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pdf2017 SCHOOL CRIME SUPPLEMENT
INTRO_1 -
Now, I would like to ask some questions about your experiences at school. We estimate the survey
will take about 10 minutes. The law authorizes the collection of this data and requires us to keep all
information about you and your household strictly confidential.
SCREEN QUESTIONS FOR SUPPLEMENT
E_ATTENDSCHOOL
1a.
Did you attend school at any time this school year?
_________________________________________
E_HOMESCHOOL
1b.
During that time, were you ever homeschooled?
That is, did you receive ANY of that schooling at
home, rather than in a public or private school?
_________________________________________
E_ALLHOMESCHOOL
1c.
Was all of your schooling this school year
homeschooling?
___________________________________________
E_DIFFSCHOOL_ATTENDED
1d.
How many different schools have you
attended this school year?
1 Yes
2 No - SKIP to END
_____________________________________________
006
092
1 Yes
2 No - SKIP to E_DIFFSCHOOL_ATTENDED
_____________________________________________
1 Yes - SKIP to END
2 No
_____________________________________________
007
185SCS 1 One school
2 Two schools
3 Three or more schools
Include your homeschooling as one school.
(only asked if student answered “yes” to being
homeschooled)
Check Item: if student was not homeschooled (1b, E_HOMESCHOOL = “No”) Skip to 2b, WHATGRADE. If student was
partially homeschooled (1c, E_ALLHOMESCHOOL = “No”) continue with 2a, E_HOMESCHOOLGRADE.
E_HOMESCHOOLGRADE
2a.
During the time you were homeschooled this school
year, what grade would you have been in if you
were in a public or private school?
093
1
2
3
4
5
6
7
8
E_HOMESCHOOLGRADE_OTHER
What grade are you in?
E_WHATGRADEOTHER
Sixth
Seventh
Eighth
Ninth
Tenth
Eleventh
Twelfth
Other - Specify
SKIP to INTRO_ 2
9 College/GED/Post-graduate/
Other noneligible – SKIP to END
E_WHATGRADE
2b.
0 Fifth or under - SKIP to END
008
0 Fifth or under - SKIP to END
1
2
3
4
5
6
7
8
Sixth
Seventh
Eighth
Ninth
Tenth
Eleventh
Twelfth
Other - Specify
SKIP to E_WHATMONTH
9 College/GED/Post-graduate/
Other noneligible - SKIP to END
Page 1
FORM SCS-1 (8/3/2016)
FIELD REPRESENTATIVE - Read introduction only if any of the boxes 1-8 are marked in item 2a E_HOMESCHOOLGRADE.
INTRO_2 -The following questions pertain only to your attendance at a public or private school and not to being
homeschooled.
E_WHATMONTH
3.
In what month did your current school year begin?
009
E_WHATMONTHOTHER
1 August
2 September
3 Other - Specify _______________________
1
2
3
4
5
6
7
8
9
10
January
February
March
April
May
June
July
October
November
December
ENVIRONMENTAL QUESTIONS
F_SCHOOLSTATE, F_SCHOOLCOUNTY, F_SCHOOLCITY
4b.
In what State, County and City is your school
located?
F_NAMEOFSCHOOL
What is the complete name of your school?
F_PUBLICORPRIVATE
5a.
Is your school public or private?
____________________________________________
F_REGULARSCHOOL
5b.
Is this the regular school that most of the students in
your neighborhood attend?
____________________________________________
F_CHURCHRELATED
5c.
Is your school affiliated with a religion?
Page 2
015
014
013
012
State
County
City
School Name
1 Public – ASK F_REGULARSCHOOL
2 Private - SKIP to F_CHURCHRELATED
______________________________________________
016
1 Yes
2 No
SKIP to F_GRADES_LOW
_________________________________________
017
018
1 Yes
2 No
3 Don’t know
FORM SCS-1 (8/3/2016)
6.
What grades are taught in your school?
Pre-K or Kindergarten
00
01
02
03
04
05
06
07
08
09
10
11
12
13
20
30
020
021
(highest) F_GRADES_HIGH
H.S. Senior
Post-graduate
All ungraded
All Special Education
022
1
2
3
4
5
6
Walk
School bus
Public bus, subway, train
Car
Bicycle, motorbike, or motorcycle
Some other way – Specify _________
024
1
2
3
4
5
6
Walk
School bus
Public bus, subway, train
Car
Bicycle, motorbike, or motorcycle
Some other way - Specify ________
How do you get to school most of the time this
school year?
FIELD REPRESENTATIVE - If multiple modes are used, code
the mode in which the student spends the most time.
F_GETTOSCHOOL_SPECIFY
Enter the other way that the respondent gets to school.
F_HOMEFROMSCHOOL
8.
How do you get home from school most of the time
this school year?
FIELD REPRESENTATIVE - If multiple modes are used,
code the mode in which the student spends the most
time.
F_HOMEFROMSCHOOL_SPECIFY
Enter the other way that the respondent gets home from
school.
Page 3
(lowest) F_GRADES_LOW
TO
F_GETTOSCHOOL
7.
Grades:
FORM SCS-1 (8/3/2016)
9.
During this school year, have you participated in any of
the following activities sponsored by your school:
F_ACTIVITIES_ SPORTS
a. Athletic teams at school?
F_ACTIVITIES_ SPIRIT
b.
Spirit groups, for example, Cheerleading, Dance
Team, or Pep Club?
F_ACTIVITIES_ ARTS
c. Performing arts, for example, Band, Choir,
Orchestra, or Drama?
F_ACTIVITIES_ ACADEMIC
d. Academic clubs, for example, Debate Team, Honor
Society, Spanish Club, or Math Club?
F_ACTIVITIES_ GOVT
e. Student government?
F_ACTIVITIES_ SERVICE
f. [IF GRADES 6, 7, or 8 ASK] Volunteer or community
service clubs sponsored by your school, for
example, Peer Mediators, Ecology Club, or
Recycling Club?
Yes
No
120
1
2
121
1
2
122
1
2
123
1
2
124
1
2
125
1
2
126
1
[IF GRADES 9, 10, 11, or 12 ASK] Volunteer or
community service clubs sponsored by your school,
for example, Peer Mediators, Ecology Club, Key
Club, or Interact? Do not include community
service hours required for graduation.
F_ACTIVITIES_ OTHER
g. Other school clubs or school activities?
F_ACTIVITIES_OTHER_SPECIFY
What are the other school clubs or school activities
you participate in?
Page 4
2
Specify __________
FORM SCS-1 (8/3/2016)
10. The next questions are about security measures that
some schools take.
Does your school have:
F_SAFETY_POLICE
a. Security guards or assigned police officers?
F_SAFETY HALLSTAFF
b. Other adults supervising the hallway, such as
teachers, administrators, or parent volunteers?
F_SAFETY_ METAL_DETECTORS
c. Metal detectors, including wands?
(The definition for the term ‘metal detector’ is a device used to
check for weapons students might be trying to bring onto school
property. The metal detector may be in a form of a doorframe,
which you are asked to walk through. It may also be in the form
of a hand-held metal detector that looks like a wand or paddle,
which is moved around your body.)
F_SAFETY_DOORS_LOCKED
d. Locked entrance or exit doors during the day?
F_SAFETY_SIGN_IN
e. A requirement that visitors sign in AND wear
visitor badges or stickers?
F_SAFETY_LOCKER_CHECKS
f. Locker checks?
F_SAFETY_STUDENT_ID
g. A requirement that students wear badges or
picture identification?
F_SAFETY_CAMERAS
h. One or more security cameras to monitor
the school?
F_SAFETY_CODE_OF_CONDUCT
i.
A code of student conduct, that is, a set of
written rules or guidelines that the school
provides you?
Yes
If you hear about a threat to school or student safety,
do you have a way to report it without having to give
your name?
F_DISTRACTED
12.
In your classes, how often are you distracted from
doing your schoolwork because other students are
misbehaving, for example, talking or fighting?
(READ CATEGORIES.)
Page 5
Don’t know School does not
have lockers
028
1
2
3
029
1
2
3
030
1
2
3
031
1
2
3
032
1
2
3
033
1
2
3
094
1
2
3
095
1
2
3
096
1
2
3
Yes
No
Don’t know
167
1
2
3
156
1
2
3
4
F_REPORT
11.
No
4
Never
Almost never
Sometimes
Most of the time
FORM SCS-1 (8/3/2016)
13.
Thinking about your school, would you strongly
agree, agree, disagree, or strongly disagree with the
following...
F_RULES_FAIR
a.
The school rules are fair.
F_PUNISHMENT_SAME
b.
The punishment for breaking school rules is the
same no matter who you are.
F_RULES_ENFORCED
c.
The school rules are strictly enforced.
(Strictly enforced rules means that the school
consistently carries out disciplinary actions against
any students who break school rules.)
Strongly
Agree
Agree
Strongly
Disagree Disagree
035
1
2
3
4
036
1
2
3
4
037
1
2
3
4
038
1
2
3
4
127
1
2
3
4
F_PUNISHMENT_KNOWN
d. If a school rule is broken, students know what
kind of punishment will follow.
F_TEACHERS_RESPECT
e. Teachers treat students with respect.
14.
Still thinking about your school, would you strongly
agree, agree, disagree, or strongly disagree with the
following…
Strongly
Agree
Agree
Disagree
Strongly
Disagree
There is a TEACHER or other ADULT at school who…
F_ADULT_REALLYCARES
a.
Really cares about you.
F_ADULT_LISTENS
b.
Listens to you when you have something to
say.
F_ADULT_GOOD_JOB
c. Tells you when you do a good job.
15.
Still thinking about your school, would you strongly
agree, agree, disagree, or strongly disagree with the
following…
173SCS 1
2
3
4
175SCS 1
2
3
4
176SCS 1
2
3
4
Agree
Disagree
Strongly
Disagree
Strongly
Agree
There is a STUDENT at school who…
186SCS 1
a.
Really cares about you.
187SCS 1
b.
Listens to you when you have something to say.
188SCS 1
c.
Believes that you will be a success.
F_STUDENT_REALLYCARES
2
3
4
2
3
4
2
3
4
F_STUDENT_LISTENS
F_STUDENT_SUCCESS
16.
Thinking about the neighborhood where YOU LIVE,
would you strongly agree, agree, disagree, or
strongly disagree with the following…
F_CRIME_NEIGHBORHOOD
There is a lot of crime in the neighborhood
where YOU LIVE.
17.
Thinking about the neighborhood where YOUR
SCHOOL is located, would you strongly agree, agree,
disagree, or strongly disagree with the following...
Strongly
Agree
212SCS 1
Strongly
Agree
Agree
Disagree
2
3
Agree
Disagree
Strongly
Disagree
4
Strongly
Disagree
F_CRIME_NEIGHBORHOOD_SCHOOL
There is a lot of crime in the neighborhood
where YOU go to SCHOOL.
Page 6
213SCS 1
2
3
4
FORM SCS-1 (8/3/2016)
18.
Thinking about your school, would you strongly
agree, agree, disagree, or strongly disagree with the
following...
Strongly
Agree
Agree
Disagree
Strongly
Disagree
F_SAFE_IN_SCHOOL
You feel safe in your school
SCS_INTRO 3
19.
189SCS 1
2
3
4
Now I have some questions about things that happen at school. For this survey, “at school”
includes the school building, on school property, on a school bus, or going to and from
school. Your answers will not be given to anyone.
The following question refers to the availability of
drugs and alcohol at your school.
Yes
No
040
1
2
041
1
2
159
1
2
209SCS
1
2
Is it possible for students at your school to get…
F_ ALCOHOL
a. Alcoholic beverages?
F_MARIJUANA
b. Marijuana, also known as pot, weed or mary jane?
F_PRESCRIPTION_DRUGS
c. Prescription drugs illegally obtained without a
prescription, such as Oxycontin, Ritalin, or
Adderall?
F_OTHER_ILLEGAL
d. Other illegal drugs, such as cocaine, uppers,
or heroin?
F_KNOW_DRUGS_OR_ALCOHOL
20.
During this school year, did you see another
student who was under the influence of illegal drugs
or alcohol while they were at school?
210SCS
1 Yes
2 No
FIGHTING, BULLYING AND HATE BEHAVIORS
G_FIGHT_AT_SCHOOL
21a.
During this school year, have you been in one or
more physical fights at school?
G_FIGHT_HOW_OFTEN
21b.
During this school year, how many times have you
been in a physical fight at school?
Page 7
103
104
1 Yes
2 No - SKIP to:
G_BULLY_MADE_FUN
(Number of times)
FORM SCS-1 (8/3/2016)
22.
Now I have some questions about what students do
at school that make you feel bad or are hurtful to
you. We often refer to this as being bullied. You
may include events you told me about already.
During this school year, has any student bullied
you?
That is, has another student...
(Read each category a-g.)
Yes
No
134
1
2
135
1
2
136
1
2
137
1
2
138
1
2
139
1
2
140
1
2 If all categories a-g are
marked “No” SKIP to
G_HATE
G_BULLY_MADE_FUN
a. Made fun of you, called you names, or insulted
you, in a hurtful way?
G_BULLY_RUMOR
b. Spread rumors about you or tried to make others
dislike you?
G_BULLY_THREAT
c. Threatened you with harm?
G_BULLY_CONTACT
d. Pushed you, shoved you, tripped you, or spit on
you?
G_BULLY_COERCED
e. Tried to make you do things you did not want to
do, for example, give them money or other
things?
G_BULLY_EXCLUDED
f. Excluded you from activities on purpose?
G_BULLY_DESTROYED_PROP
g.
Destroyed your property on purpose?
G_BULLY_DAY_PLUS
23a.
During this school year, how many days were you
bullied?
(READ ANSWER CATEGORIES)
214SCS
1 One day – Go to G_BULLY_TIMES
2 Two days
3 Three to ten days
4 More than ten days
G_BULLY_TIMES
23b.
In that one day, how many times would you say
other students did those things that made you feel
bad or were hurtful to you?
(READ ANSWER CATEGORIES 1-4)
SKIP to G_BULLY_
HAPPEN_AGAIN
215SCS
1
2
3
4
5
6
Once
Two to ten times
Eleven to fifty times
More than fifty times
Too many times to count
Don’t know
G_BULLY_HAPPEN_AGAIN
24.
Did you think the bullying would happen again?
216SCS
1 Yes
2 No
Page 8
FORM SCS-1 (8/3/2016)
G_BULLY_MULTI_PERS
25.
Thinking about the [time/times] you were bullied this
school year, did more than one person do
[this/these things] to you?
G_BULLY_HOW_ACT
26.
Did these people act alone, together as a team, or
both?
27.
217SCS
1 Yes
2 No - SKIP to: G_BULLY_STRONGER
218SCS
1 Alone
2 Together
3 Both
4 Don’t know
Now I have some additional questions about the
time [another student/ other students] {behavior1},
{behavior2}, and {behaviorx…}. Thinking about the
[person/ people] who did [this/these things] to you
this school year,
G_BULLY_STRONGER
a. [Was this person/ Were any of these people/ Was
anyone in the group] physically bigger or stronger
than you?
Yes
No
219SCS
1
2
G_BULLY_POPULAR
b. [Was this person/ Were any of these people/ Was
anyone in the group] more popular than you?
220SCS
1
2
G_BULLY_MONEY
c. [Did this person/ Did any of these people/ Did anyone
in the group] have more money than you?
221SCS
1
2
G_BULLY_INFLUENCE
d. [Did this person/ Did any of these people/ Did anyone
in the group] have the ability to influence what other
students think of you?
222SCS
1
2
223SCS
1
2
G_BULLY_OTHER_POWER
e. [Did this person/ Did any of these people/ Did anyone
in the group] have more power than you in another
way?
G_BULLY_WHERE1 through G_BULLY_WHERE8
28.
Still thinking about all of the times that you were
bullied, where did the bullying occur? Did it occur …
(READ CATEGORIES) Mark (X) all that apply
G_BULLY_WHERE_SPECIFY
Where is the other place where bullying occurred?
G_BULLY_ADULT_TOLD
29.
Did you tell a teacher or some other adult at school
about being bullied?
Page 9
1 In a classroom at school?
2 In a hallway or stairwell at school?
3 In a bathroom or locker room at school?
4 In a cafeteria or lunch room at school?
5 Somewhere else inside the school
building? – Specify _____________
144
6 Outside on school grounds?
145
7 On the way to or from school such as on a
school bus or at a bus stop?
211SCS 8 Online or by text?
143
168
169
173
146
147
1 Yes
2 No
FORM SCS-1 (8/3/2016)
30.
This school year, how much has bullying had a
NEGATIVE effect on:
(READ ANSWER CATEGORIES)
G_SCHOOL_WORK
a.
YOUR school work.
G_RELATION_FRIEND_FAMILY
b.
YOUR relationships with friends or family.
G_ABOUT_YOURSELF
c.
How you feel about YOURSELF.
G_PHYSICAL_HEALTH
d.
YOUR physical health for example, caused
injuries, gave you headaches or stomach
aches.
Not
at all
Not very Somewhat
much
A lot
196SCS
1
2
3
4
197SCS
1
2
3
4
198SCS
1
2
3
4
199SCS
1
2
3
4
31. When you were bullied in school this year, did you ever
think it was related to ...
G_BULLY_RACE
Yes
No
a.
YOUR race?
200SCS
1
2
b.
YOUR religion?
201SCS
1
2
202SCS
1
2
203SCS
1
2
204SCS
1
2
205SCS
1
2
206SCS
1
2
G_BULLY_RELIGION
G_BULLY_ETHNIC_ORIGIN
c.
Your ethnic background or national origin for example, people of Hispanic origin?
G_BULLYING_DISABILITY
d.
Any disability you may have – such as
physical, mental, or developmental
disabilities?
G_BULLYING_GENDER
e.
YOUR gender?
G_BULLYING_ORIENTATION
f.
YOUR sexual orientation - by this we mean gay,
lesbian, bisexual, or straight?
G_BULLYING_APPEARANCE
g.
YOUR physical appearance?
.
G_HATE
32.
During this school year, has anyone called you an
insulting or bad name at school having to do with
your race, religion, ethnic background or national
origin, disability, gender, or sexual orientation? We
call these hate-related words.
Page 10
065
1 Yes
2 No - SKIP to G_HATE_WORDS
FORM SCS-1 (8/3/2016)
33.
Were any of the hate-related words related to ...
G_HATE_RACE
a. Your race?
Yes
No
Don’t know
107SCS
1
2
3
108SCS
1
2
3
109SCS
1
2
3
110SCS
1
2
3
111SCS
1
2
3
112SCS
1
2
3
G_HATE_RELIGION
b.
Your religion?
G_HATE_ETHNICITY
c.
Your ethnic background or national origin- for
example, people of Hispanic origin?
G_HATE_DISABILITY
d.
Any disability you may have – such as physical,
mental, or developmental disabilities?
G_HATE_GENDER
e.
Your gender?
G_HATE_SEXUAL_ORIENTATION
f.
Your sexual orientation – by this we mean gay,
lesbian, bisexual or straight?
G_HATE_WORDS
34.
During this school year, have you seen any
hate-related words or symbols written in school
classrooms, school bathrooms, school hallways, or
on the outside of your school building?
066
1 Yes
2 No
AVOIDANCE
35.
During this school year, did you ever STAY AWAY
from any of the following places because you
thought someone might attack or harm you there?
Yes
No
068
1
2
069
1
2
070
1
2
071
1
2
072
1
2
073
1
2
074
1
2
075
1
2
208SCS
1
2
H_AVOID_SHORTCUT
a.
For example, did you ever stay away from the
shortest route to school, because you thought
someone might attack or harm you?
H_AVOID_ENTRANCE
b. The entrance into the school?
H_AVOID_HALLWAYS
c. Any hallways or stairs in school?
H_AVOID_CAFETERIA
d. Parts of the school cafeteria or lunchroom?
H_AVOID_RESTROOMS
e. Any school restrooms?
H_AVOID_OTHER_PLACES
f. Other places inside the school building?
H_AVOID_PARKING_LOT
g. School parking lot?
H_AVOID_OTHER_SCHOOL
h. Other places on school grounds?
H_SCHOOL_BUS_STOP
i.
School bus or bus stop?
H_AVOID_ACTIVITIES
36a.
Page 11
Did you AVOID any activities at your school because
you thought someone might attack or harm you?
076
1 Yes
2 No
FORM SCS-1 (8/3/2016)
H_AVOID_CLASSES
36b.
Did you AVOID any classes because you thought
someone might attack or harm you?
H_STAY_HOME
36c.
077
1 Yes
2 No
078
1 Yes
2 No
Did you stay home from school because you
thought someone might attack or harm you in the
school building, on school property, on a school
bus, or going to or from school?
FEAR
I_INTRO_FEAR: Sometimes, even if you can’t avoid a place, you may still be afraid of what might happen there.
I_AFRAID
37a.
How often are you afraid that someone will attack or
harm you in the school building or on school
property?
079
1
2
3
4
Never
Almost never
Sometimes
Most of the time
080
1
2
3
4
Never
Almost never
Sometimes
Most of the time
081
1
2
3
4
Never
Almost never
Sometimes
Most of the time
(READ ANSWER CATEGORIES.)
I_AFRAID_ON_BUS
37b.
How often are you afraid that someone will attack or
harm you on a school bus or on the way to and from
school?
(READ ANSWER CATEGORIES)
I_AFRAID_NONSCHOOL
37c.
Besides the times you are in the school building, on
school property, on a school bus, or going to or from
school, how often are you afraid that someone will
attack or harm you?
(READ ANSWER CATEGORIES)
WEAPONS
J_INTRO_WEAPON
In the next series of questions we are going to ask you about weapons at your school. All your responses are strictly
confidential and will not be shared with anyone.
38.
Some people bring guns, knives, or objects that can
be used as weapons to school for protection. During
this school year, did you ever bring the following to
school or onto school grounds?
(READ CATEGORIES.)
J_WEAPONS_GUN
No
a. A gun?
082
1
2
b. A knife brought as a weapon?
083
1
2
c. Some other weapon?
084
1
2
085
1 Yes
2 No - SKIP to J_GET_GUN
J_WEAPONS_KNIFE
J_WEAPONS_OTHER
J_GUN_OTHERS
39a.
Yes
Do you know of any other students who have brought
a gun to your school during this school year?
Page 12
FORM SCS-1 (8/3/2016)
J_SEE_GUN
39b. Have you actually seen another student with a gun at
school during this school year?
J_GET_GUN
40.
During this school year, could you have gotten a
loaded gun without adult permission, either at school
or away from school?
086
1 Yes
2 No
3 Don’t know
113
1 Yes
2 No
GANGS
K_INTRO_GANG
INTRO 4 - Now, we'd like to know about gangs at your school. You may know these as street gangs, fighting gangs,
crews, or something else. Gangs may use common names, signs, symbols, or colors. For this survey, we
are interested in all gangs, whether or not they are involved in violent or illegal activity. Your responses
are confidential.
K_GANGS
41a. Are there any gangs at your school?
K_GANG_FIGHTS
41b. During this school year, how often have gangs been
involved in fights, attacks, or other violence at your
school?
058
1 Yes
2 No - SKIP to L_GRADES
3 Don't know - SKIP to L_GRADES
089
1
2
3
4
5
090
1 Yes
2 No
3 Don't know
Never
Once or twice this school year
Once or twice a month
Once or twice a week, or
Almost every day
(READ CATEGORIES 1-5)
K_GANG_DRUGS
41c.
Have gangs been involved in the sale of drugs at your
school during this school year?
STUDENT CHARACTERISTICS
L_GRADES
42.
During this school year, across all subjects have you
gotten mostly -
116
(READ CATEGORIES 1-5)
L_SKIP_CLASSES
43a.
L_SKIP_CLASS_DAYS
43b.
114
During the last 4 weeks of school, did you skip any
classes? Again, we would like to remind you that all
your responses are strictly confidential and will not be
shared with anyone.
During the last 4 weeks of school, on how many
days did you skip at least one class?
44.
Thinking about the future, do you think you will ...
L_SCHOOL_AFTER_SCHOOL
a. Attend school after high school, such as a college
or technical school? . . . . . . . . . .
L_GRADUATE_4YR
b. Graduate from a 4-year college? . . . . . . . . . . .
Page 13
115
1
2
3
4
5
6
A's
B's
C's
D's
F's
School does not give grades/no alphabetic
grade equivalent
1 Yes
2 No - SKIP to L_SCHOOL_AFTER_SCHOOL
3 Don't know - SKIP to
L_SCHOOL_AFTER_SCHOOL
(Number of days)
Yes
No
Don't know
117
1
2 -- END
3
118
1
2
3
FORM SCS-1 (8/3/2016)
File Type | application/pdf |
File Title | NOTICE - We are conducting this survey under the authority of Title 13, United States Code, Section 8 |
Author | American Institutes for Research |
File Modified | 2016-08-16 |
File Created | 2016-08-16 |