth were chipped or knocked out?
1
Yes
2
No
DK/RF
Question ID:
S36d
You received internal injuries?
1
Yes
2
No
DK/RF
Question ID:
S36e
You were knocked unconscious?
1
Yes
2
No
DK/RF
Question ID:
S36f
You received bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
Yes
2
No
DK/RF
Box ID:
PB_S1
IF S36a = 1 OR S36b = 1 OR S36c = 1 OR S36d = 1 OR S36e = 1 OR S36f = 1, CONTINUE TO
S37, ELSE GO TO S21
Question ID:
S37
Did you see a doctor, nurse, or other health care provider for your injuries?
1
Yes
2
No
DK/REF
NIS-4 Jails Survey
Westat
166
11/30/2022
National Inmate Survey: Year 4
Question ID:
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
GO TO S22
DK/REF
Question ID:
S22
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
Box ID:
PB_S1a
IF S21=1, CONTINUE TO S34, ELSE GO TO PB_S2
Question ID:
S34
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?
items S34a - S34f should be displayed on the same screen as much as space allows
Question ID:
S34a
You received knife or stab wounds?
1
Yes
2
No
DK/RF
Question ID:
S34b
You received broken bones?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
167
11/30/2022
National Inmate Survey: Year 4
Question ID:
S34c
Your teeth were chipped or knocked out?
1
Yes
2
No
DK/RF
Question ID:
S34d
You received internal injuries?
1
Yes
2
No
DK/RF
Question ID:
S34e
You were knocked unconscious?
1
Yes
2
No
DK/RF
Question ID:
S34f
You received bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
Yes
2
No
DK/RF
Box ID:
PB_S2
IF S34a = 1 OR S34b = 1 OR S34c = 1 OR S34d = 1 OR S34e = 1 OR S34f = 1, CONTINUE TO
S35, ELSE GO TO S25
Question ID:
S35
Did you see a doctor, nurse, or other health care provider for your injuries?
1
Yes
2
No
DK/REF
NIS-4 Jails Survey
Westat
168
11/30/2022
National Inmate Survey: Year 4
Question ID:
S25
DOAFILL1, have any of your personal possessions or belongings been taken by another inmate
without your permission?
1
Yes
2
No
GO TO S26
DK/REF
Question ID:
S26
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
Question ID:
S29
DOAFILL1, do you think there has been enough staff at this facility to keep inmates safe?
1
Yes
2
No
DK/REF
Question ID:
S30
DOAFILL1, have you filed a grievance for any reason?
1
Yes
2
No
GOTO S31
DK/REF
Question ID:
S31
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
NIS-4 Jails Survey
Westat
169
11/30/2022
National Inmate Survey: Year 4
MENTAL HEALTH (R)
Question ID:
R1
The next question 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/RF
Question ID:
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
Question ID:
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
Question ID:
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
NIS-4 Jails Survey
Westat
170
11/30/2022
National Inmate Survey: Year 4
Question ID:
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
Question ID:
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
Question ID:
R24
Have you ever been told by a mental health professional, such as a psychiatrist or psychologist,
that you had...
items R24a - R24g should be displayed on the same screen as much as space allows
Question ID:
R24a
Manic depression, a bipolar disorder, or mania?
1
Yes
2
No
DK/RF
Question ID:
R24b
A depressive disorder?
1
Yes
2
No
DK/RF
Question ID:
R24c
Schizophrenia or another psychotic disorder?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
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National Inmate Survey: Year 4
Question ID:
R24d
Post-traumatic stress disorder or PTSD?
1
Yes
2
No
DK/RF
Question ID:
R24e
Another anxiety disorder, such as panic disorder or OCD?
1
Yes
2
No
DK/RF
Question ID:
R24f
A personality disorder, such as antisocial or borderline personality?
1
Yes
2
No
DK/RF
Question ID:
R24g
A mental or emotional condition other than those listed above?
1
Yes
2
No
DK/RF
Box ID:
R25
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.
Question ID:
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
GO TO R27
DK/REF
NIS-4 Jails Survey
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11/30/2022
National Inmate Survey: Year 4
Question ID:
R27
During the 12 months before you were admitted to this facility, did you stay 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
Box ID:
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.
Question ID:
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
Question ID:
R30
[At the time of the offense for which you are currently serving time, were you taking
prescription medicine for any problem you were having with your emotions, nerves, or mental
health/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]?
IF B4 = 1 AND R29 = 1, DISPLAY FILL= "At the time of the offense for which you are currently
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, DISPALY FILL= "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
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Box ID:
PB_R1
IF R29=1, CONTINUE TO R31, ELSE GO R33
Question ID:
R31
Since you were admitted to this facility, have you taken prescription medicine for any problem
you were having with your emotions, nerves, or mental health?
1
Yes
2
No
DK/REF
Question ID:
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
GO TO R34
DK/REF
Question ID:
R34
Since you were admitted to this facility, 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
Question ID:
R21
Did you ever in your life have any of the following experiences happen to you:
items R21a - R21g should be displayed on the same screen as much as space allows
Question ID:
R21a
A serious fight or physical assault?
1
Yes
2
No
DK/RF
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Question ID:
R21b
A sexual assault?
1
Yes
2
No
DK/RF
Question ID:
R21c
A life-threatening accident or injury?
1
Yes
2
No
DK/RF
Question ID:
R21d
The murder or suicide of a loved one?
1
Yes
2
No
DK/RF
Question ID:
R21e
The accidental death of a loved one?
1
Yes
2
No
DK/RF
Question ID:
R21f
Witnessed someone being seriously injured or killed?
1
Yes
2
No
DK/RF
Question ID:
R21g
Any experience that put you at risk of death?
1
Yes
2
No
DK/RF
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DISABILITY STATUS (Q)
Box ID:
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.
Question ID:
Q1
Are you deaf, or do you have serious difficulty hearing?
1
Yes
2
No
DK/REF
Question ID:
Q2
Are you blind, or do you have serious difficulty seeing even when wearing glasses?
1
Yes
2
No
DK/REF
Question ID:
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
Question ID:
Q4
Do you have serious difficulty walking or climbing stairs?
1
Yes
2
No
DK/REF
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Question ID:
Q5
Do you have difficulty dressing or bathing?
1
Yes
2
No
DK/REF
Question ID:
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
Box ID:
PB_Q1
IF Q1 OR Q2 OR Q3 OR Q4 OR Q5 OR Q6 = 1, CONTINUE TO Q7, ELSE GO TO Q8
Question ID:
Q7
Is the difficulty you experience doing activities on your own caused by...
items Q7a -Q7b should be displayed on the same screen as much as space allows
Question ID:
Q7a
A physical problem?
1
Yes
2
No
DK/RF
Question ID:
Q7b
A mental or emotional problem?
1
Yes
2
No
DK/RF
Question ID:
Q8
Did a doctor, school counselor, or other professional ever tell you that you have...
items Q8a - Q8d should be displayed on the same screen as much as space allows
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Question ID:
Q8a
ADD or ADHD?
1
Yes
2
No
DK/RF
Question ID:
Q8b
Dyslexia?
1
Yes
2
No
DK/RF
Question ID:
Q8c
A learning disability?
1
Yes
2
No
DK/RF
Question ID:
Q8d
Autism or Asperger's?
1
Yes
2
No
DK/RF
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RESTRICTIVE HOUSING MODULE (RH)
Question ID:
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.
Box ID:
PB_RH1
IF A9a=2 OR DK OR RF, CONTINUE TO RH1, ELSE GO TO PB_RH2
Question ID:
RH1
DOAFILL1, have you spent any time in disciplinary or administrative segregation, or solitary
confinement?
Box ID:
1
Yes
2
No
GO TO M0
DK/REF
GO TO M0
PB_RH2
IF A9a = 1 OR RH1 = 1, CONTINUE TO RH2, ELSE GO TO PB_RH2a
Question ID:
RH2
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
Box ID:
PB_RH2a
IF [RH2 = 1 OR DK OR RF] OR RH2 >1, CONTINUE TO RH3, ELSE GO TO PB_RH2b
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Question ID:
RH3
DOAFILL1, how many days [did you spend/altogether have you spent] in disciplinary or
administrative segregation, or solitary confinement?
IF RH2 = 1 OR DK OR REF, DISPLAY FILL="did you spend"
IF RH2>1, DISPLAY FILL="altogether have you spent"
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
Box ID:
PB_RH2b
IF RH1 = 1 OR A9a=1, CONTINUE TO RH4, ELSE GO TO PB_RH4
Question ID:
RH4
[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.../Why do you think you have been assigned to disciplinary or administrative segregation or
solitary confinement? Is it...]
IF RH1 = 1, DISPLAY FILL= "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, DISPLAY FILL="Why do you think you have been assigned to disciplinary or
administrative segregation, or solitary confinement? Is it..."
Question ID:
RH4a
Because you were a danger to yourself?
1
Yes
2
No
DK/RF
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Question ID:
RH4b
For mental health reasons?
1
Yes
2
No
DK/RF
Question ID:
RH4_new
Due to COVID restrictions?
1
Yes
2
No
DK/RF
Question ID:
RH4c
For medical reasons other than COVID?
1
Yes
2
No
DK/RF
Question ID:
RH4d
Because you asked to be placed there for your own protection?
1
Yes
2
No
DK/RF
Question ID:
RH4e
As a punishment for breaking rules?
1
Yes
2
No
DK/RF
Question ID:
RH4f
For a cool down period?
1
Yes
2
No
DK/RF
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Question ID:
RH4g
For some other reason?
1
Yes
2
No
DK/RF
Box ID:
PB_RH4
IF RH4e = 1, CONTINUE TO RH5, ELSE GO TO PB_RH4a
Question ID:
RH5
What facility rules were you accused of breaking that led to you being assigned to disciplinary or
administrative segregation, or solitary confinement [IF RH2 > 1, INCLUDE "the most recent
time"?
IF RH4e = 1, DISPLAY FILL= "What facility rules were you accused of breaking that led to you
being assigned to disciplinary or administrative segregation, or solitary confinement"
[IF RH2 > 1, DISPLAY FILL= "What facility rules were you accused of breaking that led to you
being assigned to disciplinary or administrative segregation, or solitary confinement the most
recent time?"
Question ID:
RH5a
Fighting with another inmate?
1
Yes
2
No
DK/REF
Question ID:
RH5b
Verbally assaulting staff?
1
Yes
2
No
DK/REF
Question ID:
RH5c
Physically assaulting staff?
1
Yes
2
No
DK/REF
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Question ID:
RH5d
Possession of contraband?
1
Yes
2
No
DK/REF
Question ID:
RH5e
Having sexual contact with staff?
1
Yes
2
No
DK/REF
Question ID:
RH5f
Having sexual contact with another inmate?
1
Yes
2
No
DK/REF
Question ID:
RH5g
Noncompliance?
1
Yes
2
No
DK/REF
Question ID:
RH5h
Some other rule or rules?
1
Yes
2
No
DK/REF
Box ID:
PB_RH4a
IF RH4e = 1, CONTINUE TO RH6, ELSE GO TO PB_RH5
Question ID:
RH6
Were you given a hearing after being placed in disciplinary or administrative segregation, or
solitary confinement to determine if you were guilty of breaking facility rules?
1
Yes
2
No
DK/REF
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Box ID:
PB_RH5
IF RH1=1 AND RH2>1, CONTINUE TO RH7, ELSE GO TO PB_RH5a
Question ID:
RH7
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
Box ID:
PB_RH5a
IF [RH1=1 AND A9a NE 1] OR A9a = 1 , CONTINUE TO RH8, ELSE GO TO PB_RH5b
Question ID:
RH8
[During the [IF RH2 > 1, INCLUDE "most recent"] time you were in disciplinary or
administrative segregation, or solitary confinement, were you in a cell by yourself for all or most
of the time/Are you being housed in a cell by yourself]?
IF RH1=1 AND A9a NE 1 DISPLAY= "During the [IF RH2 > 1, INCLUDE "most recent"] time you
were in disciplinary or administrative segregation, or solitary confinement, were you in a cell by
yourself for all or most of the time?"
IF A9a=1 DISPLAY = "Are you being housed in a cell by yourself?"
1
Yes
2
No
DK/REF
Box ID:
PB_RH5b
IF [RH8=2 AND A9a=2 AND RH1=1] OR [RH8 = 2 AND A9a = 1], CONTINUE TO RH9, ELSE GO
TO PB_RH5c
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Question ID:
RH9
[How many other inmates were in the cell with you the [IF RH2 > 1, INCLUDE "most recent"]
time you were in disciplinary or administrative segregation, or solitary confinement?/How many
other inmates are in the cell with you?]
[IF RH8 = 2 AND A9a = 2 AND RH1 = 1] , DISPLAY FILL= "How many other inmates were in the
cell with you the [IF RH2 > 1, INCLUDE "most recent"] time you were in disciplinary or
administrative segregation, or solitary confinement?"
IF RH8 = 2 AND A9a = 1, DISPLAY FILL= "How many other inmates are in the cell with you?"
-- NUMBER OF INMATES:
[RANGE:1-90]
DK/REF
PROGRAM NOTES: RANGE: 1 - 90
Box ID:
PB_RH5c
IF RH1=1 OR A9a=1, CONTINUE TO RH10, ELSE GO TO PB_RH5d
Question ID:
RH10
[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/Are you able to leave your cell at least once every day]?
IF RH1 = 1, DISPLAY FILL= "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, DISPLAY FILL= '"Are you able to leave your cell at least once every day"
1
Yes
2
No
DK/REF
Box ID:
PB_RH5d
IF RH1=1 OR A9a=1, CONTINUE TO RH12, ELSE GO TO PB_RH5e
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Question ID:
RH12
[Did you have the same access to your lawyer or attorney as you did before you were placed in
disciplinary or administrative segregation, or solitary confinement [IF RH2>1, INCLUDE "this
most recent time"/Do you have the same access to your lawyer or attorney as you did before
you were placed in disciplinary or administrative segregation, or solitary confinement]?
IF RH1 = 1, DISPLAY FILL= "Did you have the same access to your lawyer or attorney as you
did before you were placed in disciplinary or administrative segregation, or solitary confinement
[IF RH2>1, INCLUDE "this most recent time"
IF A9a=1, DISPLAY FILL= "Do you have the same access to your lawyer or attorney as you did
before you were placed in disciplinary or administrative segregation, or solitary confinement"
1
Yes
2
No
DK/REF
Box ID:
PB_RH5e
IF RH1=1 OR A9a=1, CONTINUE TO RH13, ELSE GO TO PB_RH5f
Question ID:
RH13
[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"]/Are you
able to talk to staff every day in disciplinary or administrative segregation or solitary
confinement]?
IF RH1 = 1, DISPLAY FILL= "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, DISPLAY FILL= "Are you able to talk to staff every day in disciplinary or
administrative segregation or solitary confinement"
1
Yes
2
No
DK/REF
Box ID:
PB_RH5f
IF RH1=1 OR A9a=1, CONTINUE TO RH14, ELSE GO TO PB_RH6
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Question ID:
RH14
[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"]/Has a trained counselor or mental health professional checked on you while
you have been in disciplinary or administrative segregation, or solitary confinement]?
IF RH1 = 1, DISPLAY FILL="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, DISPLAY FILL= "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
Box ID:
PB_RH6
IF [RH14=1 AND RH1=1] OR [IF RH14 = 1 AND A9a = 1] , CONTINUE TO RH15, ELSE IF
RANDOM = 95, SKIP TO M0
Question ID:
RH15
[How often 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"/How often has a trained counselor or mental health professional checked on
you while you have been in disciplinary or administrative segregation, or solitary confinement]?
IF RH14 = 1 AND RH1 = 1, DISPLAY FILL="How often 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 RH14 = 1 AND A9a = 1, DISPLAY FILL= "How often has a trained counselor or mental health
professional checked on you while you have been in disciplinary or administrative segregation,
or solitary confinement"
1
Every day
2
A few times a week
3
Once a week
4
Less than a week
DK/REF
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National Inmate Survey: Year 4
CHILDHOOD EXPERIENCES (CE)
Question ID:
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?
items CE1a - CE1g should be displayed on the same screen as much as space allows
Question ID:
CE1a
Did your mother or father die before you were 18?
1
Yes
2
No
DK/RF
Question ID:
CE1b
Did your parents separate or divorce before you were 18?
1
Yes
2
No
DK/RF
Question ID:
CE1c
Did either parent attempt or commit suicide?
1
Yes
2
No
DK/RF
Question ID:
CE1d
Was either parent in prison or jail for 6 months or longer?
1
Yes
2
No
DK/RF
Question ID:
CE1e
Did either parent, or person who raised you, have a mental illness?
1
Yes
2
No
DK/RF
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Question ID:
CE1f
Did either parent, or person who raised you, have an alcohol or drug problem?
1
Yes
2
No
DK/RF
Question ID:
CE1g
Were you sent to a juvenile detention center?
1
Yes
2
No
DK/RF
Question ID:
CE2
At any time [before you turned 18 did you live.../since you were born have you lived...]
IF RESPAGE GT 17, DISPLAY: "before you turned 18 did you live..."
IF RESPAGE = 16 OR 17, DISPLAY: "since you were born have you lived..."
Question ID:
CE2a
With your biological mother?
1
Yes
2
No
DK/RF
Question ID:
CE2b
With your biological father?
1
Yes
2
No
DK/RF
Question ID:
CE2c
In a foster home?
1
Yes
2
No
DK/RF
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Question ID:
CE3
How often [did you do each of the following things before age 18/have you done each of the
following things]?
IF RESPAGE GT 17, DISPLAY: "did you do each of the following things before age 18"
IF RESPAGE = 16 OR 17, DISPLAY: "have you done each of the following things"
Question ID:
CE3a
Bully or threaten other kids?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE3b
Start fights?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE3c
Run away from home and stay away overnight?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
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Question ID:
CE3d
Lie, or "con," other people?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE3e
Set fires?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE3f
Stay out very late, long after you were supposed to be home?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE3g
Skip school?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
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Question ID:
CE4
How often [did you do each of the following things before age 18/have you done each of the
following things]?
IF RESPAGE GT 17, DISPLAY: "did you do each of the following things before age 18"
IF RESPAGE = 16 OR 17, DISPLAY: "have you done each of the following things"
Question ID:
CE4a
Argue, or "talk back," to adults?
Question ID:
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
CE4b
Disobey rules at home, school, or work?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE4c
Refuse to follow directions from adults like your parents, teacher, or boss?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE4d
Blame others for your mistakes or bad behavior?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
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Question ID:
CE4e
Do mean things to "pay people back" for things they did that you didn't like?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE5
How often [did you have each of the following experiences before age 18/have you had each of
the following experiences]?
IF RESPAGE GT 17, DISPLAY: "did you have each of the following experiences before age 18"
IF RESPAGE = 16 OR 17, DISPLAY: "have you had each of the following experiences"
Question ID:
CE5a
Your family was on welfare?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE5b
You were homeless?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
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Question ID:
CE5c
You had to do chores too hard or dangerous for someone your age?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE5d
You didn't have anyone who would take care of you or protect you?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE5e
Nobody ensured you had adequate food or clothing or medical care?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE5f
Someone touched you or made you touch them in a sexual way against your will?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
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Question ID:
CE5g
You were sexually abused at home?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE5h
You were beaten up or terrorized by bullies at school or in the neighborhood?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE6
How often [did you have each of the following experiences before age 18/have you had each of
the following experiences]?
IF RESPAGE GT 17, DISPLAY: "did you have each of the following experiences before age 18"
IF RESPAGE = 16 OR 17, DISPLAY: "have you had each of the following experiences"
Question ID:
CE6a
Someone in your family hit you so hard that it left bruises or marks?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
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Question ID:
CE6b
You were physically abused at home?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE6c
You felt that someone in your family hated you?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE6d
You were emotionally abused at home?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE6e
People in your family said hurtful or insulting things to you?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
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Question ID:
CE6f
Someone in your family made you feel important?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE6g
You felt loved and cared for?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
Question ID:
CE6h
Your family was a source of strength and support?
1
Very Often
2
Often
3
Sometimes
4
Rarely
5
Never
DK/RF
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LIVING AREA ACTIVITIES (LA)
Box ID:
PB_LA1
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"
Question ID:
LA_2
These questions are about this jail and how inmates are housed here.
[Earlier you said you spent last night in [A9c_FILL]. Including you, about how many
inmates are currently housed in this housing unit/Including you, about how may inmates are
currently housed in the housing unit where you spent last night]?
IF A9c = 1 OR 2 OR 3 OR 4 OR 5, DISPLAY FILL= "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, DISPLAY FILL = "Including you, about how may 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
Question ID:
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
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Question ID:
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
Question ID:
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
Question ID:
LA_18
How much privacy do you have in your housing unit?
1
None
2
A little
3
Some
4
A lot
DK/REF
Question ID:
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
Question ID:
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
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Question ID:
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
Question ID:
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
Question ID:
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:
DK/REF
NOTES: [RANGE: 1 - 24]
Question ID:
LA_9
During the last 24 hours, did you spend any time outdoors?
1
Yes
2
No
GO TO LA_10
DK/REF
Question ID:
LA_10
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
NIS-4 Jails Survey
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National Inmate Survey: Year 4
Question ID:
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
Question ID:
LA_12
The next questions are about how you spend your time at this jail. Please think about how you
spent the last 24 hours.
During the last 24 hours, did you...
items LA_12a - LA_12l should be displayed on the same screen as much as space allows
Question ID:
LA_12a
Attend a class or training?
1
Yes
2
No
DK/RF
Question ID:
LA_12b
Exercise or work out?
1
Yes
2
No
DK/RF
Question ID:
LA_12c
Watch television?
1
Yes
2
No
DK/RF
Question ID:
LA_12d
Read books, newspapers or magazines?
1
Yes
2
No
DK/RF
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Question ID:
LA_12e
Work at a job?
1
Yes
2
No
DK/RF
Question ID:
LA_12f
Participate in religious meetings or activities?
1
Yes
2
No
DK/RF
Question ID:
LA_12g
Have in-person visits with family or friends?
1
Yes
2
No
DK/RF
Question ID:
LA_12h
Talk on the telephone with family or friends?
1
Yes
2
No
DK/RF
Question ID:
LA_12i
Play games like cards, chess, checkers, or sports with other inmates?
1
Yes
2
No
DK/RF
Question ID:
LA_12j
Talk with your lawyer - either in person or on the telephone?
1
Yes
2
No
DK/RF
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Question ID:
LA_12k
Visit the library?
1
Yes
2
No
DK/RF
Question ID:
LA_12l
Visit the infirmary or medical ward?
1
Yes
2
No
DK/RF
Question ID:
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?
items LA_14a - LA_14l should be displayed on the same screen as much as space allows
Box ID:
PB_LA3
IF LA_12a = 2 OR DK OR REF, CONTINUE TO LA_14a, ELSE GO TO PB_LA4
Question ID:
LA_14a
Attend a class or training?
1
Yes
2
No
DK/RF
Box ID:
PB_LA4
IF LA_12b = 2 OR DK OR REF, CONTINUE TO LA_14b, ELSE GO TO PB_LA5
Question ID:
LA_14b
Exercise or work out?
1
Yes
2
No
DK/RF
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Box ID:
PB_LA5
IF LA_12c = 2 OR DK OR REF, CONTINUE TO LA_14c, ELSE GO TO PB_LA_6
Question ID:
LA_14c
Watch television?
1
Yes
2
No
DK/RF
Box ID:
PB_LA6
IF LA_12d = 2 OR DK OR REF, CONTINUE TO LA_14d, ELSE GO TO PB_LA7
Question ID:
LA_14d
Read books, newspapers or magazines?
1
Yes
2
No
DK/RF
Box ID:
PB_LA7
IF LA_12e = 2 OR DK OR REF, CONTINUE TO LA_14e, ELSE GO TO PB_LA8
Question ID:
LA_14e
Work at a job?
1
Yes
2
No
DK/RF
Box ID:
PB_LA8
IF LA_12f = 2 OR DK OR REF, CONTINUE TO LA_14f, ELSE GO TO PB_LA9
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Question ID:
LA_14f
Participate in religious meetings or activities?
1
Yes
2
No
DK/RF
Box ID:
PB_LA9
IF LA_12g = 2 OR DK OR REF, CONTINUE TO 14g, ELSE GO TO PB_LA10
Question ID:
LA_14g
Have in-person visits with family or friends?
1
Yes
2
No
DK/RF
Box ID:
PB_LA10
IF LA_12h = 2 OR DK OR REF, CONTINUE TO LA_14h, ELSE GO TO PB_LA11
Question ID:
LA_14h
Talk on the telephone with family or friends?
1
Yes
2
No
DK/RF
Box ID:
PB_LA11
IF LA_12i = 2 OR DK OR REF, CONTINUE TO LA_14i, ELSE GO TO PB_LA12
Question ID:
LA_14i
Play games with other inmates such as cards, chess, checkers, or sports?
1
Yes
2
No
DK/RF
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Box ID:
PB_LA12
IF LA_12j = 2 OR DK OR REF, CONTINUE TO LA_14j, ELSE GO TO PB_LA13
Question ID:
LA_14j
Talk with your lawyer - either in person or on the telephone?
1
Yes
2
No
DK/RF
Box ID:
PB_LA13
IF LA_12k = 2 OR DK OR REF, CONTINUE TO LA_14k, ELSE GO TO PB_LA14
Question ID:
LA_14k
Visit the library?
1
Yes
2
No
DK/RF
Box ID:
PB_LA14
IF LA_12l = 2 OR DK OR REF, CONTINUE TO LA_14l, ELSE GO TO LA_15
Question ID:
LA_14l
Visit the infirmary or medical ward?
1
Yes
2
No
DK/RF
Question ID:
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
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Question ID:
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
Question ID:
LA_20
Are there inmates in this facility who you think of as your friends?
1
Yes
2
No
DK/REF
Question ID:
LA_21
Are there inmates in this facility who you can talk to about your problems?
1
Yes
2
No
DK/REF
Question ID:
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
Question ID:
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
Question ID:
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
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National Inmate Survey: Year 4
ALTERCATIONS, FIGHTS AND GRIEVANCES (AFG)
Question ID:
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
Question ID:
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
Question ID:
AFG4
DOAFILL1, how often have you seen other inmates with some type of weapon?
1
Frequently
2
Sometimes
3
Rarely
4
Never
DK/REF
Question ID:
AFG5
DOAFILL1, how often has there been gang activity at this facility?
1
Frequently
2
Sometimes
3
Rarely
4
Never
DK/REF
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Question ID:
AFG6
DOAFILL1,have you been in a fight, assault, or incident in which another inmate tried to
harm you?
Question ID:
1
Yes
2
No
GO TO AFG10
DK/REF
GO TO AFG10
AFG7
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
Question ID:
AFG8
DOAFILL1, what injuries did you receive [in the fight, assault, or incident/during any of the
fights, assaults, or incidents] in which another inmate tried to harm you]?
IF AFG6 = 1 AND AFG7 = 1, DISPLAY FILL = "in the fight, assault, or incident"
IF AFG6 = 1 AND AFG7 = 2 OR 3 OR 4 OR DK OR REF, DISPLAY FILL= "during any of the fights,
assaults, or incidents"
Question ID:
AFG8a
You received knife or stab wounds?
1
Yes
2
No
DK/RF
Question ID:
AFG8b
You received broken bones?
1
Yes
2
No
DK/RF
Question ID:
AFG8c
Your teeth were chipped or knocked out?
1
Yes
2
No
DK/RF
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Question ID:
AFG8d
You received internal injuries?
1
Yes
2
No
DK/RF
Question ID:
AFG8e
You were knocked unconscious?
1
Yes
2
No
DK/RF
Question ID:
AFG8f
You received bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
Yes
2
No
DK/RF
Box ID:
PB_AFG1
IF AFG8a = 1 OR AFG8b = 1 OR AFG8c = 1 OR AFG8d = 1 OR AFG8e = 1 OR AFG8f = 1,
CONTINUE TO AFG9, ELSE GO TO AFG10
Question ID:
AFG9
Did you see a doctor, nurse, or other health care provider for your injuries?
1
Yes
2
No
DK/REF
Question ID:
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
GO TO AFG11
DK/REF
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Question ID:
AFG11
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
Question ID:
AFG12
DOAFILL1, what injuries did you receive [in the fight, assault, or incident/in any of the fights,
assaults, or incidents] in which a correctional officer or other facility staff person tried to
harm you?
IF AFG10 = 1 AND AFG11 = 1, DISPLAY FILL= "in the fight, assault, or incident"
IF AFG10 = 1 AND AFG11 = 2 OR 3 OR 4 OR DK OR REF, DISPLAY FILL= "in any of the fights,
assaults, or incidents"
Question ID:
AFG12a
You received knife or stab wounds?
1
Yes
2
No
DK/RF
Question ID:
AFG12b
You received broken bones?
1
Yes
2
No
DK/RF
Question ID:
AFG12c
Your teeth were chipped or knocked out?
1
Yes
2
No
DK/RF
Question ID:
AFG12d
You received internal injuries?
1
Yes
2
No
DK/RF
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Question ID:
AFG12e
You were knocked unconscious?
1
Yes
2
No
DK/RF
Question ID:
AFG12f
You received bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
Yes
2
No
DK/RF
Box ID:
PB_AFG2
IF AFG12a = 1 OR AFG12b = 1 OR AFG12c = 1 OR AFG12d = 1 OR AFG12e = 1 OR AFG12f = 1,
CONTINUE TO AFG13, ELSE GO TO AFG14
Question ID:
AFG13
Did you see a doctor, nurse, or other health care provider for your injuries?
1
Yes
2
No
DK/REF
Question ID:
AFG14
DOAFILL1,have any of your personal possessions or belongings been taken by another inmate
without your permission?
1
Yes
2
No
GO TO AFG15
DK/REF
Question ID:
AFG15
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
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Question ID:
AFG16
DOAFILL1, do you think there has been enough staff at this facility to keep inmates safe?
1
Yes
2
No
DK/REF
Question ID:
AFG17
DOAFILL1,have you filed a grievance for any reason?
1
Yes
2
No
GO TO AFG18
DK/REF
Question ID:
AFG18
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
Question ID:
AFG1
DOAFILL1, have you been written up or charged with...
items AFG1a - AFG1k should be displayed on the same screen as much as space allows
Question ID:
AFG1a
A drug violation, such as possession, use, or dealing in drugs?
1
Yes
2
No
DK/RF
Question ID:
AFG1b
Possession of a weapon?
1
Yes
2
No
DK/RF
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Question ID:
AFG1c
Possession of stolen property?
1
Yes
2
No
DK/RF
Question ID:
AFG1d
Possession of any other unauthorized substance or item?
1
Yes
2
No
DK/RF
Question ID:
AFG1e
Verbal assault on a correctional officer or other staff member?
1
Yes
2
No
DK/RF
Question ID:
AFG1f
Physical assault on a correctional officer or other staff member?
1
Yes
2
No
DK/RF
Question ID:
AFG1g
Verbal assault on another inmate?
1
Yes
2
No
DK/RF
Question ID:
AFG1h
Physical assault on another inmate?
1
Yes
2
No
DK/RF
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Question ID:
AFG1i
Escape or attempted escape?
1
Yes
2
No
DK/RF
Question ID:
AFG1j
Any other major violation, including work slowdowns, food strikes, setting fires, rioting, etc.?
1
Yes
2
No
DK/RF
Question ID:
AFG1k
Any minor violations relating to facility orderliness and operation, such as use of abusive
language, horseplay, failing to follow sanitary regulations, etc.?
1
Yes
2
No
DK/RF
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National Inmate Survey: Year 4
WORK ASSIGNMENTS (WA)
Question ID:
WA1
Now think about work assignments at this facility.
Do you currently have a work assignment outside this jail facility for which you leave the jail
grounds?
1
Yes
2
No
GO TO WA2
DK/REF
Question ID:
WA2
For how many weeks have you been working at this work assignment that requires you to leave
the jail grounds?
1
Less than 1 week
2
1 - 5 weeks
3
6 - 12 weeks
4
13 weeks or longer
DK/REF
Box ID:
PB_WA1
IF WA1 = 1, CONTINUE TO WA3, ELSE GO TO WA4
Question ID:
WA3
In the past 7 days, about how many hours did you work outside the jail facility?
1
1 - 8 hours
2
9 - 16 hours
3
17 - 24 hours
4
25 - 32 hours
5
33 hours or more
DK/REF
Question ID:
WA4
Do you currently have a work assignment inside this jail or on the grounds of the jail?
1
Yes
2
No
GO TO WA5
DK/REF
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Question ID:
WA5
For how many weeks have you been working at this work assignment inside the jail or on the
grounds of the jail?
1
Less than 1 week
2
1 - 5 weeks
3
6 - 12 weeks
4
13 weeks or longer
DK/REF
Box ID:
PB_WA2
IF WA4 = 1, CONTINUE TO WA6, ELSE GO TO PB_WA3
Question ID:
WA6
In the past 7 days, about how many hours did you work inside this jail or on the grounds of the
jail?
1
1 - 8 hours
2
9 - 16 hours
3
17 - 24 hours
4
25 - 32 hours
5
33 hours or more
DK/REF
Box ID:
PB_WA3
IF WA1 = 1 OR WA4 = 1, CONTINUE TO WA7, ELSE GO TO PB_WA4
Question ID:
WA7
Are you required to have a work assignment while in this jail?
1
Yes
2
No
DK/REF
Box ID:
PB_WA4
IF WA1 = 1 OR WA4 = 1, CONTINUE TO WA8, ELSE GO TO PB_WA6
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Question ID:
WA8
Are you paid money for the work assignment you have?
1
Yes
2
No
DK/REF
Question ID:
WA9
[Other than money, do you receive anything else for the work assignment you do, such as time
credits or other privileges/Do you receive anything else for the work assignment you do, such as
time credits or other privileges]?
IF WA8 = 1, DISPLAY FILL = "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,
DISPLAY FILL = "Do you receive anything else for the work assignment you do, such as time
credits or other privileges"
1
Yes
2
No
DK/REF
Box ID:
PB_WA5
IF WA7 = 2, CONTINUE TO WA10, ELSE GO TO PB_WA6
Question ID:
WA10
Inmates choose to have a work assignment for different reasons. Do you have a work
assignment...
items WA10a - WA10e should be displayed on the same screen as much as space allows
Question ID:
WA10a
To break up boredom or see what the work assignment is like?
1
Yes
2
No
DK/RF
Question ID:
WA10b
To spend time with friends or make friends?
1
Yes
2
No
DK/RF
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Question ID:
WA10c
To try to get out of jail early?
1
Yes
2
No
DK/RF
Question ID:
WA10d
To learn some new job skills?
1
Yes
2
No
DK/RF
Question ID:
WA10e
To earn spending money?
1
Yes
2
No
DK/RF
Box ID:
PB_WA6
IF WA1 = 2 AND WA4 = 2, CONTINUE TO WA11, ELSE GO TO WA12
Question ID:
WA11
DOAFILL1, have you ever had a work assignment?
1
Yes
2
No
GO TO WA12
DK/REF
Question ID:
WA12
When was the last time you had a work assignment at this jail?
1
Within the past month
2
1 - 3 months ago
3
4 - 6 months ago
4
7 - 12 months ago
DK/REF
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Box ID:
PB_WA7
IF WA11 = 1 OR 2, CONTINUE TO WA13, ELSE GO TO PP_1
Question ID:
WA13
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.
items WA13a - WA13e should be displayed on the same screen as much as space allows
Question ID:
WA13a
You are not healthy enough to work?
1
Yes
2
No
DK/RF
Question ID:
WA13b
You don't want to do the jobs that are available?
1
Yes
2
No
DK/RF
Question ID:
WA13c
Facility staff will not allow you to work?
1
Yes
2
No
DK/RF
Question ID:
WA13d
You don't have the skills needed?
1
Yes
2
No
DK/RF
Question ID:
WA13e
You would rather do other things with your time?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
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National Inmate Survey: Year 4
PROGRAM PARTICIPATION (PP)
Question ID:
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
Yes
2
No
DK/REF
Box ID:
PB_PP1
IF PP_1 = 1, CONTINUE TO PP_2, ELSE GO TO PB_PP2
Question ID:
PP_2
DOAFILL1, were you required to participate in any job training programs?
1
Yes
2
No
DK/REF
Question ID:
PP_3
Are you currently participating in any job training programs?
1
Yes
2
No
DK/REF
Box ID:
PB_PP1b
IF PP_3 =2, CONTINUE TO PP_4, ELSE GO TO PB_PP2
Question ID:
PP_4
Why aren't you participating in any job training programs?
items PP_4a - PP_4e should be displayed on the same screen as much as space allows
NIS-4 Jails Survey
Westat
221
11/30/2022
National Inmate Survey: Year 4
Question ID:
PP_4a
You completed the program?
1
Yes
2
No
DK/RF
Question ID:
PP_4b
You quit or dropped out of the program?
1
Yes
2
No
DK/RF
Question ID:
PP_4c
You are no longer allowed to participate in the program?
1
Yes
2
No
DK/RF
Question ID:
PP_4d
The program is no longer available at this facility?
1
Yes
2
No
DK/RF
Question ID:
PP_4e
Some other reason?
1
Yes
2
No
DK/RF
Box ID:
PB_PP2
IF PP_1 = 2, CONTINUE TO PP_5, ELSE GO TO PB_PP3
Question ID:
PP_5
Why haven't you participated in any job training programs DOAFILL2?
items PP_5a - PP_5g should be displayed on the same screen as much as space allows
NIS-4 Jails Survey
Westat
222
11/30/2022
National Inmate Survey: Year 4
Question ID:
PP_5a
You are not interested in the program?
1
Yes
2
No
DK/RF
Question ID:
PP_5b
You are not eligible to participate in the program?
1
Yes
2
No
DK/RF
Question ID:
PP_5c
You are too busy to attend the program?
1
Yes
2
No
DK/RF
Question ID:
PP_5d
You don't need job training?
1
Yes
2
No
DK/RF
Question ID:
PP_5e
You don't think the program would be useful?
1
Yes
2
No
DK/RF
Question ID:
PP_5f
Job training programs are no longer offered at this facility?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
223
11/30/2022
National Inmate Survey: Year 4
Question ID:
PP_5g
Some other reason?
1
Yes
2
No
DK/RF
Box ID:
PB_PP3
IF PP_1 = 1, CONTINUE TO PP_6, ELSE GO TO PP_7
Question ID:
PP_6
Why did you participate in job training programs DOAFILL2?
items PP_6a - PP_6e should be displayed on the same screen as much as space allows
Question ID:
PP_6a
To break up boredom or see what the program was like?
1
Yes
2
No
DK/RF
Question ID:
PP_6b
To spend time with friends or make friends?
1
Yes
2
No
DK/RF
Question ID:
PP_6c
To try to get out of jail early?
1
Yes
2
No
DK/RF
Question ID:
PP_6d
To learn some new skills?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
224
11/30/2022
National Inmate Survey: Year 4
Question ID:
PP_6e
Some other reason?
1
Yes
2
No
DK/RF
Question ID:
PP_7
DOAFILL1,have you participated in any education programs, such as high school, GED, adult
basic education, college courses, or English as a Second Language?
Question ID:
1
Yes
GO TO PP_8
2
No
GO TO PB_PP5
DK/REF
GO TO PB_PP5
PP_8
DOAFILL1, were you required to participate in any education programs?
1
Yes
2
No
DK/REF
Box ID:
PB_PP4
IF PP_7 = 1, CONTINUE TO PP_9, ELSE GO TO PB_PP5
Question ID:
PP_9
Are you currently participating in any education programs?
1
Yes
2
No
GO TO PP_10
DK/REF
Question ID:
PP_10
Why aren't you participating in any education programs?
items PP_10a - PP_10e should be displayed on the same screen as much as space allows
Question ID:
PP_10a
You completed the program?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
225
11/30/2022
National Inmate Survey: Year 4
Question ID:
PP_10b
You quit or dropped out of the program?
1
Yes
2
No
DK/RF
Question ID:
PP_10c
You are no longer allowed to participate in the program?
1
Yes
2
No
DK/RF
Question ID:
PP_10d
The program is no longer available at this facility?
1
Yes
2
No
DK/RF
Question ID:
PP_10e
Some other reason?
1
Yes
2
No
DK/RF
Box ID:
PB_PP5
IF PP_7 = 2, CONTINUE TO PP_11, ELSE GO TO PB_PP6
Question ID:
PP_11
Why haven't you participated in any education programs DOAFILL2?
items PP_11a - PP_11g should be displayed on the same screen as much as space allows
Question ID:
PP_11a
You are not interested in the program?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
226
11/30/2022
National Inmate Survey: Year 4
Question ID:
PP_11b
You are not eligible to participate in the program?
1
Yes
2
No
DK/RF
Question ID:
PP_11c
You are too busy to attend the program?
1
Yes
2
No
DK/RF
Question ID:
PP_11d
You don't need education training?
1
Yes
2
No
DK/RF
Question ID:
PP_11e
You don't think the program would be useful?
1
Yes
2
No
DK/RF
Question ID:
PP_11f
Education programs are no longer offered at this facility?
1
Yes
2
No
DK/RF
Question ID:
PP_11g
Some other reason?
1
Yes
2
No
DK/RF
Box ID:
PB_PP6
IF PP_7 = 1, CONTINUE TO PP_12, ELSE GO TO PB_PP7
NIS-4 Jails Survey
Westat
227
11/30/2022
National Inmate Survey: Year 4
Question ID:
PP_12
Why did you participate in education programs DOAFILL2?
items PP_12a - PP_12e should be displayed on the same screen as much as space allows
Question ID:
PP_12a
To break up boredom or see what the program was like?
1
Yes
2
No
DK/RF
Question ID:
PP_12b
To spend time with friends or make friends?
1
Yes
2
No
DK/RF
Question ID:
PP_12c
To try to get out of jail early?
1
Yes
2
No
DK/RF
Question ID:
PP_12d
To learn some new skills?
1
Yes
2
No
DK/RF
Question ID:
PP_12e
Some other reason?
1
Yes
2
No
DK/RF
Box ID:
PB_PP7
IF PP_7 = 1, CONTINUE TO PP_13, ELSE GO TO PP_14
NIS-4 Jails Survey
Westat
228
11/30/2022
National Inmate Survey: Year 4
Question ID:
PP_13
What types of education programs did you participate in DOAFILL2?
items PP_13a - PP_13e should be displayed on the same screen as much as space allows
Question ID:
PP_13a
Basic education classes up through 8th grade?
1
Yes
2
No
DK/RF
Question ID:
PP_13b
High school or GED classes?
1
Yes
2
No
DK/RF
Question ID:
PP_13c
College level classes?
1
Yes
2
No
DK/RF
Question ID:
PP_13d
English as a Second Language or ESL classes?
1
Yes
2
No
DK/RF
Question ID:
PP_13e
Some other education program?
1
Yes
2
No
DK/RF
Question ID:
PP_14
DOAFILL1,have you participated in any of the following classes or programs?
items PP_14a - PP_14i should be displayed on the same screen as much as space allows
NIS-4 Jails Survey
Westat
229
11/30/2022
National Inmate Survey: Year 4
Question ID:
PP_14a
A parenting or child rearing class?
1
Yes
2
No
DK/RF
Question ID:
PP_14b
An anger management or conflict resolution class?
1
Yes
2
No
DK/RF
Question ID:
PP_14c
A money management or financial planning class?
1
Yes
2
No
DK/RF
Question ID:
PP_14d
A sex offender treatment program?
1
Yes
2
No
DK/RF
Question ID:
PP_14e
A religious study group?
1
Yes
2
No
DK/RF
Question ID:
PP_14f
An inmate assistance group such as an inmate counseling group, advisory council, worker's
council, or inmate liaison group?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
230
11/30/2022
National Inmate Survey: Year 4
Question ID:
PP_14g
A drug or alcohol support group such as Alcoholics Anonymous, Al-Anon, or Narcotics
Anonymous?
1
Yes
2
No
DK/RF
Question ID:
PP_14h
An arts and crafts program?
1
Yes
2
No
DK/RF
Question ID:
PP_14i
A health or nutrition program?
1
Yes
2
No
DK/RF
Box ID:
PB_PP7a
IF ANY ITEMS IN PP_14 = 1 CONTINUE TO PP_15, ELSE SKIP TO VOC_1
Question ID:
PP_15
Are you currently participating in any of the following classes or programs?
items PP_15a - PP_15i should be displayed on the same screen as much as space allows
Box ID:
PB_PP8
IF PP_14a = 1, CONTINUE TO PP_15a, ELSE GO TO PB_PP9
Question ID:
PP_15a
A parenting or child rearing class?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
231
11/30/2022
National Inmate Survey: Year 4
Box ID:
PB_PP9
IF PP_14b = 1,CONTINUE TO PP_15b, ELSE GO TO PB_PP10
Question ID:
PP_15b
An anger management or conflict resolution class?
1
Yes
2
No
DK/RF
Box ID:
PB_PP10
IF PP_14c = 1, CONTINUE TO PP_15c, ELSE GO TO PB_PP11
Question ID:
PP_15c
A money management or financial planning class?
1
Yes
2
No
DK/RF
Box ID:
PB_PP11
IF PP_14d = 1, CONTINUE TO PP_15d, ELSE GO TO PB_PP12
Question ID:
PP_15d
A sex offender treatment program?
1
Yes
2
No
DK/RF
Box ID:
PB_PP12
IF PP_14e = 1, CONTINUE TO PP_15e, ELSE GO TO PB_PP13
NIS-4 Jails Survey
Westat
232
11/30/2022
National Inmate Survey: Year 4
Question ID:
PP_15e
A religious study group?
1
Yes
2
No
DK/RF
Box ID:
PB_PP13
IF PP_14f = 1, CONTINUE TO PP_15f, ELSE GO TO PB_PP14
Question ID:
PP_15f
An inmate assistance group such as an inmate counseling group, advisory council, worker's
council, or inmate liaison group?
1
Yes
2
No
DK/RF
Box ID:
PB_PP14
IF PP_14g = 1, CONTINUE TO PP_15g, ELSE GO TO PB_PP15
Question ID:
PP_15g
A drug or alcohol support group such as Alcoholics Anonymous, Al-Anon, or Narcotics
Anonymous?
1
Yes
2
No
DK/RF
Box ID:
PB_PP15
IF PP_14h = 1, CONTINUE TO PP_15h, ELSE GO TO PB_PP16
Question ID:
PP_15h
An arts and crafts program?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
233
11/30/2022
National Inmate Survey: Year 4
Box ID:
PB_PP16
IF PP_14i = 1, CONTINUE TO PP_15i, ELSE GO TO SECTION VOC_1
Question ID:
PP_15i
A health or nutrition program?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
234
11/30/2022
National Inmate Survey: Year 4
VISITORS AND OUTSIDE CONTACT (VOC)
Question ID:
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
in-person visits.
DOAFILL1, have you had any contact with your relatives?
1
Yes
2
No
GO TO VOC_2
DK/REF
Question ID:
VOC_2
DOAFILL1, what kinds of contact have you had with any of your relatives?
Have you...
items VOC_2a - VOC_2d should be displayed on the same screen as much as space allows
Question ID:
VOC_2a
Had in-person visits?
1
Yes
2
No
DK/RF
Question ID:
VOC_2b
Talked on the phone?
1
Yes
2
No
DK/RF
Question ID:
VOC_2c
Received letters?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
235
11/30/2022
National Inmate Survey: Year 4
Question ID:
VOC_2d
Had some other type of contact such as emails, text messaging, video visiting, DVDs, CDs, or
tape recordings?
1
Yes
2
No
DK/RF
Box ID:
PB_VOC1
IF VOC_2a = 1 OR VOC_2b = 1 OR VOC_2c = 1 OR VOC_2d = 1, CONTINUE TO VOC_3, ELSE
GO TO PB_VOC2
Question ID:
VOC_3
When was the last time you had any kind of contact with your relatives?
1
Within the past day
2
More than a day ago but within the past week
3
More than a week ago but within the past month
4
More than a month ago but within the past 3
months
5
More than 3 months ago but within the past 6
months
6
More than 6 months ago
DK/REF
Box ID:
PB_VOC2
IF VOC_1=2, CONTINUE TO VOC_4, ELSE GOT TO VOC_5
Question ID:
VOC_4
Why do you think you have not had any kind of contact with your relatives DOAFILL2?
you think it is because...
items VOC_4a - VOC_4f should be displayed on the same screen as much as space allows
Question ID:
VOC_4a
They live too far away?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
236
11/30/2022
Do
National Inmate Survey: Year 4
Question ID:
VOC_4b
They cannot afford to travel to this jail?
1
Yes
2
No
DK/RF
Question ID:
VOC_4c
They don't want to see you while you are incarcerated?
1
Yes
2
No
DK/RF
Question ID:
VOC_4d
You are not allowed to have visitors?
1
Yes
2
No
DK/RF
Question ID:
VOC_4e
You do not want to have visitors?
1
Yes
2
No
DK/RF
Question ID:
VOC_4f
They are not healthy enough to travel?
1
Yes
2
No
DK/RF
Question ID:
VOC_5
DOAFILL1,have you had any contact with your friends or acquaintances?
1
Yes
2
No
GO TO VOC_6
DK/REF
Question ID:
VOC_6
DOAFILL1,what kinds of contact have you had with your friends oracquaintances? Have
you...
items VOC_6a - VOC_6d should be displayed on the same screen as much as space allows
NIS-4 Jails Survey
Westat
237
11/30/2022
National Inmate Survey: Year 4
Question ID:
VOC_6a
Had in-person visits?
1
Yes
2
No
DK/RF
Question ID:
VOC_6b
Talked on the phone?
1
Yes
2
No
DK/RF
Question ID:
VOC_6c
Received letters?
1
Yes
2
No
DK/RF
Question ID:
VOC_6d
Had some other type of contact such as emails, text messaging, video visiting, DVDs, CDs, or
tape recordings?
1
Yes
2
No
DK/RF
Box ID:
PB_VOC3
IF VOC_6a = 1 OR VOC_6b = 1 OR VOC_6c = 1 OR VOC_6d = 1, CONTINUE TO VOC_7, ELSE
GO TO PB_VOC4
NIS-4 Jails Survey
Westat
238
11/30/2022
National Inmate Survey: Year 4
Question ID:
VOC_7
When was the last time you had any kind of contact with your friends or acquaintances?
1
Within the past day
2
More than a day ago but within the past week
3
More than a week ago but within the past month
4
More than a month ago but within the past 3
months
5
More than 3 months ago but within the past 6
months
6
More than 6 months ago
DK/REF
Box ID:
PB_VOC4
IF VOC_5=2, CONTINUE TO VOC_8, ELSE GO TO SECTION PRP
Question ID:
VOC_8
Why do you think you have not had any kind of contact with your friends or acquaintances
DOAFILL2? Do you think it is because...
items VOC_8a - VOC_8f should be displayed on the same screen as much as space allows
Question ID:
VOC_8a
They live too far away?
1
Yes
2
No
DK/RF
Question ID:
VOC_8b
They cannot afford to travel to this jail?
1
Yes
2
No
DK/RF
Question ID:
VOC_8c
They don't want to see you while you are incarcerated?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
239
11/30/2022
National Inmate Survey: Year 4
Question ID:
VOC_8d
You are not allowed to have visitors?
1
Yes
2
No
DK/RF
Question ID:
VOC_8e
You do not want to have visitors?
1
Yes
2
No
DK/RF
Question ID:
VOC_8f
They are not healthy enough to travel?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
240
11/30/2022
National Inmate Survey: Year 4
POST-RELEASE PLANS (PRP)
Question ID:
PRP1
These last questions are about plans you may have for after you are released from this facility
into the community.
Do you have a definite date on which you expect to be released from jail into the community?
1
Yes
2
No
GO TO PRP2
DK/REF
Question ID:
PRP2
How much more time do you think you will serve before you are released into the community?
1
Less than 30 days
2
At least 30 days but less than 1 year
3
At least 1 year but less than 5 years
4
At least 5 years but less than 10 years
5
10 years or more
DK/REF
Question ID:
PRP14
How far is this jail from where you were living before you entered jail 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
Box ID:
PB_PRP2
IF PRP1=1 CONTINUE TO PRP5, ELSE GO TO PB_PRP3
NIS-4 Jails Survey
Westat
241
11/30/2022
National Inmate Survey: Year 4
Question ID:
PRP5
Do you have a plan for where you will live after you are released from jail into the community?
1
Yes
2
No
DK/REF
Box ID:
PB_PRP3
IF PRP5=1 CONTINUE TO PRP6, ELSE GO TO PB_PRP4
Question ID:
PRP6
Did any staff at this jail help you make plans for where you will live after you are released from
jail into the community?
1
Yes
2
No
DK/REF
Box ID:
PB_PRP4
IF PRP5=1, CONTINUE TO PRP7, ELSE GO TO PB_PRP6
Question ID:
PRP7
Do you think you will live alone after you are released from jail or do you think you will live with
other people?
1
Will live alone
2
Will live with other people
GO TO PRP8
DK/REF
Question ID:
PRP8
Who do you plan to live with after you are released from jail into the community?
items PRP8a - PRP8j should be displayed on the same screen as much as space allows
Box ID:
PB_PRP7
IF D1=1, CONTINUE TO PRP8a, ELSE GO TO PRP8b
NIS-4 Jails Survey
Westat
242
11/30/2022
National Inmate Survey: Year 4
Question ID:
PRP8a
Your husband or wife?
1
Yes
2
No
DK/RF
Question ID:
PRP8b
Your boyfriend or girlfriend?
1
Yes
2
No
DK/RF
Question ID:
PRP8c
Your parents or step-parents?
1
Yes
2
No
DK/RF
Question ID:
PRP8d
Your brother or sister?
1
Yes
2
No
DK/RF
Question ID:
PRP8e
Your children who are younger than 18?
1
Yes
2
No
DK/RF
Question ID:
PRP8f
Your children who are at least 18 years old?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
243
11/30/2022
National Inmate Survey: Year 4
Question ID:
PRP8g
Your grandparents?
1
Yes
2
No
DK/RF
Question ID:
PRP8h
Your grandchildren?
1
Yes
2
No
DK/RF
Question ID:
PRP8i
Some other relative, such as an aunt, uncle, or cousin?
1
Yes
2
No
DK/RF
Question ID:
PRP8j
Someone you are not related to?
1
Yes
2
No
DK/RF
Box ID:
PB_PRP6
IF PRP5=1, CONTINUE TO PRP9, ELSE GO TO M0
Question ID:
PRP9
Where do you plan to live after you are released from jail into the community?
items PRP9a - PRP9h should be displayed on the same screen as much as space allows
Question ID:
PRP9a
In your own house, apartment, condo or mobile home?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
244
11/30/2022
National Inmate Survey: Year 4
Question ID:
PRP9b
In someone else's house, apartment, condo or mobile home?
1
Yes
2
No
DK/RF
Question ID:
PRP9c
In transitional housing for former inmates such as a halfway house?
1
Yes
2
No
DK/RF
Question ID:
PRP9d
In a residential treatment facility?
1
Yes
2
No
DK/RF
Question ID:
PRP9e
In a rooming house, hotel, or motel?
1
Yes
2
No
DK/RF
Question ID:
PRP9f
In a car, truck, or other motor vehicle?
1
Yes
2
No
DK/RF
Question ID:
PRP9g
In a homeless shelter, on the street, or in some outdoor location?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
245
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National Inmate Survey: Year 4
Question ID:
PRP9h
In some other place?
1
Yes
2
No
DK/RF
NIS-4 Jails Survey
Westat
246
11/30/2022
National Inmate Survey: Year 4
INTERVIEW DEBRIEFING - INMATE (M)
Box ID:
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.
Question ID:
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
Box ID:
PB_M1
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"
Question ID:
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
Question ID:
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
NIS-4 Jails Survey
Westat
247
11/30/2022
National Inmate Survey: Year 4
Question ID:
M4
How accurate are the answers you entered into the computer?
1
Not very accurate
2
Fairly accurate
3
Very accurate
DK/REF
Question ID:
M5
Did anyone tell you directly that you were required to participate in this study?
1
Yes
2
No
GO TO M6
DK/REF
Question ID:
M6
Who told you that you were required to participate in this study?
1
A facility staff person
2
An interviewer from Westat
3
Another inmate
4
Someone else
GO TO M7
DK/REF
Question ID:
M7
Were you ever made to feel that you were required to participate in this study?
1
Yes
2
No
DK/REF
Question ID:
M8
Did anyone put pressure on you to answer the survey questions in a certain way?
1
Yes
2
No
GO TO M9
DK/REF
Question ID:
M9
Who pressured you to answer the survey questions in a certain way?
1
A facility staff person
2
An interviewer from Westat
3
Another inmate
4
Someone else
DK/REF
NIS-4 Jails Survey
Westat
248
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National Inmate Survey: Year 4
Box ID:
PB_M2
IF M8 = 1 AND RANDOM = 95, CONTINUE TO M10, ELSE GO TO M11
Question ID:
M10
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
Box ID:
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.
Box ID:
M11a
Please tell your interviewer that you have completed the survey.
Box ID:
M11b
SURVEY COMPLETED. ENTER PASSWORD TO CONTINUE.
NIS-4 Jails Survey
Westat
249
11/30/2022
National Inmate Survey: Year 4
INTERVIEW DEBRIEFING - INTERVIEWER (M)
Box ID:
M12
THANK INMATE FOR PARTICIPATING.
NOTIFY OFFICER THAT THE INMATE IS FINISHED AND CAN LEAVE THE INTERVIEW ROOM.
THE LAST SET OF DEBRIEFING QUESTIONS WILL BE FOR THE INTERVIEWER.
Question ID:
M13
Estimate the respondent's understanding of the interview
Question ID:
1
No difficulty - no language or reading problem
2
Some difficulty
3
A great deal of difficulty
4
Don't know
M14
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.
NOTES: ALLOW 150 CHARACTERS
Question ID:
M15
How upset did the respondent appear to be during the ACASI portion of the interview?
Box ID:
1
Not upset at all
2
Somewhat upset
3
Very upset
PB_M3
IF M15 = 2 OR 3, CONTINUE TO M16, ELSE GO TO M17
Question ID:
M16
Please provide any details you can about why this inmate appeared to be somewhat or very
upset during the ACASI portion of the interview.
NOTES: ALLOW 150 CHARACTERS
NIS-4 Jails Survey
Westat
250
11/30/2022
National Inmate Survey: Year 4
Question ID:
M17
Did this inmate complete the interview while wearing shackles?
Question ID:
1
Yes
2
No
M18
Did this inmate complete the interview while wearing handcuffs?
Question ID:
1
Yes
2
No
M19
Did the inmate complain to you about how long they had to wait to be seen by an interviewer?
Question ID:
1
Yes
2
No
M20
How much difficulty did you have persuading this inmate to participate in the NIS?
Question ID:
1
No difficulty - the inmate was eager to
participate
2
Just a little difficulty - the inmate was willing,
but not eager, to participate
3
Some difficulty - the inmate wasn't willing but
you were able to persuade him/her
4
Quite a lot of difficulty - you had to really work
to counter the inmate's objections
M21
Indicate the degree of distractions or interruptions during the interview.
Question ID:
1
None
2
A few
3
A lot
M22
Was the privacy of the interview setting compromised at any point during the interview?
Question ID:
1
Yes
2
No
GO TO M23
M23
In what way was the privacy of the interview setting compromised during this interview?
NOTES: ALLOW 150 CHARACTERS
NIS-4 Jails Survey
Westat
251
11/30/2022
National Inmate Survey: Year 4
Box ID:
PB_M4
IF I3=1, CONTINUE TO M24, ELSE GO TO M26
Question ID:
M24
Did the inmate take the incentive that was offered?
Question ID:
1
Yes
2
No
M26
PLEASE PROVIDE ANY OTHER COMMENTS ABOUT THE INTERVIEW THAT WOULD BE USEFUL
FOR THE PROJECT TEAM TO KNOW:
NOTES: ALLOW 150 CHARACTERS
Box ID:
REVIEW
INTERVIEWER: YOU HAVE REACHED THE END OF THE INTERVIEW. ENTER 1 AND PRESS THE
ENTER KEY TO EXIT THE INTERVIEW AND GO BACK TO THE IMS.
NIS-4 Jails Survey
Westat
252
11/30/2022
Attachment D: Full Study ACASI Consent Form & Script
National Inmate Survey
Bureau of
Justice
Statistics
Full Study
Consent to Participate in Research - ACASI
COVID-19 Introduction
Before the interviewer describes the study, they will tell you about the safety measures they are taking in
response to the COVID-19 pandemic. Interviewers use hand sanitizer frequently and will clean all
surfaces between interviews. The interviewers do not have any symptoms, and to the best of their
knowledge, do not have COVID-19, but they cannot guarantee that. For your protection, the interviewer
will wear a mask.
Study Introduction
The National Inmate Survey is a research study being done by the Bureau of Justice Statistics and Westat.
You are one of the inmates at this facility who have been randomly selected to participate. Approximately
40,000 inmates will be interviewed at about 300 facilities across the United States. The main purpose of
this study is to learn more about sexual assault in jails. Your participation is completely 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 enter your answers into the tablet device. Next, the interviewer will show you how
to use the tablet and you will complete the rest of the survey on your own. You will be able to see the
questions on the screen and listen to them through headphones. You will enter your answers directly into
the tablet 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 while in this facility (such as the types of sexual acts and where they occurred) or
questions about your childhood and your experiences before coming to 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. Even the interviewer won’t
know unless you discuss the questions with him/her.
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.
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 jail facilities across the United States.
Voluntary Participation
If you choose not to participate, or if you begin the survey and decide to stop before the end, the terms or
length of your confinement will not be affected, and you will not lose any benefits or services that you
now receive or might receive in the future. Whether you participate will not affect your legal status, your
relationship with this facility, or any decisions regarding your release from this facility in any way.
Confidentiality
The Bureau of Justice Statistics and Westat are required by federal law to protect your privacy and
confidentiality. Your name will never be connected with the information you provide through the tablet.
Your answers will be combined with the responses from other inmates and will be used for statistical and
research purposes. The information you enter into the tablet will not be shared with anyone at the facility
or anyone else who is not working on the study in a way that would identify you or connect your answers
to you individually. Secure systems are used to keep your data safe when it is electronically transferred
from the tablet to Westat. A dataset of all the answers provided by inmates will be created and used for
research in the field of criminal justice. The dataset will not include your name or other personal
identifiers. It is a federal crime for anyone on the project team to release your confidential information.
There are, however, some exceptions to our promise of confidentiality. If you tell the interviewer that you
intend to seriously harm yourself or a specific person or that you plan to commit a crime in the future, he
or she will need to inform correctional staff here or authorities outside the facility who are responsible for
protecting inmates.
[FOR 16/17 YEAR OLD RESPONDENTS ONLY]: Also, if you tell the interviewer out loud that you
have been or are being abused, he or she, or their supervisor will report that information to the agency in
this state that investigates abuse. Once a report is made, no member of the project team has control over
how the information is used.
Further Questions
You may keep a copy of this form. If you have any questions about the project, you may ask the
interviewer. If you think of questions later, you may write to the National Inmate Survey at Westat, 1600
Research Blvd., RB 2146, Rockville, MD 20850. If you have questions about your rights as a project
participant, you can write to Westat's Institutional Review Board, Human Subjects Protection at the same
address.
OFFICE USE ONLY:
Study representative’s signature
Date
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 completely 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 theinterview.
• If you start the interview and then want to quit before the end, that’s okay.
• If you want to skip any questions, that’s okay also.
Do you understand?
IF THE INMATE ANSWERS, “NO”, I can answer any questions you have about the interview or what is contained in this
consent document.
ANSWER ANY QUESTIONS THE INMATE HAS. THEN RETURN TO THE CONSENT FORM AND RE-READ THE
“POSSIBLE RISKS OR DISCOMFORTS”, “BENEFITS”, AND “VOLUNTARY PARTICIPATION” SECTIONS. POINT TO
THE TEXT ON THE INMATE’SCOPY OF THE CONSENT FORM.
Do you understand?
IF THE INMATE ANSWERS, “NO,” Thank you for coming to see me today, I appreciate your time. Those are all
the questions I have for you today.
PRESS ENTER TO END INTERVIEW AND ALERT CORRECTIONAL OFFICER THAT INMATE IS
FINISHED.
IF THE INMATE ANSWERS, “YES”, CONTINUE.
It is possible that some of the questions you answer using the computer may make you feel uncomfortable 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. The answers you enter into the tablet, even those about being
abused or harmed, will never be connected to your name and nobody, not even me, will know how you answered them.
IF INMATE IS 18 YEARS OLD OR OLDER, CONTINUE. OTHERWISE, SKIP TO THE “READ FOR 16 AND 17
YEAR OLDS ONLY” SECTION.
Do you have any questions?
IF THE INMATE ANSWERS, “YES”, ANSWER INMATE’S QUESTIONS.
IF THE INMATE ANSWERS, “NO”, CONTINUE.
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.
IF INMATE GIVES CONSENT, INFORM THE INMATE THEY CAN KEEP A COPY OF THE CONSENT FORM IF
THEY WANT ONE. CONTINUE WITH THE SURVEY.
IF INMATE DOES NOT GIVE CONSENT, Thank you for coming to see me today, I appreciate your time. Those are all the
questions I have for you today.
PRESS ENTER TO END INTERVIEW AND ALERT CORRECTIONAL OFFICER THAT INMATE IS FINISHED.
END OF CONSENT FOR INMATES 18 YEARS OLD OR OLDER.
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, will report that information
to the agency in this state that investigates abuse. Once we make a report, we have no control over what will bedone with
the information.
Just so I’m sure you understand this…
If you tell me out loud that you have been abused or harmed, will I report it to a government agency?
IF THE INMATE ANSWERS “NO”, POINT TO THE “FOR 16 AND 17 YEAR OLDS ONLY” SECTION ON THE
INMATE’S COPY OF THE CONSENT FORM, THEN READ THE FOLLOWING:
If you tell me out loud that you have been or are being abused, I or my supervisors will 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.
I will ask the last question again, if you tell me out loud that you have been abused or harmed, will I report it to a
government agency?
IF THE INMATE ANSWERS “NO”, Thank you for coming to see me today, I appreciate your time. Those are all
the questions I have for you today.
PRESS ENTER TO END INTERVIEW AND ALERT CORRECTIONAL OFFICER THAT INMATE IS
FINISHED.
IF THE INMATE ANSWERS “YES”, CONTINUE.
If you answer on the tablet that you have been abused or harmed, will I report it to a government agency?
IF THE INMATE ANSWERS “YES”, POINT TO THE “CONFIDENTIALITY” PARAGRAPH ON THE INMATE’S
COPY OF THE CONSENT FORM, THEN READ THE FOLLOWING:
Your name will never be connected with the information you provide through the tablet. Your answers will be combined with
the responses from other inmates and will be used for statistical and research purposes. The information you enter into the
tablet will not be shared with anyone at the facility or anyone else who is not working on the study in a way that would identify
you or connect your answers to you individually. Do you have any questions?
IF THE INMATE ANSWERS, “YES”, ANSWER INMATE’S QUESTIONS.
IF THE INMATE ANSWERS, “NO”, CONTINUE.
I will ask the last question again, if you answer on the tablet that you have been abused or harmed, will I report it to a
government agency?
IF THE INMATE ANSWERS “YES”, Thank you for coming to see me today, I appreciate your time. Those are all
the questions I have for you today.
PRESS ENTER TO END INTERVIEW AND ALERT CORRECTIONAL OFFICER THAT INMATE IS
FINISHED.
IF THE INMATE ANSWERS “NO”, CONTINUE.
Now, if someone asked you whether you had to do the interview or whether it was voluntary, what would you say?
• Have to do it.
• I didn’t have to do it/ it is voluntary.
IF THE INMATE ANSWERS, “HAVE TO DO IT”, POINT TO THE “INTRODUCTION” PARAGRAPH ON THE
CONSENT FORM, AND TO THE LAST SENTENCE, THEN READ THE FOLLOWING:
Your participation in this study is voluntary. 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.
I will ask the last question again, if someone asked you whether you have to do the interview or whether it is voluntary, what
would you say?
•
•
Have to do it.
I don’t have to do it/ it was voluntary.
IF THE INMATE ANSWERS, “HAVE TO DO IT”, Thank you for coming to see me today, I appreciate your time.
Those are all the questions I have for you today.
PRESS ENTER TO END INTERVIEW AND ALERT CORRECTIONAL OFFICER THAT INMATE IS
FINISHED.
IF THE INMATE ANSWERS, “I DON’T HAVE TO DO IT/IT IS VOLUNTARY”, CONTINUE.
Do you have any questions?
IF THE INMATE ANSWERS, “YES”, ANSWER INMATE’S QUESTIONS.
IF THE INMATE ANSWERS, “NO”, CONTINUE.
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.
IF INMATE GIVES CONSENT, INFORM THE INMATE THEY CAN KEEP A COPY OF THE CONSENT FORM IF
THEY WANT ONE. CONTINUE WITH THE SURVEY.
IF INMATE DOES NOT GIVE CONSENT, Thank you for coming to see me today, I appreciate your time. Those are all the
questions I have for you today.
PRESS ENTER TO END INTERVIEW AND ALERT CORRECTIONAL OFFICER THAT INMATE IS FINISHED.
Attachment E: PAPI Questionnaires
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.
OMB No.:
Exp.:
XXXX-XXXX
XX/XX/XXXX
NATIONAL INMATE
SURVEY - JAILS
Conducted by the Bureau of Justice Statistics
and
Westat
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 OMB control number. The OMB control number for this
project is XXXX-XXXX.
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
“Yes” or “No” for each item.
Yes
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
2. How old are you?
7. How long have you been in this facility?
Age: _______
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:
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
Lesbian or gay........................................................
Straight; that is, not 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
10. What sex were you assigned at birth on your
original birth certificate?
Male ........................................................................
Female ....................................................................
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:
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
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
Have any type of sex or sexual contact
with another inmate at this facility other
than sexual touching, oral sex, vaginal
sex, or anal sex?
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
Continue to item 13
Go to item 14
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.
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 .......................................................................
1
16. In the past 12 months, did another inmate use
physical force to make you do any of the following:
2
3
Mark
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 ..........................................................................
1
2
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
Have any type of sex or sexual contact
with them other than sexual touching,
oral sex, vaginal sex, or anal sex?
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:
Mark
“Yes” or “No” for each item.
Yes
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:
No
Mark
Touch their body in a sexual way or have
your body touched in a sexual way?
1
2
Have oral sex with them?
1
Have vaginal sex with them?
“Yes” or “No” for each item.
Yes
No
Receive knife or stab wounds?
1
2
2
Receive broken bones?
1
2
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
Have any type of sex or sexual contact
with them other than sexual touching,
oral sex, vaginal sex, or anal sex?
Receive internal injuries?
1
2
1
2
Get knocked unconscious?
1
2
Receive bruises, a black eye, sprains,
cuts, scratches, swelling, or welts?
1
2
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
2
3
SECTION B
Go to SECTION B
on page 3
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.
Continue to item 19
4
5
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:
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
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
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
2
3
22. In the past 12 months, did a facility staff person
use physical force to make you do any of the
following:
Mark
“Yes” or “No” for each item.
Yes
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 ..........................................................................
No
1
2
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
Mark
Have anal sex with them?
1
2
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
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
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
Give them a handjob or receive a
handjob from them?
1
2
Have oral sex (blowjob) with them?
1
2
Physically held down or restrained?
1
2
Have vaginal sex with them?
1
2
Physically harmed or injured?
1
2
Have anal sex with them?
1
2
2
27. In the past 12 months, when you had sex or sexual
contact with facility staff, was it ever with:
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
Mark
4
5
4
“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:
Mark
“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
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.
5
Thank You!
2
OMB No.:
Exp.:
XXXX-XXXX
XX/XX/XXXX
NATIONAL INMATE
SURVEY - JAILS
Conducted by the Bureau of Justice Statistics
and
Westat
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 OMB control number. The OMB control number for this
project is XXXX-XXXX.
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
“Yes” or “No” for each item.
Yes
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
2. How old are you?
7. How long have you been in this facility?
Age: _______
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:
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
Lesbian or gay........................................................
Straight; that is, not 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
10. What sex were you assigned at birth on your
original birth certificate?
Male ........................................................................
Female ....................................................................
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:
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
Have oral sex (blowjob) with another
inmate at this facility?
1
2
Have anal sex with another inmate at
this facility?
1
2
Have any type of sex or sexual contact
with another inmate at this facility other
than sexual touching, handjobs, oral sex
or blowjobs, or anal sex?
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
Continue to item 13
Go to item 14
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.
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 .......................................................................
16. In the past 12 months, did another inmate use
physical force to make you do any of the following:
1
2
Mark
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 ..........................................................................
1
2
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
Have any type of sex or sexual contact
with them other than sexual touching,
handjobs, oral sex or blowjobs, or anal
sex?
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:
Mark
“Yes” or “No” for each item.
Yes
No
Threatened with harm or a weapon?
1
2
Physically held down or restrained?
1
2
Physically harmed or injured?
1
2
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
Mark
Have anal sex with them?
1
2
Receive knife or stab wounds?
1
2
Have any type of sex or sexual contact
with them other than sexual touching,
handjobs, oral sex or blowjobs, or anal
sex?
Receive broken bones?
1
2
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
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:
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
Yes
No
SECTION B
4
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.
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” or “No” for each item.
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
Trying to pay off or settle a debt that
you owed?
1
2
3
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:
Mark
“Yes” or “No” for each item.
Touch a facility staff person's body in a
sexual way or have your body touched in
a sexual way?
Give or receive a handjob from a facility
staff person?
Yes
1
1
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?
No
0 times...................
1 time ....................
2 times...................
3–10 times.............
11 times or more ...
2
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
“Yes” or “No” for each item.
Touch their body in a sexual way or have
your body touched in a sexual way?
Yes
1
Go to SECTION C
on page 5
Continue to item 25
2
3
4
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 ..........................................................................
22. In the past 12 months, did a facility staff person
use physical force to make you do any of the
following:
Mark
1
1
2
26. In the past 12 months, when you had sex or sexual
contact with facility staff, were you ever:
No
Mark
2
“Yes” or “No” for each item.
Yes
No
Persuaded or talked into it?
1
2
2
Given a bribe or blackmailed?
1
2
1
2
Given drugs or alcohol to get you drunk
or high?
1
2
Have vaginal sex with them?
1
2
Offered protection from other inmates?
1
2
Have anal sex with them?
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
Give them a handjob or receive a handjob
from them?
1
Have oral sex (blowjob) with them?
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
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
4
27. In the past 12 months, when you had sex or sexual
contact with facility staff, was it ever with:
Mark
“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:
Mark
“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
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
5
After you have completed the survey, please put it
in the envelope and seal it before you turn it in.
Thank You!
1
OMB No.:
Exp.:
XXXX-XXXX
XX/XX/XXXX
NATIONAL INMATE
SURVEY - JAILS
Conducted by the Bureau of Justice Statistics
and
Westat
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 OMB control number. The OMB control number for this
project is XXXX-XXXX.
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
“Yes” or “No” for each item.
Yes
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
2. How old are you?
7. How long have you been in this facility?
Age: _______
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:
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
Lesbian or gay ......................................................
Straight; that is, not 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
10. What sex were you assigned at birth on your
original birth certificate?
Male ....................................................................
Female.................................................................
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:
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
Continue to item 13
Go to item 14
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
Have any type of sex or sexual contact
with another inmate at this facility other
than sexual touching, oral sex, vaginal
sex, or anal sex?
1
2
16. Since you arrived at this facility, did another
inmate use physical force to make you do any of
the following:
1
2
3
Mark
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.
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 ....................................................................
“Yes” or “No” for each item.
1
2
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
Have any type of sex or sexual contact
with them other than sexual touching,
oral sex, vaginal sex, or anal sex?
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:
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
Have any type of sex or sexual contact
with them other than sexual touching,
oral sex, vaginal sex, or anal sex?
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
2
1
2
1
Go to SECTION B
on page 3
Continue to item 19
2
3
No
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
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.
4
5
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:
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
Receive knife or stab wounds?
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 ...
“Yes” or “No” for each item.
“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
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
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
2
3
22. Since you arrived at this facility, did a facility staff
person use physical force to make you do any of
the following:
Mark
“Yes” or “No” for each item.
Yes
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?
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
Yes ......................................................................
No........................................................................
Mark
“Yes” or “No” for each item.
Yes
2
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
1
No
“Yes” or “No” for each item.
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
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
Threatened with harm or a weapon?
1
2
Have oral sex (blowjob) with them?
1
2
Physically held down or restrained?
1
2
Have vaginal sex with them?
1
2
Physically harmed or injured?
1
2
Have anal sex with them?
1
2
2
27. Since you arrived at this facility, when you had sex
or sexual contact with facility staff, was it ever
with:
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
Mark
4
5
4
“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:
Mark
“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
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.
5
Thank You!
2
OMB No.:
Exp.:
XXXX-XXXX
XX/XX/XXXX
NATIONAL INMATE
SURVEY - JAILS
Conducted by the Bureau of Justice Statistics
and
Westat
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 OMB control number. The OMB control number for this
project is XXXX-XXXX.
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
“Yes” or “No” for each item.
Yes
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
2. How old are you?
7. How long have you been in this facility?
Age: _______
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:
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
Lesbian or gay......................................................
Straight; that is, not 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
10. What sex were you assigned at birth on your
original birth certificate?
Male ....................................................................
Female.................................................................
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:
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
Continue to item 13
Go to item 14
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
Have any type of sex or sexual contact
with another inmate at this facility other
than sexual touching, handjobs, oral sex
or blowjobs, or anal sex?
1
2
16. Since you arrived at this facility, did another inmate
use physical force to make you do any of the following:
1
2
Mark
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.
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 ....................................................................
“Yes” or “No” for each item.
1
2
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
Have any type of sex or sexual contact
with them other than sexual touching,
handjobs, oral sex or blowjobs, or anal
sex?
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:
Mark
“Yes” or “No” for each item.
Yes
No
Threatened with harm or a weapon?
1
2
Physically held down or restrained?
1
2
Physically harmed or injured?
1
2
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
Mark
Have anal sex with them?
1
2
Receive knife or stab wounds?
1
2
Have any type of sex or sexual contact
with them other than sexual touching,
handjobs, oral sex or blowjobs, or anal
sex?
Receive broken bones?
1
2
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
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:
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
Yes
No
SECTION B
4
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.
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” or “No” for each item.
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
Trying to pay off or settle a debt that
you owed?
1
2
3
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:
Mark
“Yes” or “No” for each item.
Yes
Touch a facility staff person's body in a
sexual way or have your body touched in
a sexual way?
1
Give or receive a handjob from a facility
staff person?
1
Have oral sex (blowjob) with a facility
staff person?
1
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:
No
Mark
2
2
1
2
Have anal sex with a facility staff person?
1
2
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
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?
22. Since you arrived at this facility, did a facility staff
person use physical force to make you do any of
the following:
“Yes” or “No” for each item.
Yes
2
Have vaginal sex with a facility staff
person?
Mark
“Yes” or “No” for each item.
0 times .................
1 time ...................
2 times .................
3–10 times ...........
11 times or more ..
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
1
Go to SECTION C
on page 5
Continue to item 25
2
3
4
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........................................................................
4
1
2
26. Since you arrived at this facility, when you had sex
or sexual contact with facility staff, were you ever:
Mark
“Yes” or “No” for each item.
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
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 ......................................................
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
Not very accurate .................................................
Fairly accurate .....................................................
Very accurate .......................................................
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:
Mark
“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
2
3
30. How accurate are the answers you gave in this
survey?
27. Since you arrived at this facility, when you had sex
or sexual contact with facility staff, was it ever
with:
Mark
1
5
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!
6
Attachment F: Full Study PAPI Consent Form & Script
National Inmate Survey
Bureau of
Justice
Statistics
Full Study
Consent to Participate in Research - PAPI
COVID-19 Introduction
Before the interviewer describes the study, they will tell you about the safety measures they are taking in
response to the COVID-19 pandemic. Interviewers will use hand sanitizer frequently and will clean all
surfaces between interviews. The interviewers do not have any symptoms, and to the best of their knowledge,
do not have COVID-19, but they cannot guarantee that. For your protection, the interviewer will wear a mask.
Study Introduction
The National Inmate Survey is a research study being done by the Bureau of Justice Statistics and Westat. You
are one of the inmates at this facility who have been randomly selected to participate. Approximately 40,000
inmates will be interviewed at around 300 facilities across the United States. The main purpose of this study is
to learn more about sexual assault in jails. Your participation in this study is completely 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 it in an envelope
and give it back to the interviewer. Neither the interviewer/ nor anyone at this facility will ever see your
completed questionnaire.
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 also provide you with instructions for contacting a
mental health counselor.
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 jail facilities across the United States.
Voluntary Participation
If you choose not to participate, or if you begin the survey and decide to stop before the end, the terms or
length of your confinement will not be affected, and you will not lose any benefits or services that you now
receive or might receive in the future. Whether you participate will not affect your legal status, your
relationship with this facility, or any decisions regarding your release from this facility in any way.
Confidentiality
The Bureau of Justice Statistics and Westat are required by federal law to protect your privacy and confidentiality.
Your name will never be connected with the information you provide on the questionnaire. Your answers will be
combined with the responses from other inmates and will be used for statistical and research purposes. The
information you provide on the questionnaire will not be shared with anyone at the facility or anyone else who is not
working on the study in a way that would identify you or connect your answers to you individually. A dataset of all
the answers provided by inmates will be created and used for research in the field of criminal justice. The dataset will
not include your name or other personal identifiers. It is a federal crime for anyone on the project team to release your
confidential information.
There are, however, some exceptions to our promise of confidentiality. If you tell the interviewer that you intend to
seriously harm yourself or a specific person or that you plan to commit a crime in the future, he or she will need to
inform correctional staff here or authorities outside the facility who are responsible for protecting inmates.
FOR 16 AND 17 YEAR OLDS ONLY:
If you tell the interviewer out loud that you have been or are being abused, the interviewer or his/her supervisors will
report that information to the agency in this state that investigates abuse. Once a report is made, no member of the
project team has control over how the information is used.
Further Questions
You may keep a copy of this form. If you have any questions about the project, you may ask the interviewer.
If you think of questions later, you may write to the National Inmate Survey at Westat, 1600 Research Blvd.,
RB 2146, Rockville, MD 20850. If you have questions about your rights as a project participant, you can write
to Westat's Institutional Review Board, Human Subjects Protection at the same address.
OFFICE USE ONLY:
Study representative’s signature
Date
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 completely 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 before the end, that’s okay.
• If you want to skip any questions, that’s okay also.
Do you understand?
IF THE INMATE ANSWERS, “NO”, I can answer any questions you have about the interview or what is contained in this
consent document.
ANSWER ANY QUESTIONS THE INMATE HAS. THEN RETURN TO THE CONSENT FORM AND RE-READ THE
“POSSIBLE RISKS OR DISCOMFORTS”, “BENEFITS”, AND “VOLUNTARY PARTICIPATION” SECTIONS. POINT
TO THE TEXT ON THE INMATE’SCOPY OF THE CONSENT FORM.
Do you understand?
IF THE INMATE ANSWERS, “NO,” Thank you for coming to see me today, I appreciate your time. Those are all the
questions I have for you today.
PRESS ENTER TO END INTERVIEW AND ALERT CORRECTIONAL OFFICER THAT INMATE IS FINISHED.
IF THE INMATE ANSWERS, “YES”, CONTINUE.
It is possible that some of the questions you answer may make you feel uncomfortable 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. The answers you provide on the questionnaire, even those about
being abused or harmed, will never be connected to your name and nobody, not even me, will know how you answered
them.
IF INMATE IS 18 YEARS OLD OR OLDER, CONTINUE. OTHERWISE, SKIP TO THE “READ FOR 16 AND 17 YEAR
OLDS ONLY” SECTION.
Do you have any questions?
IF THE INMATE ANSWERS, “YES”, ANSWER INMATE’S QUESTIONS.
IF THE INMATE ANSWERS, “NO”, CONTINUE.
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.
IF INMATE GIVES CONSENT, INFORM THE INMATE THEY CAN KEEP A COPY OF THE CONSENT FORM IF
THEY WANT ONE. CONTINUE WITH THE SURVEY.
IF INMATE DOES NOT GIVE CONSENT, Thank you for coming to see me today, I appreciate your time. Those are all the
questions I have for you today.
PRESS ENTER TO END INTERVIEW AND ALERT CORRECTIONAL OFFICER THAT INMATE IS FINISHED.
END OF CONSENT FOR INMATES 18 YEARS OLD OR OLDER.
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, will 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.
Just so I’m sure you understand this…
If you tell me out loud that you have been abused or harmed, do you understand that I will report it to a government
agency?
IF THE INMATE ANSWERS “NO”, POINT TO THE “FOR 16 AND 17 YEAR OLDS ONLY” SECTION ON THE
INMATE’S COPY OF THE CONSENT FORM, THEN READ THE FOLLOWING:
If you tell me out loud that you have been or are being abused, I or my supervisors will 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.
I will ask the last question again, if you tell me that you have been abused or harmed, will I report it to a government
agency?
IF THE INMATE ANSWERS “NO”, Thank you for coming to see me today, I appreciate your time. Those are all the
questions I have for you today.
PRESS ENTER TO END INTERVIEW AND ALERT CORRECTIONAL OFFICER THAT INMATE IS FINISHED.
IF THE INMATE ANSWERS “YES”, CONTINUE.
If you answer on the paper form that you have been abused or harmed, will I report it to a government agency?
IF THE INMATE ANSWERS “YES”, POINT TO THE “CONFIDENTIALITY” PARAGRAPH ON THE INMATE’S COPY
OF THE CONSENT FORM. , THEN READ THE FOLLOWING:
Your name will never be connected with the information you provide on the questionnaire. Your answers will be combined
with the responses from other inmates and will be used for statistical and research purposes. The information you provide
on the questionnaire will not be shared with anyone at the facility or anyone else who is not working on the study in a way
that would identify you or connect your answers to you individually. Do you have any questions?
IF THE INMATE ANSWERS, “YES”, ANSWER INMATE’S QUESTIONS.
IF THE INMATE ANSWERS, “NO”, CONTINUE.
I will ask the last question again, if you answer on the paper form that you have been abused or harmed, will I report it to a
government agency?
IF THE INMATE ANSWERS “YES”, Thank you for coming to see me today, I appreciate your time. Those are all the
questions I have for you today.
PRESS ENTER TO END INTERVIEW AND ALERT CORRECTIONAL OFFICER THAT INMATE IS FINISHED.
IF THE INMATE ANSWERS “NO”, CONTINUE.
Now, if someone asked you whether you had to do the interview or whether it was voluntary, what would you say?
• Have to do it.
• I didn’t have to do it/ it is voluntary.
IF THE INMATE ANSWERS, “HAVE TO DO IT”, POINT TO THE “INTRODUCTION” PARAGRAPH ON THE CONSENT
FORM, AND TO THE LAST SENTENCE, THEN READ THE FOLLOWING:
Your participation in this study is voluntary. 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.
I will ask the last question again, if someone asked you whether you have to do the interview or whether it is
voluntary, what would you say?
•
•
Have to do it.
I don’t have to do it/ it was voluntary.
IF THE INMATE ANSWERS, “HAVE TO DO IT”, Thank you for coming to see me today, I appreciate your time.
Those are all the questions I have for you today.
PRESS ENTER TO END INTERVIEW AND ALERT CORRECTIONAL OFFICER THAT INMATE IS FINISHED.
IF THE INMATE ANSWERS, “I DON’T HAVE TO DO IT/IT IS VOLUNTARY”, CONTINUE.
Do you have any questions?
IF THE INMATE ANSWERS, “YES”, ANSWER INMATE’S QUESTIONS.
IF THE INMATE ANSWERS, “NO”, CONTINUE.
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.
IF INMATE GIVES CONSENT, INFORM THE INMATE THEY CAN KEEP A COPY OF THE CONSENT FORM IF
THEY WANT ONE. CONTINUE WITH THE SURVEY.
IF INMATE DOES NOT GIVE CONSENT, Thank you for coming to see me today, I appreciate your time. Those are all the
questions I have for you today.
PRESS ENTER TO END INTERVIEW AND ALERT CORRECTIONAL OFFICER THAT INMATE IS FINISHED.
FORM APPROVED
OMB No.: XXXX-xxxx
EXPIRATION DATE: XX/XX/20xx
National Inmate Survey in Jails
Facility Questionnaire
Updated: 11-23-2022
The National Inmate Survey in Jails (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 (PREA) of 2003. The NIS also seeks to gain valuable
information on facilities 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 in Jails that will allow the Bureau of Justice Statistics to better understand facility characteristics
associated with sexual victimization in jails.
Help is available
If you have any questions, need help completing the form, or prefer an alternate submission option,
please contact the NIS-4J Logistics Manager, Susan Cross, at 240-453-2664 or [email protected].
Person Completing this Questionnaire:
Respondent Information
Name:
Title:
Email:
Telephone:
Facility Information
Name:
Address 1:
Address 2:
City:
State:
Zip Code:
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. Public reporting burden for this collection is estimated to average 30
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 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; and to
the Office of Management and Budget, OMB No. XXXX-xxxx, Washington, DC 20503
NIS-4J: Facility Questionnaire Spec V1.7.0
11-23-2022
1
1. What are the functions of [FACILITY NAME]? Please mark Yes or No for each function.
1a. General adult population confinement
1b. Persons returned to custody (e.g., probation, parole, and
bail bond violators)
1c. Work release or prerelease
1d. Reception, diagnosis or classification
1e. Confinement of juveniles
1f. Medical treatment or hospitalization confinement
(including infirmary)
1g. Mental health or psychiatric care
1h. Alcohol treatment
1i. Drug treatment
1j. Boot camp
1k. Protective custody
1l. Other (specify) ___________________________
Yes
No
2. What is the rated operational bed capacity of [FACILITY NAME]? By rated operational bed
capacity, we mean the number of beds or inmates assigned by a rating official.
RATED OPERATIONAL BED CAPACITY: ____________
3. How many persons are currently CONFINED in this facility?
INCLUDE—
Persons on transfer to treatment facilities but who remain under your jurisdiction.
Persons held for other jurisdictions.
EXCLUDE—
✗ Inmates on AWOL escape, or long-term transfer to other jurisdictions.
NUMBER CONFINED: ___________
NIS-4J: Facility Questionnaire Spec V1.7.0
11-23-2022
2
4. Of all persons currently CONFINED in this facility, how many are—
For persons with more than one charge/offense, report the status associated with the most
serious charge/offense.
For convicted inmates, include probation and parole violators with no new sentence.
If none, enter a zero.
•
•
•
Number of Inmates
4a. Convicted
4b. Unconvicted
4c. Unknown conviction status
4d. TOTAL (Sum of items 4a to 4d should equal item 3) [WILL
DYNAMICALLY FILL AS RESPONSES ARE ENTERED IN THE ROWS
ABOVE]
5. Of the total number of inmates held at [FACILITY NAME], approximately how many…
• If none, enter a zero.
5a. have been identified as currently having a serious and
persistent mental illness? Please include inmates whether or not
they are in a mental health unit or receiving medication.
5b. have been identified as having a cognitive impairment or
intellectual disability?
5c. are currently assigned to administrative segregation?
5d. are currently assigned to disciplinary segregation?
5e. are currently affiliated with a gang or Security Threat Group?
5f. speak little or no English?
5g. self-identify as LGBTQ?
Number of Inmates
6. If an inmate self-identifies as LGBTQ, is that self-identification taken into account when making
housing assignments at this facility?
1
2
Yes
No
NIS-4J: Facility Questionnaire Spec V1.7.0
11-23-2022
3
6. Do inmates at [FACILITY NAME] have access to a language line that provides on-demand
language interpretation or translation services?
1
2
Yes
No
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?
1
2
Yes
No
For questions 8-16, please think about paid staff at [FACILITY NAME] who are not contractors.
8. Regardless of the source of the funding used to cover the positions, how many Full-Time
Equivalency (FTE) positions for [county/city] jail employees does [FACILITY NAME] currently have?
Please include both uniformed and non-uniformed staff.
NUMBER OF FTEs: _________
9. Of the [Q8 FILL] FTE [county/city positions] allocated to [FACILITY NAME], how many 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.
NUMBER VACANT FTE POSITIONS: ________
10. Is a hiring freeze currently in place at [FACILITY NAME]?
1
2
Yes
No
NIS-4J: Facility Questionnaire Spec V1.7.0
11-23-2022
4
11. Please provide the number of staff employed at [FACILITY NAME] in each of the listed age and
gender categories.
• If none, enter a zero.
Male
Female
Total number of staff employed at this facility
INCLUDE all paid staff at the facility who are not contractors.
Total number of staff under 30 years of age
Total number of staff 30-44 years of age
Total number of staff 45 years of age or older
Number of correctional officers employed at this facility
INCLUDE deputies, monitors, and other custody staff who spend
more than 50% of their time with the incarcerated population.
Number of correctional officers under 30 years of age
Number of correctional officers 30-44 years of age
Number of correctional officers 45 years of age or older
12. During the past 12 months, that is since this date last year, how many staff were new to their
current position at [FACILITY NAME]? That is, how many staff were either new hires to the
facility or who moved into positions they had not worked in before?
NUMBER OF STAFF IN NEW POSITIONS: ________
13. During the past 12 months, that is since this date last year, how many correctional officers were
separated from employment at [FACILITY NAME]?
INCLUDE quits, layoffs, discharges, retirements, deaths, transfers, and other separations
NUMBER OF CORRECTIONAL OFFICERS WHO SEPARATED: ________
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14. How many correctional officers who are currently employed at [FACILITY NAME] have:
• If none, enter a zero.
14a. Less than 1 year of service at the facility
14b. 1-2 years of service at the facility
14c. 3-5 years of service at the facility
14d. More than 5 years of service at the facility
14e. Total number of correctional officers [WILL
DYNAMICALLY FILL AS RESPONSES ARE ENTERED IN THE
ROWS ABOVE]
Number
15. What is the total number of PREA-related training hours entry level correctional officers are
required to complete from their date of hire through their first year of employment?
NUMBER OF HOURS: __________
16. When does a new correctional officer who begins employment at [FACILITY NAME] have to
complete all required PREA-related trainings?
1
2
3
4
5
6
7
From date of hire until cleared to work with inmates (prior to starting position)
Within first 24 hours of starting position
After first 24 hours but within first week (7 days) of starting position
After first week but within first month (30 days) of starting position
After first month but within first six months (180 days) of starting position
After first six months but within first year (365 days) of starting position
Some other timeframe; please explain: _____________________________________
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17.
Which of the following methods are used at [FACILITY NAME] to educate inmates about the fact
that sexual activity is not allowed at the facility? Please mark Yes or No for each method.
Procedure
17a. Facility staff
17b. Posters/signs
17c. Brochures/flyers/pamphlets
17d. Handbook that describes facility rules and policies
17e. Video
17f. Peer Educator
17g. New Inmate Orientation
17h. Some other way; please describe:
Yes
No
18. Is there a Sexual Assault Nurse Examiner (SANE) onsite at [FACILITY NAME] if an inmate needs
to be seen?
1
2
Yes
No
→
If there is a need for an inmate at [FACILITY NAME] to be seen by a
SANE, how does that visit happen?
_______________________________________________________
_______________________________________________________
_______________________________________________________
Questions 19 to 20 are about misconduct at [FACILITY NAME].
19. 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.
NUMBER OF GUILTY FINDINGS: __________
20. During what part of the day do most violations that result in a guilty finding occur in this
facility?
1
2
3
4
After midnight but before 6:00 AM
Between 6:00 AM and noon
After noon but before 6:00 PM
Between 6:00 PM and midnight
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PREA-related Allegations and Investigations
21. 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 against other inmates, staff, or volunteers at
[FACILITY NAME]?
NUMBER OF ALLEGATIONS: _______
22. [IF Q21 > 0] During the past 12 months, that is since this date last year, were allegations of
sexual abuse or sexual harassment at [FACILITY NAME] investigated by staff at the facility,
referred to staff working outside of the facility, or referred to a separate organization? (Mark all
that apply.)
1
2
3
Staff at the facility investigated
Referred to staff working outside the facility
Referred to a separate organization
23. Does [FACILITY NAME] 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?
1
2
Yes
No
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Impact of COVID on Facility Practices
24. During the past 12 months, that is since this date last year, how did COVID-19 affect each of
these practices?
Practice
24a. Number of inmates
released early
24b. Amount of time
Correctional Officers spent in
the housing units
24c. Amount of inmate
movement within the facility
24d. Inmate participation in
recreational activities
24e. Inmate participation in
employment opportunities
24f. Number of visitors inside
the facility
24g. Number of volunteers
inside the facility
Increased Increased
No
Decreased Decreased
a lot
a little
change
a little
a lot
Thank you for providing this important information about [FACILITY NAME]!
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| File Type | application/pdf |
| Author | Field, Michael (OJP) |
| File Modified | 2022-12-01 |
| File Created | 2022-12-01 |