Form 2 Testing of Sexual Violence Definitions and Recommended D

APPENDIX 6: PHASE 1 QUESTIONNAIRE WITH COGNITIVE PROBES

(ENGLISH AND SPANISH)

Cognitive Interview with Probes

March 12, 2007

Cognitive Version 2.1

Women can experience unwanted sex in different ways. Women do not always report unwanted sex to the police. They don’t always discuss it with friends or family members. It’s important to know that the person who has unwanted sex with a woman may not be a stranger. The person can be an acquaintance, a friend, a romantic partner, a family member, a co-worker, a supervisor, a boss or someone else. The unwanted sex can happen anywhere, such as a home, a car, at a job, or in another public place. A woman who experiences unwanted sex could be awake or asleep, unconscious, drunk or high. She could be unable to give consent for some other reason when it happens. Please keep these things in mind as we go through the survey.

Probe: Please tell me in your own words what this introduction told you.

Because of the kind of unwanted sexual experiences that we are going to talk about, the words may seem graphic to you. I have to ask about these experiences this way so that you are clear about what I mean. We will compare your responses with those of the other women we interview. I will explain all the terms I use. I can always repeat the definitions if you need to be reminded. Remember, your answers will be confidential.

Probe: We talked about unwanted sexual experiences, what does this phrase mean to you?

Section 1: Gateway Questions – Unwanted Sexual Situations

First, I want to ask you some questions about unwanted sexual situations in your lifetime. These situations do not involve touching, sexual intercourse, or attempted sexual intercourse. They happened after you said or showed you didn’t want them to. They happened without your consent.

1. Has anyone ever made unwanted sexual or offensive comments or jokes to you? I mean when someone talked about their own sexuality or sexual behavior. This could also mean when someone made comments or jokes about your or other people’s sexuality or sexual behavior.

1. Yes

2. No (Skip to Q1.2)

3. Don’t Know (Skip to Q1.2)

4. Refused (Skip to Q1.2)

Probe: What came to mind when you answered this question?

Probe: What does the term offensive mean to you?

1. Over your entire lifetime, how many separate incidents of this have you experienced? This is regardless of who did it. An incident is a single act. It can also be several acts of unwanted sexual situations that you think are connected. An incident can last for minutes, hours, or days.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What comes to mind when you heard the term over your entire lifetime? Did you include the time when you were a child or baby?

Probe: How did you arrive at your response? Did you think about now and go backwards, or did you start at an earlier age and go forward?

Probe: What do you think we mean by several acts of unwanted sexual situations that you think are connected?

Probe: When you reported incidents, did you think of each act as a separate act or several acts occurring at the same time as a single act? Was this instruction clear or not clear?

2. Has anyone ever made unwanted sexual or offensive gestures or looks at you? By this I mean, for example, thrusting their hips in your direction. This can also mean looking at you in a sexual way.

1. Yes

2. No (Skip to Q1.3)

3. Don’t Know (Skip to Q1.3)

4. Refused (Skip to Q1.3)

Probe: What kinds of gestures or looks were you thinking about when you answered this question?

2. Over your entire lifetime, how many separate incidents of this have you had? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: How did you remember this?

3. Has anyone ever flashed or ‘mooned’ you without your consent? By flashing I mean when someone exposes his or her bare sexual organs to you on purpose. By mooning I mean exposing their bare butt to you on purpose.

1. Yes

2. No (Skip to Q1.4)

3. Don’t Know (Skip to Q1.4)

4. Refused (Skip to Q1.4)

3. Over your entire lifetime, how many separate incidents of being flashed or ‘mooned’ have you had. This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: How hard or easy was it to remember this?

4. Have you ever found out you were being watched by a ‘Peeping Tom’? By peeping tom I mean someone (male or female) observing or trying to observe you while you were undressing, nude, or in a sexual act.

1. Yes

2. No (Skip to Q1.5)

3. Don’t Know (Skip to Q1.5)

4. Refused (Skip to Q1.5)

Probe: What kinds of Peeping Tom incidents were you thinking about when you answered this?

4. Over your entire lifetime, how many separate incidents of this have you had? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

5. Has anyone ever shown, given, or left you unwanted sexual pictures, messages, or notes? This is when you did not agree to see, listen, or read them

1. Yes

2. No (Skip to Q2.1)

3. Don’t Know (Skip to Q2.1)

4. Refused (Skip to Q2.1)

Probe: Please tell me what you were thinking about when you answered the question?

5. Over your entire lifetime, how many separate incidents of this have you had? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What kind of incidents are we asking about?

Probe: How sure are you of your answer?

Probe: Up to now, were there any questions that stand out in your mind as being unclear?

Probe: Did you ever feel that you were being asked for the same information more than once?

Probe: Think about your energy level at the beginning of the survey and tell me how you feel now. Would you say that you have more energy, the same amount of energy, or less energy?

Section 2: Gateway Questions – Unwanted Sexual Contact

The next questions are about your experiences of unwanted sexual situations during your lifetime. These involve touching in some way. These do not include sexual intercourse or attempted sexual intercourse.

Probe: How are the questions in this section different from the questions in the section we just finished?

1. Has anyone ever kissed you in a sexual way on purpose without your consent? That is, have you ever experienced any incidents of unwanted, uninvited, or forced kissing? Again, this is in a sexual way.

   1. Yes

   2. No (Skip to Q2.2)

   3. Don’t Know (Skip to Q2.2)

   4. Refused (Skip to Q2.2)

Probe: What were you thinking of when you answered this question?

1. Over your entire lifetime, how many separate incidents of unwanted kissing in a sexual way have you had? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: How did you remember that?

Probe: Did you count the events by recalling each one individually, or did you estimate your answer?

2. Has anyone ever touched, grabbed, or fondled you in a sexual way on purpose without your consent? This could include someone intentionally touching or trying to touch your breast or chest, crotch, inner thigh or butt. This is even if they did so through your clothing.

   1. Yes

   2. No (Skip to Q2.3)

   3. Don’t Know (Skip to Q2.3)

   4. Refused (Skip to Q2.3)

Probe: What were you thinking of when you answered this question?

2. Over your entire lifetime, how many separate incidents of this have you had? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: How did you arrive at this answer?

3. Has anyone ever rubbed up against you on purpose without your consent? This is in a sexual way. This could include someone rubbing his or her private parts against your body.

   1. Yes

   2. No (Skip to Q2.4)

   3. Don’t Know (Skip to Q2.4)

   4. Refused (Skip to Q2.4)

Probe: Please tell me what kinds of things you were thinking of when you answered this question?

3. Over your entire lifetime, how many separate incidents of this have you had? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What did you need to answer this question?

4. Has anyone ever removed or tried to take off your clothing after you said or showed that you didn’t want them to? Again, this is without your consent.

   1. Yes

   2. No (Skip to Q3.1)

   3. Don’t Know (Skip to Q3.1)

   4. Refused (Skip to Q3.1)

Probe: What does the term consent mean to you?

Probe: Did you think this referred to medical professions or others who might have some legitimate reason for needing you to take off your clothes?

4. Over your entire lifetime, how many separate incidents of someone removing or trying to take off your clothing have you had? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: In this last section, were there any questions that stand out in your mind as being unclear?

Probe: Did you ever feel that you were being asked for the same information more than once?

Probe: Think about your energy level at the beginning of the survey and tell me how you feel now. Would you say that you have more energy, the same amount of energy or less energy?

Section 3: Gateway Questions – Unwanted Sex

The next questions are about unwanted sex that you may have experienced or times in which someone tried to have unwanted sex with you, but the sex did not occur. In either case, I am talking about experiences that occurred after you said or showed you didn’t want to. Again, this is without your consent. Because of the type of these experiences that we are going to talk about, the words may be troubling. I have to ask about these experiences this way so that you are clear about what I mean. Again, your responses are confidential. As a reminder, an incident is a single act. It can also be several acts of unwanted sexual situations that you think are connected. An incident can last for minutes, hours, or days.

Probe: Please tell me in your own words what this introduction is telling you.

VAGINAL SEX

1. First, I will ask you about unwanted vaginal sex. I mean someone putting a penis, finger, or foreign object into your vagina. Has anyone ever physically forced or threatened to harm you or someone close to you in order to try to have or have unwanted vaginal sex with you? I mean holding you down with their body, pinning your arms, using a weapon, or threatening to do so.

   1. Yes

   2. No (Skip to Q3.2)

   3. Don’t Know (Skip to Q3.2)

   4. Refused (Skip to Q3.2)

Probe: Were there any terms used in the question that you had difficulty understanding?

Probe: Please tell me what we are asking you in this question.

3.1.1 Over your entire lifetime, how many separate incidents of this have you had where the person had unwanted vaginal sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What comes to mind when you heard the term over your entire lifetime? Did you include the time when you were a child or baby?

Probe: How did you arrive at your response? Did you think about now and go backwards, or did you start at an earlier age and go forward?

Probe: What do you think we mean by several acts of unwanted sex that you think are connected?

Probe: When you reported incidents, did you think of each act as a separate act or several acts occurring at the same time as a single act? Was this instruction clear or not clear?

3.1.2 Over your entire lifetime, how many separate incidents of this have you had where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: Please tell me in your own words what I just asked you.

Probe: Please tell me what kinds of acts you were thinking of when you answered this question.

Probe: How did you remember that?

2. Has anyone ever given you alcohol or drugs to have unwanted vaginal sex with you?

   1. Yes

   2. No (Skip to Q3.3)

   3. Don’t Know (Skip to Q3.3)

   4. Refused (Skip to Q3.3)

Probe: Do you understand this question to mean that someone gave you alcohol or drugs for the express purpose of getting you to accept or want vaginal sex when you otherwise would not have wanted it?

Probe: Do you think people will answer this question truthfully?

1. Over your entire lifetime, how many separate incidents of being given alcohol or drugs have you had where the person had unwanted vaginal sex with you?? This regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: Please tell me in your own words what I just asked you.

Probe: How well do you remember this?

2. Over your entire lifetime, how many separate incidents of being given alcohol or drugs have you had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

3. Has anyone ever threatened you with nonphysical punishment to try to have or have unwanted vaginal sex with you? This includes threatening to tell lies or spread rumors about you. It also includes threatening to have you fired from your job or to end a relationship.

   1. Yes

   2. No (Skip to Q3.4)

   3. Don’t Know (Skip to Q3.4)

   4. Refused (Skip to Q3.4)

Probe: Please tell me in your own words what I just asked.

1. Over your entire lifetime, how many separate incidents of this have you had, where the person had unwanted vaginal sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: How did you define your entire lifetime?

Probe: How did you recall the number of incidents?

Probe: How sure are you of your answer?

2. Over your entire lifetime, how many separate incidents of this have you had, where the person tried to but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: Did you define your entire lifetime in the same way as you did above?

Probe: Did you count each of the incidents, or if you took a “best guess” how did you arrive at your answer?

4. Has anyone ever promised you rewards to try to have or have unwanted vaginal sex with you? That is, have they ever done things like make promises about a promotion at work or the future of a relationship?

1. Yes

2. No (Skip to Q3.5)

3. Don’t Know (Skip to Q3.5)

4. Refused (Skip to Q3.5)

Probe: Please tell me in your own words what the question is.

3.4.1) Over your entire lifetime, how many separate incidents of someone promising your rewards have you had, where the person had unwanted vaginal sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What did you think of when you thought of your entire lifetime?

Probe: What information did you need to answer the question?

Probe: How comfortable do you feel answering this question?

3.4.2) Over your entire lifetime, how many separate incidents of someone promising you rewards have you had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: How did you recall your answer?

5. Has anyone ever continually pestered you or used verbal pressure to try to have or have unwanted vaginal sex with you?

   1. Yes

   2. No (Skip to Q3.6)

   3. Don’t Know (Skip to Q3.6)

   4. Refused (Skip to Q3.6)

Probe: What kinds of things did you think of when you answered this question?

Probe: What time period did you think of when you answered this question?

3.5.1) Over your entire lifetime, how many separate incidents of this have you had, where the person had unwanted vaginal sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What information did you need to answer this question?

Probe: How sure are you of your answer?

Probe: Do you think people will answer this question truthfully?

3.5.2) Over your entire lifetime, how many separate incidents of this have you had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What were you thinking of when you answered this question?

Probe: When you answered this question were you thinking of incidents where someone continually pestered or verbally pressured you and the person tried but did not have sex with you?

Probe: How sure are you of your answer?

6. Has anyone ever had or tried to have vaginal sex with you when you could not give consent? This is because you were asleep, unconscious, too drunk, or too high. What I’m talking about here are times other than when someone gave you alcohol or drugs on purpose to have vaginal sex with you.

   1. Yes

   2. No (Skip to Q3.7)

   3. Don’t Know (Skip to Q3.7)

   4. Refused (Skip to Q3.7)

Probe: Please tell me in your own words what the question is asking.

3.6.1) Over your entire lifetime, how many separate incidents of this have you had, where the person had unwanted vaginal sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: Please tell me in your own words what the question is asking

Probe: How did you remember this?

3.6.2) Over your entire lifetime, how many separate incidents of this have you had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What type of incident is this question asking about?

Probe: How did you determine how many times this happened?

Probe: How sure are you of your answer?

7. Has anyone ever done something else, in order to try to have or have unwanted vaginal sex with you? This is besides what we’ve already talked about.

   1. Yes; Specify: ___________________________________________________

   2. No (Skip to Q3.8)

   3. Don’t Know (Skip to Q3.8)

   4. Refused (Skip to Q3.8)

Probe: What kinds of things were you thinking about when you answered this question?

3.7.1) Over your entire lifetime, how many separate incidents of __________ have you had, where the person had unwanted vaginal sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What information did you need to answer this question?

3.7.2) Over your entire lifetime, how many separate incidents of this have you had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What did you think of when you thought of your entire lifetime?

Probe: How easy or hard was it to count these events?

ANAL SEX

8. Next, I want to ask you about unwanted anal sex. I mean putting a penis, finger, or foreign object into your anus or rectum. Has anyone ever physically forced or threatened to harm you or someone close to you to try to have or have anal sex with you? By physical force I mean holding you down with their body, pinning your arms, using a weapon, or threatening to do so.

   1. Yes

   2. No (Skip to Q3.9)

   3. Don’t Know (Skip to Q3.9)

   4. Refused (Skip to Q3.9)

Probe: Were there anything in this question that you had difficulty understanding?

Probe: Please tell me what we are asking you in this question.

3.8.1) Over your entire lifetime, how many separate incidents of this have you had, where the person had unwanted anal sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: How did you remember this?

Probe: How sure are you of your answer?

3.8.2) Over your entire lifetime, how many separate incidents of this have you had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: Please tell me in your own words what I just asked you.

Probe: Please tell me what kinds of things you were thinking of when you answered this question.

Probe: How did you remember that?

9. Has anyone ever given you alcohol or drugs to have unwanted anal sex with you?

   1. Yes

   2. No (Skip to Q3.10)

   3. Don’t Know (Skip to Q3.10)

   4. Refused (Skip to Q3.10)

Probe: Please tell me in your own words what I just asked you.

Probe: What kinds of thoughts led to your answer?

Probe: How did you remember that?

3.9.1) Over your entire lifetime, how many separate incidents of being given alcohol or drugs have you had, where the person had unwanted anal sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: Please tell me in your own words what I just asked you.

Probe: How well do you remember this?

3.9.2) Over your entire lifetime, how many separate incidents of being given alcohol or drugs have you had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

10. Has anyone ever threatened you with nonphysical punishment to try to have or have unwanted anal sex with you? This includes threatening to tell lies or spread rumors about you. It also includes threatening to have you fired from your job or to end a relationship.

1. Yes

2. No (Skip to Q3.11)

3. Don’t Know (Skip to Q3.11)

4. Refused (Skip to Q3.11)

Probe: Please tell me in your own words what I just asked.

3.10.1) Over your entire lifetime, how many separate incidents of this have you had, where the person had unwanted anal sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What do you mean by separate incidents?

Probe: How did you recall the number of incidents?

Probe: How sure are you of your answer?

3.10.2) Over your entire lifetime, how many separate incidents of this have you had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What were you thinking about when you thought of your entire lifetime?

Probe: Did you count each of the incidents, or if you took a “best guess,” how did you arrive at your answer?

11. Has anyone ever promised you rewards to try to have or have unwanted anal sex with you? That is, have they ever done things like make promises about a promotion at work or the future of a relationship?

1. Yes

2. No (Skip to Q3.12)

3. Don’t Know (Skip to Q3.12)

4. Refused (Skip to Q3.12)

Probe: Please tell me in your own words what the question is.

3.11.1) Over your entire lifetime, how many separate incidents of this have you had, where the person had unwanted anal sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: When you answered this question, did you include all years of your life since you were born?

Probe: What information did you need to answer the question?

Probe: How comfortable do you feel answering this question?

3.11.2) Over your entire lifetime, how many separate incidents of this have you had, where the person tried but did not have sex with you? This isregardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: How did you recall your answer?

12. Has anyone ever continually pestered you or used verbal pressure to try to have or have unwanted anal sex with you?

    1. Yes

    2. No (Skip to Q3.13)

    3. Don’t Know (Skip to Q3.13)

    4. Refused (Skip to Q3.13)

Probe: What kinds of things did you think of when you answered this question?

Probe: What time period did you think of when you answered this question?

3.12.1) Over your entire lifetime, how many separate incidents of someone continually pestering or verbally pressuring you have you had, where the person had unwanted anal sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What information did you need to answer this question?

Probe: How sure are you of your answer?

Probe: Do you think people will answer this question truthfully?

3.12.2) Over your entire lifetime, how many separate incidents of someone continually pestering or verbally pressuring you have you had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: Was this question confusing? In what way?

Probe: How sure are you of your answer?

13. Has anyone ever had or tried to have anal sex with you when you could not give consent? This is because you were asleep, unconscious, too drunk, or too high. What I’m talking about here are times other than when someone gave you alcohol or drugs on purpose to have anal sex with you.

    1. Yes

    2. No (Skip to Q3.14)

    3. Don’t Know (Skip to Q3.14)

    4. Refused (Skip to Q3.14)

Probe: Please tell me in your own words what the question is asking.

3.13.1) Over your entire lifetime, how many separate incidents of this have you had, where the person had unwanted anal sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: Please tell me in your own words what the question is asking.

Probe: How did you remember this?

3.13.2) Over your entire lifetime, how many separate incidents of this have you had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: How did you define separate incidents when you answered this question?

Probe: Was it clear what we meant by “separate incidents of this?”

14. Has anyone ever done something else to try to have or have unwanted anal sex with you? This is besides what we’ve already talked about.

    1. Yes; Specify: __________________________________________________

    2. No (Skip to Q3.15)

    3. Don’t Know (Skip to Q3.15)

    4. Refused (Skip to Q3.15)

Probe: What kinds of things were you thinking about when you answered this question?

3.14.1) Over your entire lifetime, how many separate incidents of this have you had, where the person had unwanted anal sex with you. This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What information did you need to answer this question?

3.14.2) Over your entire lifetime, how many separate incidents of this have you had, where the person tried but did not have sex with you. This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What do you mean by entire lifetime?

Probe: How easy or hard was it to count these events?

ORAL SEX

15. The next questions are about unwanted oral sex after you said or showed you didn’t want to. Again, this is without your consent. By oral sex, I mean when someone’s mouth or tongue touches your vagina or anus. This can also mean your mouth or tongue touches someone else’s genitals or anus. Has anyone ever physically forced or threatened to harm you or someone close to you to try to have or have unwanted oral sex with you? I mean holding you down with their body, pinning your arms, using a weapon, or threatening to do so.

    1. Yes

    2. No (Skip to Q3.16)

    3. Don’t Know (Skip to Q3.16)

    4. Refused (Skip to Q3.16)

Probe: Did you have difficulty understanding any terms in this question?

Probe: Please tell me what we are asking you in this question.

3.15.1) Over your entire lifetime, how many separate incidents of unwanted oral sex have you had, where the person had unwanted sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: How did you remember this?

Probe: How sure are you of your answer?

3.15.2) Over your entire lifetime, how many separate incidents of unwanted oral sex have you had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: Please tell me in your own words what I just asked you.

Probe: Please tell me what kinds of things you were thinking of when you answered this question.

Probe: How did you remember that?

16. Has anyone ever given you alcohol or drugs to try to have or have unwanted oral sex with you?

    1. Yes

    2. No (Skip to Q3.17)

    3. Don’t Know (Skip to Q3.17)

    4. Refused (Skip to Q3.17)

Probe: Please tell me what you were thinking when you answered this question.

Probe: Do you think people will answer this question truthfully?

3.16.1) Over your entire lifetime, how many separate incidents of someone giving you alcohol or drugs have you had, where the person had unwanted oral sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: Please tell me in your own words what I just asked you.

Probe: How do you remember this?

3.16.2) Over your entire lifetime, how many separate incidents of someone giving you alcohol or drugs have you had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

17. Has anyone ever threatened you with nonphysical punishment to try to have or have unwanted oral sex with you? This includes threatening to tell lies or spread rumors about you. It also includes threatening to have you fired from your job or to end a relationship.

1. Yes

2. No (Skip to Q3.18)

3. Don’t Know (Skip to Q3.18)

4. Refused (Skip to Q3.18)

Probe: Please tell me in your own words what I just asked.

3.17.1) Over your entire lifetime, how many separate incidents of this have you had, where the person had unwanted oral sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: Was this question clear? Did you understand what we meant by “separate incidents of this?”

Probe: How did you recall the number of incidents?

Probe: How sure are you of your answer?

3.17.2) Over your entire lifetime, how many separate incidents of this have you had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: Did you have difficulty understanding this question? If we had not just discussed what we meant by separate incidents of this, would you have understood what we were talking about?

Probe: Did you count each of the incidents, or if you took a “best guess,” how did you arrive at your answer?

18. Has anyone ever promised you rewards to try to have or have unwanted oral sex with you? That is, have they ever done things like make promises about a promotion at work or the future of a relationship?

    1. Yes

    2. No (Skip to Q3.19)

    3. Don’t Know (Skip to Q3.19)

    4. Refused (Skip to Q3.19)

Probe: Please tell me in your own words what the question is asking.

3.18.1) Over your entire lifetime, how many separate incidents of this have you had, where the person had unwanted oral sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What did you think of when you thought of your entire lifetime?

Probe: What information did you need to answer the question?

Probe: How comfortable do you feel answering this question?

3.18.2) Over your entire lifetime, how many separate incidents of this have you had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: How did you recall your answer?

19. Has anyone ever continually pestered you or used verbal pressure to try to have or have unwanted oral sex with you?

    1. Yes

    2. No (Skip to Q3.20)

    3. Don’t Know (Skip to Q3.20)

    4. Refused (Skip to Q3.20)

Probe: In thinking about this question, did you focus more on the pestering and use of verbal pressure or the unwanted oral sex?

Probe: What time period did you think of when you answered this question?

3.19.1) Over your entire lifetime, how many separate incidents of someone continually pestering or verbally pressuring you have you had, where the person had unwanted oral sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

3.19.2) Over your entire lifetime, how many separate incidents of someone continually pestering or verbally pressuring you have you had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: Did you find this question confusing? What made it confusing to you?

Probe: How sure are you of your answer?

20. Has anyone ever had oral sex with you when you could not give consent? This is because you were asleep, unconscious, too drunk, or too high. What I’m talking about here are times other than when someone gave you alcohol or drugs on purpose to have oral sex with you.

    1. Yes

    2. No (Skip to Q3.21)

    3. Don’t Know (Skip to Q3.21)

    4. Refused (Skip to Q3.21)

Probe: Please tell me in your own words that the question is asking.

3.20.1) Over your entire lifetime, how many separate incidents of this have you had, where the person had unwanted oral sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: Please tell me in your own words that the question is asking.

Probe: How did you remember this?

3.20.2) Over your entire lifetime, how many separate incidents of this have you experience had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What type of incident is this question asking about?

Probe: How did you determine how many times this happened?

Probe: How sure are you of your answer?

21. Has anyone ever done something else, in order to try to have or have unwanted oral sex with you? This is besides what we’ve already talked about.

    1. Yes; Specify: __________________________________________________

    2. No (Skip to Q4.1)

    3. Don’t Know (Skip to Q4.1)

    4. Refused (Skip to Q4.1)

Probe: What kinds of things were you thinking about when you answered this question?

3.21.1) Over your entire lifetime, how many separate incidents of this have you had, where the person had unwanted oral sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What information did you need to answer this question?

3.21.2) Over your entire lifetime, how many separate incidents of this have you had, where the person tried but did not have sex with you? This is regardless of who did it.

BEST GUESS # ________; IF CANNOT GET EXACT NUMBER THEN USE THE FOLLOWING RESPONSES

1. 1 incident in my lifetime

2. 2-5 incidents in my lifetime

3. 6-10 incidents in my lifetime

4. More than 10 incidents in my lifetime

5. Don’t know

Probe: What did you think of when you thought of your entire lifetime?

Probe: How easy or hard was it to count these events?

Probe: In this last section were there any questions that stand out in your mind as being unclear?

Probe: Were there any questions that were unexpected?

Probe: At any time did you want to stop the interview? When was this?

Probe: Think about your energy level at the beginning of the survey and tell me how you feel now. Would you say that you have more energy, the same amount of energy or less energy?

[Internal notes on determining what detail question to ask. These will be removed prior to administration of the survey.]

We will first determine how many incidents of Unwanted Sexual Situations, Unwanted Touching, Unwanted (vaginal, anal, or oral) Sex, and Attempted Unwanted (vaginal, anal, or oral) Sex a respondent reported. Sections 4 & 5 are the detail questions section for completed and attempted sexual assault: Section 4 asks about first ever and Section 5 asks about most recent. The interviewer will ask questions from sections 4 & 5 (as appropriate, based on the responses to the screening questions from section 3). We are going to ask the subset of detail questions about the first and most recent incidents (presuming there were multiple events reported) of the remaining less “severe” experiences reported (e.g., unwanted touching and non-contact sexual situations). For Unwanted Sex and Attempted Unwanted Sex we also need to have some coding that will take into account if the respondent reports experiencing only 1 type of sex (e.g., only vaginal, anal, or oral), then the follow-up detail questions should refer to that specific type of sex. Similarly, if more than 1 type is reported, then the follow-up questions should refer to the unwanted incident as ‘sex.’ For example:

CONDITIONAL: If more than 1 type of unwanted sex reported in Section 3,

DUMMY = ‘sex’; else if only 1 type of unwanted sex reported:

DUMMY: vaginal sex

oral sex

anal sex

If DUMMY = ‘sex’ then the first question (Q4.1) will determine which type(s) of SV occurred during the incident.

Section 4: Severe Detail Questions - FIRST EXPERIENCE

Up to this point, I have been asking you some basic questions about your various experiences of unwanted sex. Now, I want to ask some more detailed questions about your first experience of unwanted DUMMY. Some people may find these questions upsetting. It is important that I ask them this way so that you are clear about what I mean. The information you are providing is confidential.

CONDITIONAL 4.1: If DUMMY = ‘sex’ or ‘attempted sex’ and more than 1 type of DUMMY is reported continue, else skip to Q4.2

1. Which of the following happened to you the first time you experienced unwanted (DUMMY)? (Check all that apply)

   1. Unwanted vaginal sex

   2. Unwanted anal sex

   3. Unwanted oral sex

2. How old were you when you first experienced unwanted (DUMMY)?

BEST GUESS AGE ________ [IF CANNOT GET EXACT AGE THEN USE THE FOLLOWING RESPONSES]

1. < 12 years old

2. 13 to17 years old

3. 18 to 29 years old

4. 30 to 44 years old

5. 45 to 59 years old

6. 60 to 64 years old

7. > 65 years old

8. Don’t know

9. Refused

Probe: How difficult was it to recall your age?

Probe: How sure are you of your answer?

3. Was more than one person involved in unwanted (DUMMY) with you during your first experience?

   1. Yes

   2. No [GO TO NOTE 4.1]

   3. Don’t Know

   4. Refused

4. How many people engaged in unwanted (DUMMY) with you during your first experience?

BEST GUESS # ________ [SKIP TO NOTE 4.2]

NOTE 4.1: Next, I want to ask you some specific information about the person who did this to you. [SKIP TO Q4.5]

NOTE 4.2: Next, I want to ask you some specific information about the people who did this to you. I will ask the next set of questions about the first person. Then, I will repeat the questions again for the remaining {(# reported in Q4.4 – 1) people. That is, the next set of questions will ask about the FIRST person who engaged in unwanted (DUMMY) during your first experience. Then, I’ll ask you about the SECOND person and so on.

To be clear, I want to ask you about the first (second, third…) person who did this to you during your first incident.

CONDITIONAL 4.2: If Q4.4 > 1, REPEAT Q4.5 – 4.9 FOR EACH PERPETRATOR AND GOTO NOTE 4.2, ELSE GOTO Q4.5

5. Was this person male or female?

   1. Male

   2. Female

   3. Don’t Know

   4. Refused

6. How old was this person?

BEST GUESS AGE ________ [IF CANNOT GET EXACT AGE THEN USE THE FOLLOWING RESPONSES]

1. < 12 years old

2. 13 to17 years old

3. 18 to 29 years old

4. 30 to 44 years old

5. 45 to 59 years old

6. 60 to 64 years old

7. > 65 years old

8. Don’t know

9. Refused

7. At the time you first experienced unwanted (DUMMY), what was your relationship to this person?

   1. Current boyfriend / girlfriend / romantic partner / significant other

   2. Former boyfriend / girlfriend / romantic partner / significant other

   3. Current legal spouse (including common law)

   4. Former legal spouse (including common law)

   5. Someone you were dating but who you would not label as a boyfriend/girlfriend

   6. Someone you were going on a first date with

   7. Family member (specify): ___________________________________

   8. Friend

   9. Acquaintance

   10. Someone in a position of power or trust, such as an employer, teacher, clergy (specify): ___________________________________

   11. Someone you knew for 24 hours or less

   12. Someone else you knew (specify): ___________________________________

   13. Complete stranger

   14. Don’t know

   15. Refused

8. At the time you first experienced unwanted (DUMMY), how long had you known this person?

Years

Months

Weeks

Days

Hours

9. Were you living with this person?

   1. Yes

   2. No

   3. Don’t know

   4. Refused

CONDITIONAL 4.3: If Q4.7 is A-E, continue; else skip to Note 4.3

10. How long had you been involved with this person?

Years

Months

Weeks

Days

Hours

Probe: What does “involved with” mean to you?

NOTE 4.3: Now, I would like to ask you some questions about different parts of your first experience of unwanted (DUMMY).

CONDITIONAL 4.4: IF Q4.3=’Yes’ THEN USE “PEOPLE”

11. At the time of the incident, were you recovering from surgery or pregnancy? Were you recovering from something else that made you go to a doctor or stay in a hospital?

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

12. At the time of the incident, were you limited in any way because of a physical impairment or other health problem? This could be blindness or a hearing problem?

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

13. In your first experience, were you given a drug (such as Gamma Hydroxy Butyrate [GHB] or Rohypnol [‘Roofies’ or ‘Rope’]) before the incident without your knowledge?

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

Probe: Are you familiar with the names of the drugs we mentioned?

14. To your knowledge, did the person [people] who did this to you drink alcohol within one or two hours of the incident?

    1. Yes

    2. No

    3. Some did and some didn’t (only if Q4.3 = ‘Yes’)

    4. Don’t Know

    5. Refused

CONDITIONAL 4.5: IF Q4.15 = ‘Yes’ continue, else skip to Q4.17

15. How intoxicated did the person [people] who did this to you seem?

    1. Not at all

    2. Slightly intoxicated

    3. Moderately intoxicated

    4. Extremely intoxicated

Probe: How easy or hard was it to remember this?

Probe: What made you think the person was intoxicated?

16. Did you willingly drink alcohol within one or two hours of the incident?

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

CONDITIONAL 4.6: IF Q4.17 = ‘Yes’ continue, else skip to Q4.19

16. Approximately how many drinks did you have one or two hours before the incident?

BEST GUESS # ________

17. How intoxicated were you after you drank those [# of drinks reported in Q4.16] drinks?

    1. Not at all

    2. Slightly intoxicated

    3. Moderately intoxicated

    4. Extremely intoxicated

18. To your knowledge, did the person [people] who did this to you take some other recreational drug (such as marijuana, cocaine, ecstasy, etc.) within one or two hours of the incident?

    1. Yes (specify):________________________________________________________

    2. No

    3. Don’t Know

    4. Refused

Probe: What made you think the person had taken recreational drugs?

Probe: Do you understand what we mean by recreational drugs?

19. To your knowledge, did you willingly take some other recreational drug (such as marijuana, cocaine, ecstasy, etc.) within one or two hours of the incident?

    1. Yes – Specify:________________________________________________________

    2. No

    3. Don’t Know

    4. Refused

20. Did the person [people] who did this to you physically force you or threaten to harm you or someone close to you to get you to do what they wanted? As a reminder, by physical force I mean holding you down with their body, pinning your arms, using a weapon or threaten to do so.

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

Probe: What kinds of things were you thinking about when you answered this question?

CONDITIONAL 4.7: IF Q4.21=’Yes’ continue, else skip to Q4.24

21. Did the person [people] who did this to you use a weapon to get you to do what they wanted?

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

CONDITIONAL 4.8: IF Q4.22=’Yes’ continue, else skip to Q4.24

22. What weapons were used during your first experience of unwanted (DUMMY)? (check all that apply)

    1. Gun

    2. Knife

    3. Other weapon (specify):___________________________________________

    4. Don’t know

    5. Refused

23. Did the person [people] who did this to you give you alcohol or drugs to get you to do what they wanted? To be clear, I’m talking about times other than when someone gave you drugs such as Gamma Hydroxy Butyrate (GHB) or Rohypnol (‘Roofies’ or ‘Rope’) without your knowledge.

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

24. Did the person [people] who had unwanted (DUMMY) with you threaten you with nonphysical punishment to get you to do what they wanted? This includes threatening to tell lies or spread rumors about you. It also includes threatening to have you fired from your job or end a relationship.

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

25. Did the person [people] who did this to you promise you rewards to get you to do what they wanted? I mean making promises about a promotion at work or the future of a relationship.

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

Probe: What incident are we asking about?

26. Did the person [people] who did this to you continually pester or verbally pressure you to get you to do what they wanted?

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

27. Did the person [people] do this to you when you could not give consent? This is because you were asleep, unconscious, too drunk, or too high. I’m talking times other than when someone gave you alcohol or drugs to have sex with you.

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

Probe: Please repeat the question in your own words.

28. Did the person [people] who did this to you do something else to get you to do what they wanted? This is besides what we’ve already talked about.

    1. Yes; Specify: ____________________________________________________________

    2. No

    3. Don’t Know

    4. Refused

Probe: Were the terms we used to describe sexual acts understandable? Could they have been clearer?

Probe: Were there any questions that made you feel uncomfortable about answering?

Probe: Think about your energy level at the beginning of the survey and how you are feeling now. Would you say that you have more energy, the same amount of energy, or less energy?

Probe: Was there anytime during the interview when you wanted to end the survey? When and why?

Section 5: Severe Detail Questions – MOST RECENT EXPERIENCE

Now I’d like to ask you some questions about your most recent experiences of unwanted (DUMMY). These questions may be troubling. I have to ask them this way so that you are clear about what I mean. The information you are providing is confidential.

CONDITIONAL 5.1: If DUMMY = ‘sex’ or ‘attempted sex’ and more than 1 type of DUMMY is reported continue, else skip to Q5.2

1. Which of the following happened to you during the most recent time you experienced unwanted (DUMMY)? (Check all that apply)

   1. Unwanted vaginal sex

   2. Unwanted oral sex

   3. Unwanted anal sex

Probe: Is it clear which incident we want to discuss? Is it different from the incident we just discussed?

2. How old were you at the time of your most recent experience of unwanted (DUMMY)?

BEST GUESS AGE ________ [IF CANNOT GET EXACT AGE THEN USE THE FOLLOWING RESPONSES]

1. < 12 years old

2. 13 to17 years old

3. 18 to 29 years old

4. 30 to 44 years old

5. 45 to 59 years old

6. 60 to 64 years old

7. > 65 years old

8. Don’t know

9. Refused

Probe: How difficult was it to recall your age?

Probe: How sure are you of your answer?

3. Where did your most recent experience of unwanted (DUMMY) take place?

   1. In your home

   2. In the home of the person [people] who did this to you

   3. In a home you share(d) with the person [people] who did this to you

   4. In a group living institution

   5. At your workplace

   6. At the workplace of the person [people] who did this to you

   7. In a business, for example, the grocery store, a dress store, a shopping mall or the library

   8. In a car

   9. In a parking lot or garage

   10. Outdoors (specify)

   11. Other (specify)

   12. Don’t Know

   13. Refused

Probe: What kinds of things helped you determine your answer to this question?

4. Did more than one person have unwanted (DUMMY) with you during your most recent experience?

   1. Yes

   2. No [GO TO Note 5.1]

   3. Don’t Know

   4. Refused

5. How many people had unwanted (DUMMY) with you during this incident?

BEST GUESS # ________ [Skip to Note 5.2]

NOTE 5.1: Next, I want to ask you some specific information about the person who did this to you. [Skip to Q5.6]

NOTE 5.2: Next, I want to ask you some specific information about the people who did this to you. I will ask the next set of questions about the first person. Then, I will repeat the questions again for the remaining (# reported in Q7.5 – 1) people. That is, the next set of questions will ask about the FIRST person who engaged in unwanted (DUMMY) during your most recent experience. Then, I’ll ask you about the SECOND person and so on.

To be clear, I want to ask you about the first (second, third,…) person who did this to you during your most recent incident,

CONDITIONAL 5.2: If Q5.5 > 1, REPEAT Q5.6 – 5.13 FOR EACH PERPETRATOR, ELSE GOTO Q5.6

6. Was this person male or female?

1. Male

2. Female

3. Don’t Know

4. Refused

7. How old was this person?

BEST GUESS AGE ________ [IF CANNOT GET EXACT AGE THEN USE THE FOLLOWING RESPONSES]

1. < 12 years old

2. 13 to17 years old

3. 18 to 29 years old

4. 30 to 44 years old

5. 45 to 59 years old

6. 60 to 64 years old

7. > 65 years old

8. Don’t know

9. Refused

Probe: How sure are you of your answer?

8. Was this person a Latino/Latina or of Hispanic origin?

   1. Yes

   2. No

   3. Don’t Know

   4. Refused

9. What was the race of this person? (Choose all that apply) Would you say he/she was:

   1. American Indian / Alaska Native

   2. Asian

   3. Black or African American

   4. Native Hawaiian / Pacific Islander

   5. White or Caucasian

   6. Other (specify): ________________________

   7. Don’t Know

   8. Refused

10. At the time of your most recent experience with unwanted (DUMMY), what was your relationship with this person?

    1. Current boyfriend / girlfriend / romantic partner / significant other

    2. Former boyfriend / girlfriend / romantic partner / significant other

    3. Current legal spouse (including common law)

    4. Former legal spouse (including common law)

    5. Someone you were dating but who you would not label as a boyfriend/girlfriend

    6. Someone you were going on a first date with

    7. Family member (specify): ___________________________________

    8. Friend

    9. Acquaintance

    10. Someone in a position of power or trust, such as an employer, teacher, clergy (specify): ___________________________________

    11. Someone you knew for 24 hours or less

    12. Someone else you knew (specify): ___________________________________

    13. Complete stranger

    14. Don’t know

    15. Refused

Probe: Did you find the number of possible responses confusing?

11. At the time of your most recent experience with unwanted (DUMMY), how long had you known this person?

Years

Months

Weeks

Days

Hours

11. Were you living with this person?

    1. Yes

    2. No

    3. Don’t know

    4. Refused

CONDITIONAL 5.3: If Q5.10 is A-E, continue; else skip to Note 5.3

11. How long had you been involved with this person?

Years

Months

Weeks

Days

Hours

Probe: What kinds of things did you think of when you answered this question?

Probe: What does “involved with” mean to you?

NOTE 5.3: Now I would like to ask you some questions about different parts of your most recent experience of unwanted (DUMMY).

CONDITIONAL 5.4: IF Q5.4=’Yes’ THEN USE “PEOPLE”

14. At the time of the incident, were you recovering from surgery or pregnancy? Were you recovering from something else that made you go to a doctor or stay in a hospital?

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

14. At the time of the incident, were you limited in any way because of a physical impairment or other health problem? This could be blindness or a hearing problem?

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

Probe: What does physical impairment mean to you?

Probe: Do you understand what we mean by other health problem?

14. Were you given a drug (such as Gamma Hydroxy Butyrate [GHB] or Rohypnol [‘Roofies’ or ‘Rope’]) before the incident without your knowledge?

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

Probe: Are you familiar with the names of the drugs we mentioned?

14. To your knowledge, did the person [people] who did this to you drink alcohol within a few hours of the incident?

    1. Yes

    2. No

    3. Some were and some weren't (only if Q7. 4 = ‘Yes’)

    4. Don’t Know

    5. Refused

Probe: What kinds of things did you think of when you answered this question?

Probe: How did you determine that the person (people) had been drinking prior to the incident?

14. How intoxicated did the person [people] who did this to you seem?

    1. Not at all

    2. Slightly intoxicated

    3. Moderately intoxicated

    4. Extremely intoxicated

14. Did you willingly drink alcohol within one or two hours of the incident?

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

CONDITIONAL 5.5: IF Q5.19 = ‘Yes’ continue, else skip to Q7.22

14. About how many drinks did you have within one or two hours of the incident?

BEST GUESS # ________

14. How intoxicated were you after you drank those (# of drinks reported in Q5.20) drinks?

    1. Not at all

    2. Slightly intoxicated

    3. Moderately intoxicated

    4. Extremely intoxicated

Probe: What kinds of things were you thinking about when you answered this question?

14. To your knowledge, did the person [people] who did this to you take some other recreational drug (such as marijuana, cocaine, ecstasy, etc.) within a few hours of the incident?

    1. Yes – Specify:________________________________________________________

    2. No

    3. Don’t Know

    4. Refused

14. Did you take some other recreational drug (such as marijuana, cocaine, ecstasy, etc.) within a few hours of the incident?

    1. Yes – Specify:________________________________________________________

    2. No

    3. Don’t Know

    4. Refused

14. Did the person [people] who did this to you physically force you or threaten to harm you or someone close to you to get you to do what they wanted? I mean holding you down with their body, pinning your arms, using a weapon or threatening to do so.

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

Probe: How did you determine your answer to this question?

CONDITIONAL 5.6: IF Q5.24 = ‘Yes’ continue, else skip to Q5.27

14. Did the person [people] who did this to you use a weapon to get you to do what he or she wanted?

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

CONDITIONAL 5.7: IF Q5.24 = ‘Yes’ continue, else skip to Q5.27

14. What weapons were used during your most recent experience of unwanted (DUMMY)? (check all that apply)

    1. Gun

    2. Knife

    3. Other weapon (specify):___________________________________________

    4. Don’t know

    5. Refused

14. Did the person [people] who did this to you give you alcohol or drugs to get you to do what they wanted? To be clear, I’m talking experiences other than when someone deliberately gave you drugs such as Gamma Hydroxy Butyrate (GHB) or Rohypnol (‘Roofies’ or ‘Rope’) without your knowledge.

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

14. Did the person [people] who did this to you threaten you with nonphysical punishment to get you to do what they wanted? I mean threatening to tell lies or spread rumors about you. It also includes threatening to have you fired from your job or end a relationship.

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

14. Did the person [people] who did this to you promise you rewards to get you to do what they wanted? I mean making promises about a promotion at work or the future of a relationship.

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

Probe: What incident are we asking about?

14. Did the person [people] who did this to you continually pester or verbally pressure you to get you to do what they wanted?

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

14. Did the person [people] do this to you when you could not give consent? This is because you were asleep, unconscious, too drunk, or too high,

    1. Yes

    2. No

    3. Don’t Know

    4. Refused

Probe: Please repeat the question in your own words.

Probe: Were you thinking about times other than when someone gave you alcohol or drugs to have sex with you?

14. Did the person [people] who did this to you do something else to get you to do what they wanted? This is besides what we’ve already talked about.

1. Yes; Specify: ____________________________________________________________

2. No

3. Don’t Know

4. Refused

Probe: What kinds of things were you thinking about when you answered this?

NOTE 5.4: Now I would like to ask you some questions about different things that might have happened after or as a result of experiencing unwanted sex. I want to know if any of these things happened because of your most recent experience of unwanted (DUMMY).

14. After your most recent experience of unwanted (DUMMY), were you told you have Human Immunodeficiency Virus (HIV)?

1. Yes

2. No

3. Don’t know

4. Refused

34. After your most recent experience of unwanted (DUMMY), were you told you have some other sexually transmitted disease (other than HIV)?

1. Yes

2. No

3. Don’t know

4. Refused

Conditional 5.8: If DUMMY includes vaginal sex continue, else skip to Q5.36

35. After your most recent experience of unwanted (DUMMY), did you get pregnant?

    1. Yes

    2. No

    3. Don’t know

    4. Refused

35. After your most recent experience of unwanted (DUMMY), did you lose an existing pregnancy?

    1. Yes

    2. No

    3. Don’t know

    4. Refused

Probe: What were you thinking about when you answered this question?

35. After your most recent experience of unwanted (DUMMY), were you physically injured?

    1. Yes

    2. No

    3. Don’t know

    4. Refused

Probe: What do you mean by physically injured?

35. After your most recent experience of unwanted (DUMMY), did you require help from a doctor or nurse or some other outpatient medical care?

    1. Yes

    2. No

    3. Don’t know

    4. Refused

35. After your most recent experience of unwanted (DUMMY), did you have to stay at a hospital or get some other inpatient medical care?

    1. Yes

    2. No

    3. Don’t know

    4. Refused

35. After your most recent experience of unwanted (DUMMY), did a doctor or nurse take any physical evidence from you (for example, samples of bodily fluid for a “rape kit”)?

    1. Yes

    2. No

    3. Don’t know

    4. Refused

Probe: Did this question make you uncomfortable?

35. After your most recent experience of unwanted (DUMMY), did you get any mental health care?

    1. Yes, within 1 month of the most recent experience of unwanted (DUMMY)

    2. Yes, within 6 months of the most recent experience of unwanted (DUMMY)

    3. Yes, within 1 year of the most recent experience of unwanted (DUMMY)

    4. Yes, more than 1 year after the most recent experience of unwanted (DUMMY)

    5. No

    6. Don’t know

    7. Refused

35. After your most recent experience of unwanted (DUMMY), were the authorities (e.g., the police) contacted? This is regardless of who contacted them.

    1. Yes

    2. No

    3. Don’t know

    4. Refused

35. After your most recent experience of unwanted (DUMMY), was a rape crisis center or some other sexual assault service provider contacted? This is regardless of who contacted them.

    1. Yes, within 1 month of the most recent experience of unwanted (DUMMY)

    2. Yes, within 6 months of the most recent experience of unwanted (DUMMY)

    3. Yes, within 1 year of the most recent experience of unwanted (DUMMY)

    4. Yes, more than 1 year after the most recent experience of unwanted (DUMMY)

    5. No

    6. Don’t know

    7. Refused

CONDITIONAL 5.9: IF Q5.2 < 18 OR OPTIONS ‘A’ OR ‘B’ WERE CHOSEN CONTINUE; ELSE GOTO CONDITIONAL 5.10

35. After your most recent experience of unwanted (DUMMY), was child protective services contacted? This is regardless of who contacted them?

    1. Yes, within 1 month of the most recent experience of unwanted (DUMMY)

    2. Yes, within 6 months of the most recent experience of unwanted (DUMMY)

    3. Yes, within 1 year of the most recent experience of unwanted (DUMMY)

    4. Yes, more than 1 year after the most recent experience of unwanted (DUMMY)

    5. No

    6. Don’t know

    7. Not applicable

    8. Refused

CONDITIONAL 5.10: IF Q7.2 > 18 OR OPTIONS ‘C’ THROUGH ‘G’ WERE CHOSEN CONTINUE; ELSE GOTO SECTION 8

35. After your most recent experience of unwanted (DUMMY), was adult protective services contacted? This is regardless of who contacted them about your most recent experience of completed unwanted sex?

    1. Yes, within 1 month of the most recent experience of unwanted (DUMMY)

    2. Yes, within 6 months of the most recent experience of unwanted (DUMMY)

    3. Yes, within 1 year of the most recent experience of unwanted (DUMMY)

    4. Yes, more than 1 year after the most recent experience of unwanted (DUMMY)

    5. No

    6. Don’t know

    7. Refused

Probe: Were the terms we used to describe sexual acts understandable? Could they have been clearer?

Probe: Were there any questions that made you feel uncomfortable about answering?

Probe: Think about your energy level at the beginning of the survey and how you are feeling now. Would you say that you have more energy, the same amount of energy, or less energy?

Probe: Was there anytime during the interview when you wanted to end the survey? When and why?

Section 6: Reduced Detail Questions – OTHER EXPERIENCES

[Internal notes on coding issues. These will be removed prior to administration of the survey.]

We will develop coding for the following situations:

1. which types of ‘less severe’ SV (unwanted touching and/or non-contact SV) a respondent has experienced (and how to code them into a dummy variable to collect the necessary data);

2. how many incidents a respondent has experienced (this will determine whether we ask the subset of detail questions about the first / most recent or their one experience; and

We will also determine how to word the questions in this section so they are appropriate for unwanted touching and/or non-contact SV.

I’ve asked you a lot of questions about your experience of unwanted (DUMMY). Now I’d like to ask you a brief set of questions about some of your other experiences of unwanted sex.

First, I’d like to ask you about your first experience of (LESS SEVERE SV#1).

1. How old were you at the time of your first / most recent experience of unwanted (LESS SEVERE SV #1)?

BEST GUESS AGE ________ [IF CANNOT GET EXACT AGE THEN USE THE FOLLOWING RESPONSES]

1. < 12 years old

2. 13 to17 years old

3. 18 to 29 years old

4. 30 to 44 years old

5. 45 to 59 years old

6. 60 to 64 years old

7. > 65 years old

8. Don’t know

9. Refused

2. Did more than one person have unwanted (LESS SEVERE SV #1) with you during your first / most recent experience?

   1. Yes [GO TO CONDITIONAL 6.1]

   2. No [GO TO NOTE 6.1]

   3. Don’t Know

   4. Refused

2. How many people had unwanted (LESS SEVERE SV #1) with you during your first / most recent experience?

BEST GUESS # ________

NOTE 6.1: Next, I want to ask you some specific information about the person [people] who did this to you.

CONDITIONAL 6.1: If Q6.3 > 1, REPEAT Q6.4 – 6.5 FOR EACH PERPETRATOR AND GOTO NOTE 6.2, ELSE GOTO Q6.4

NOTE 6.2: I will ask the next set of questions about the first person. Then, I will repeat the questions again for the remaining {(# reported in Q6.3 – 1) people. That is, the next set of questions will ask about the FIRST person who had unwanted (LESS SEVERE SV #1) during your first experience. Then, I’ll ask you about the SECOND person and so on.

To be clear, I want to ask you about the first (second, third…) person who did this to you during your first incident,

2. At the time you first / most recent experienced unwanted (LESS SEVERE SV #1), what was your relationship to this person?

   1. Current boyfriend / girlfriend / romantic partner / significant other

   2. Former boyfriend / girlfriend / romantic partner / significant other

   3. Current legal spouse (including common law)

   4. Former legal spouse (including common law)

   5. Someone you were dating but who you would not label as a boyfriend/girlfriend

   6. Someone you were going on a first date with

   7. Family member (specify): ___________________________________

   8. Friend

   9. Acquaintance

   10. Someone in a position of power or trust, such as an employer, teacher, clergy (specify): ___________________________________

   11. Someone whom you knew for 24 hours or less

   12. Someone else whom you knew (specify): ___________________________________

   13. Complete stranger

   14. Don’t know

   15. Refused

2. Was this person male or female?

   1. Male

   2. Female

   3. Don’t Know

   4. Refused

NOTE 6.3: Now I would like to ask you some questions about different parts of your first / most recent experience of unwanted (LESS SEVERE SV #1).

2. Did the person [people] who had unwanted (LESS SEVERE SV #1) with you threaten you with nonphysical punishment to get you to do what they wanted?

   1. Yes

   2. No

   3. Don’t Know

   4. Refused

2. Did the person [people] who did this to you promise you rewards to get you to do what they wanted?

   1. Yes

   2. No

   3. Don’t Know

   4. Refused

2. Did the person [people] who did this to you continually pester or verbally pressure you to get you to do what they wanted?

   1. Yes

   2. No

   3. Don’t Know

   4. Refused

2. Did the person [people] who did this to you give you alcohol or drugs to get you to do what they wanted?

   1. Yes

   2. No

   3. Don’t Know

   4. Refused

2. Did the person [people] do this to you when you could not give consent? This is because you were asleep, unconscious, too drunk, or too high,

   1. Yes

   2. No

   3. Don’t Know

   4. Refused

2. Did the person [people] who did this to you physically force you or threaten to harm you or someone close to you to get you to do what they wanted?

   1. Yes

   2. No

   3. Don’t Know

   4. Refused

CONDITIONAL 6.2: IF Q6.11 = ‘Yes’ continue, else skip to Section 9

2. Did the person [people] who did this to you use a weapon to get you to do what they wanted?

   1. Yes

   2. No

   3. Don’t Know

   4. Refused

CONDITIONAL 8.3: IF Q8.13 = ‘Yes’ continue, else if there are other less severe SV incidents repeat section 6; else skip to Section 7

2. Which, if any, of the following weapons were used during your first/most recent experience of unwanted (DUMMY)? (check all that apply)

   1. No weapon used

   2. Gun

   3. Knife

   4. Other weapon (specify):___________________________________________

   5. Don’t know

   6. Refused

Section 7: Demographics Information

Note 7.1: We are almost done, but I would like to ask a few questions so I can learn a little bit more about you.

1. What year were you born?

2. Are you Latina or of Hispanic origin?

   1. Yes

   2. No

   3. Don’t Know

   4. Refused

3. What is your race (choose all that apply)? Would you say you are:

   1. American Indian / Alaska Native

   2. Asian

   3. Black or African American

   4. Native Hawaiian / Pacific Islander

   5. White or Caucasian

   6. Other (specify): ________________________

   7. Don’t Know

   8. Refused

4. Were you born in the United States?

   1. Yes

   2. No

   3. Don’t Know

   4. Refused

Conditional 7.1: If Q7.4 = ‘No’ continue, else skip to Q7.8

5. In what country were you born? Specify: _____________________________

5. Are you now a United States citizen?

   1. Yes (Skip to Q7.8)

   2. No

   3. Don’t Know

   4. Refused

5. What is your current status?

1. Permanent resident with green card;

2. Work or other visa;

3. Other legal documents; or

4. No legal documents?

8. In what city and state do you live? _____________________________

8. What is the highest level of education you have completed?

   1. No schooling

   2. 1^st-8^th grade

   3. Some high school

   4. High school graduate or equivalent (e.g., GED)

   5. Some college

   6. Associates (2-year) college degree

   7. Bachelors (4-year) college degree

   8. Post-graduate degree

   9. Don’t know

   10. Refused

8. What is your current marital status?

   1. Single/Never married

   2. Married

   3. Separated

   4. Divorced

   5. Widowed

   6. Other (specify): ____________________

   7. Don’t know

   8. Refused

8. What was the total income before taxes from ALL household members during [THE MOST RECENT ENDED CALENDAR YEAR]? Include income from all legal sources such as work, investments, child support, and public assistance.

   1. Less than $10,000

   2. $10,000 to $14,999

   3. $15,000 to $24,999

   4. $25,000 to $34,999

   5. $35,000 to $49,999

   6. $50,000 to $74,999

   7. $75,000 to $99,999

   8. $100,000 to $149,999

   9. $150,000 or more

   10. Don't know

   11. Refused

8. During the past 30 days, have you had at least one drink? This includes more than a few sips, of any alcoholic beverage such as beer, wine, wine cooler, or liquor.

   1. Yes

   2. No

   3. Non drinker

   4. Don’t Know (END)

   5. Refused (END)

Conditional 7.2: If Q7.12 = ‘No’ continue, else skip to Q7.14

8. Have you ever had at least one drink? This includes more than a few sips, of any alcoholic beverage such as beer, wine, wine cooler, or liquor?

   1. Yes

   2. No (END)

   3. Non drinker (END)

   4. Don’t Know (END)

   5. Refused (END)

8. During the past 30 days, how many days per week or per month did you drink any alcoholic beverages, on average? (fill in only 1 of the following)

Answered in days / week: Number of days ______

or

Answered in days / month: Number of days ______

8. On the days when you drank, about how many drinks did you drink on average?

Number of drinks: ______

32