VACS2013 DDI-KHM-NIS-VACS-2013-v01 Oun Sokunthea 2013-07-22 Nesstar Publisher Version 01 (July 2013) - Original documentation. Violence Against Children Survey in Cambodia 2013 VACS 2013 KHM-NIS-VACS-2013-v01 Ministry of Women's Affairs Ministry of Social Affairs Veterans and Youth Rehabilitation National Institute of Statistics Centers for Disease Control and Prevention United Nations Children's Fund National Institute of Statistics VACS Steering Committee (c) 2013, National Institute of Statistics, Phnom Penh, Cambodia Nesstar Publisher United Nations Children's Fund Royal Government of Cambodia Director, ICT Department Priority Survey (hh/ps] The Violence against Children Survey (VACS) 2013 is the first of its kind to be conducted in Cambodia. The VACS systematically measures the prevalence of physical, emotional, and sexual violence against children in addition to identifying risk and protective factors and health consequences of violence. VACS enhances countries' capacity to design, implement, and evaluate violence prevention programs and build successful child protection systems. Version 1.0. Cambodia National Urban and rural areas Children aged 13-24 years old, male and female, who have been victims of physical, emotional, and sexual violence Sample survey data [ssd] National Institute of Statistics Students Face-to-face [f2f] A total of 1121 female respondents and 1255 male respondents completed the survey. Response rates were 94% for and 92% for the female and male respondents, respectively. Confidentiality of information is ascertained in Article 22 of the Statistics Law. It states that staff and employees working in the National Institute of Statistics of the Ministry of Planning and statistical units in ministries and other institutions of the Royal Government, as well as the designated statistical officers of these organizations shall ensure confidentiality of all individual information obtained from respondents, except under special circumstances with the consent of the Minister of Planning. The information collected under this Law is to be used only for statistical purposes. Director General Violence Against Children Survey in Cambodia (VACS2013) , National Institute of Statistics, Ministry of Planning, Cambodia. The user of the data acknowledges that the National Institute of Statistics, Cambodia bears no responsibility for use of the data or for interpretations or inferences based upon such uses. MALE_FINAL_FOR_NIS.NSDstat The file contains data for the household and male questionnaires. 0 985 Nesstar 200801 National Institute of Statistics, Cambodia FEMALE_FINAL_FOR_NIS.NSDstat The file contains data for the household and female questionnaires. 0 1016 Nesstar 200801 National Institute of Statistics, Cambodia IDENTIFICATION Identification 0 0 IDENTIFICATION NUM. Identification Number 0 0 EA IDENTIFICATION EA Identification 0 0 PROVINCE Province 0 0 DISTRICT District 0 0 COMMUNE Commune 0 0 EA EA 0 0 HOUSEHOLD Household 0 0 INTERVIEWER CODE Interviewer Code 0 0 CLUSTER TYPE Cluster Type 0 0 Final Visit Number Final Visit Number 0 0 Final Visit Date Final Visit Date 0 0 Final Visit Date -Year Final Visit Date - Year 0 0 Final Visit Date -Month Final Visit Date - Month 0 0 Final Visit Date -Day Final Visit Date - Day 0 0 Final Household Listing Result Final Household Listing Result 0 0 Final Household Questionnaire Result Final Household Questionnaire Result 0 0 Final Respondent Questionnaire Result Final Respondent Questionnaire Result 0 0 Visit Number Aux. 1 Visit Number Aux. 1 0 0 Visit Date -Year Aux. 1 Visit Date - Year Aux. 1 0 0 Visit Date -Month Aux. 1 Visit Date - Month Aux. 1 0 0 Visit Date -Day Aux. 1 Visit Date - Day Aux. 1 0 0 Household Listing Result Aux. 1 Household Listing Result Aux. 1 0 0 Visit Number Aux. 2 Visit Number Aux. 2 0 0 Visit Date -Year Aux. 2 Visit Date - Year Aux. 2 0 0 Visit Date -Month Aux. 2 Visit Date - Month Aux. 2 0 0 Visit Date -Day Aux. 2 Visit Date - Day Aux. 2 0 0 Household Listing Result Aux. 2 Household Listing Result Aux. 2 0 0 Visit Number Aux. 3 Visit Number Aux. 3 0 0 Visit Date -Year Aux. 3 Visit Date - Year Aux. 3 0 0 Visit Date -Month Aux. 3 Visit Date - Month Aux. 3 0 0 Visit Date -Day Aux. 3 Visit Date - Day Aux. 3 0 0 Household Listing Result Aux. 3 Household Listing Result Aux. 3 0 0 Visit Number(1) Visit Number(1) 0 0 Visit Number(2) Visit Number(2) 0 0 Visit Number(3) Visit Number(3) 0 0 Visit Date -Year(1) Visit Date - Year(1) 0 0 Visit Date -Year(2) Visit Date - Year(2) 0 0 Visit Date -Year(3) Visit Date - Year(3) 0 0 Visit Date -Month(1) Visit Date - Month(1) 0 0 Visit Date -Month(2) Visit Date - Month(2) 0 0 Visit Date -Month(3) Visit Date - Month(3) 0 0 Visit Date -Day(1) Visit Date - Day(1) 0 0 Visit Date -Day(2) Visit Date - Day(2) 0 0 Visit Date -Day(3) Visit Date - Day(3) 0 0 Household Listing Result(1) Household Listing Result(1) 0 0 Household Listing Result(2) Household Listing Result(2) 0 0 Household Listing Result(3) Household Listing Result(3) 0 0 Household Questionnaire Result(1) Household Questionnaire Result(1) 0 0 Household Questionnaire Result(2) Household Questionnaire Result(2) 0 0 Household Questionnaire Result(3) Household Questionnaire Result(3) 0 0 Respondent Questionnaire Result(1) Respondent Questionnaire Result(1) 0 0 Respondent Questionnaire Result(2) Respondent Questionnaire Result(2) 0 0 Respondent Questionnaire Result(3) Respondent Questionnaire Result(3) 0 0 Number of people living in this household Number of People Living In This Household 0 0 Number of males in this household Number of Males in this Household 0 0 Line Number of Selected ER Line Number of Selected ER 0 0 Line of ER Selected From HH Listing Form Line of ER Selected From Hh Listing Form 0 0 Head of Household Available Head of Household Available 0 0 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Household Member(17) Age of Household Member(17) 0 0 Age of Household Member(18) Age of Household Member(18) 0 0 Age of Household Member(19) Age of Household Member(19) 0 0 Date of Birth(1) Date of Birth(1) 0 0 Date of Birth(2) Date of Birth(2) 0 0 Date of Birth(3) Date of Birth(3) 0 0 Date of Birth(4) Date of Birth(4) 0 0 Date of Birth(5) Date of Birth(5) 0 0 Date of Birth(6) Date of Birth(6) 0 0 Date of Birth(7) Date of Birth(7) 0 0 Date of Birth(8) Date of Birth(8) 0 0 Date of Birth(9) Date of Birth(9) 0 0 Date of Birth(10) Date of Birth(10) 0 0 Date of Birth(11) Date of Birth(11) 0 0 Date of Birth(12) Date of Birth(12) 0 0 Date of Birth(13) Date of Birth(13) 0 0 Date of Birth(14) Date of Birth(14) 0 0 Date of Birth(15) Date of Birth(15) 0 0 Date of Birth(16) Date of Birth(16) 0 0 Date of Birth(17) Date of Birth(17) 0 0 Date of Birth(18) Date of Birth(18) 0 0 Date of Birth(19) Date of Birth(19) 0 0 Date of Birth -Year(1) Date of Birth - Year(1) 0 0 Date of Birth -Year(2) Date of 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0 0 Sex of Household Member(3) Sex of Household Member(3) 0 0 Sex of Household Member(4) Sex of Household Member(4) 0 0 Sex of Household Member(5) Sex of Household Member(5) 0 0 Sex of Household Member(6) Sex of Household Member(6) 0 0 Sex of Household Member(7) Sex of Household Member(7) 0 0 Sex of Household Member(8) Sex of Household Member(8) 0 0 Sex of Household Member(9) Sex of Household Member(9) 0 0 Sex of Household Member(10) Sex of Household Member(10) 0 0 Sex of Household Member(11) Sex of Household Member(11) 0 0 Sex of Household Member(12) Sex of Household Member(12) 0 0 Sex of Household Member(13) Sex of Household Member(13) 0 0 Sex of Household Member(14) Sex of Household Member(14) 0 0 Sex of Household Member(15) Sex of Household Member(15) 0 0 Sex of Household Member(16) Sex of Household Member(16) 0 0 Sex of Household Member(17) Sex of Household Member(17) 0 0 Sex of Household Member(18) Sex of Household Member(18) 0 0 Sex of Household Member(19) Sex of Household Member(19) 0 0 Household Member live in this house(1) Household Member live in this House(1) 0 0 Household Member live in this house(2) Household Member live in this House(2) 0 0 Household Member live in this house(3) Household Member live in this House(3) 0 0 Household Member live in this house(4) Household Member live in this House(4) 0 0 Household Member live in this house(5) Household Member live in this House(5) 0 0 Household Member live in this house(6) Household Member live in this House(6) 0 0 Household Member live in this house(7) Household Member live in this House(7) 0 0 Household Member live in this house(8) Household Member live in this House(8) 0 0 Household Member live in this house(9) Household Member live in this House(9) 0 0 Household Member live in this house(10) Household Member live in this House(10) 0 0 Household Member live in this house(11) Household Member live in this House(11) 0 0 Household Member live in this house(12) Household Member live in this House(12) 0 0 Household Member live in this house(13) Household Member live in this House(13) 0 0 Household Member live in this house(14) Household Member live in this House(14) 0 0 Household Member live in this house(15) Household Member live in this House(15) 0 0 Household Member live in this house(16) Household Member live in this House(16) 0 0 Household Member live in this house(17) Household Member live in this House(17) 0 0 Household Member live in this house(18) Household Member live in this House(18) 0 0 Household Member live in this house(19) Household Member live in this House(19) 0 0 Eligible Household Member(1) Eligible Household Member(1) 0 0 Eligible Household Member(2) Eligible Household Member(2) 0 0 Eligible Household Member(3) Eligible Household Member(3) 0 0 Eligible Household Member(4) Eligible Household Member(4) 0 0 Eligible Household Member(5) Eligible Household Member(5) 0 0 Eligible Household Member(6) Eligible Household Member(6) 0 0 Eligible Household Member(7) Eligible Household Member(7) 0 0 Eligible Household Member(8) Eligible Household Member(8) 0 0 Eligible Household Member(9) Eligible Household Member(9) 0 0 Eligible Household Member(10) Eligible Household Member(10) 0 0 Eligible Household Member(11) Eligible Household Member(11) 0 0 Eligible Household Member(12) Eligible Household Member(12) 0 0 Eligible Household Member(13) Eligible Household Member(13) 0 0 Eligible Household Member(14) Eligible Household Member(14) 0 0 Eligible Household Member(15) Eligible Household Member(15) 0 0 Eligible Household Member(16) Eligible Household Member(16) 0 0 Eligible Household Member(17) Eligible Household Member(17) 0 0 Eligible Household Member(18) Eligible Household Member(18) 0 0 Eligible Household Member(19) Eligible Household Member(19) 0 0 AGE OF ELEGIBLE RESPONDEMENT(1) Age of Elegible Respondement(1) 0 0 AGE OF ELEGIBLE RESPONDEMENT(2) Age of Elegible Respondement(2) 0 0 AGE OF ELEGIBLE RESPONDEMENT(3) Age of Elegible Respondement(3) 0 0 AGE OF ELEGIBLE RESPONDEMENT(4) Age of Elegible Respondement(4) 0 0 AGE OF ELEGIBLE RESPONDEMENT(5) Age of Elegible Respondement(5) 0 0 AGE OF ELEGIBLE RESPONDEMENT(6) Age of Elegible Respondement(6) 0 0 AGE OF ELEGIBLE RESPONDEMENT(7) Age of Elegible Respondement(7) 0 0 AGE OF ELEGIBLE RESPONDEMENT(8) Age of Elegible Respondement(8) 0 0 DATE OF BIRTH OF ER -DAY(1) Date of Birth of ER - Day(1) 0 0 DATE OF BIRTH OF ER -DAY(2) Date of Birth of ER - Day(2) 0 0 DATE OF BIRTH OF ER -DAY(3) Date of Birth of ER - Day(3) 0 0 DATE OF BIRTH OF ER -DAY(4) Date of Birth of ER - Day(4) 0 0 DATE OF BIRTH OF ER -DAY(5) Date of Birth of ER - Day(5) 0 0 DATE OF BIRTH OF ER -DAY(6) Date of Birth of ER - Day(6) 0 0 DATE OF BIRTH OF ER -DAY(7) Date of Birth of ER - Day(7) 0 0 DATE OF BIRTH OF ER -DAY(8) Date of Birth of ER - Day(8) 0 0 DATE OF BIRTH OF ER -MONTH(1) Date of Birth of ER - Month(1) 0 0 DATE OF BIRTH OF ER -MONTH(2) Date of Birth of ER - Month(2) 0 0 DATE OF BIRTH OF ER -MONTH(3) Date of Birth of ER - Month(3) 0 0 DATE OF BIRTH OF ER -MONTH(4) Date of Birth of ER - Month(4) 0 0 DATE OF BIRTH OF ER -MONTH(5) Date of Birth of ER - Month(5) 0 0 DATE OF BIRTH OF ER -MONTH(6) Date of Birth of ER - Month(6) 0 0 DATE OF BIRTH OF ER -MONTH(7) Date of Birth of ER - Month(7) 0 0 DATE OF BIRTH OF ER -MONTH(8) Date of Birth of ER - Month(8) 0 0 DATE OF BIRTH OF ER -YEAR(1) Date of Birth of ER - Year(1) 0 0 DATE OF BIRTH OF ER -YEAR(2) Date of Birth of ER - Year(2) 0 0 DATE OF BIRTH OF ER -YEAR(3) Date of Birth of ER - Year(3) 0 0 DATE OF BIRTH OF ER -YEAR(4) Date of Birth of ER - Year(4) 0 0 DATE OF BIRTH OF ER -YEAR(5) Date of Birth of ER - Year(5) 0 0 DATE OF BIRTH OF ER -YEAR(6) Date of Birth of ER - Year(6) 0 0 DATE OF BIRTH OF ER -YEAR(7) Date of Birth of ER - Year(7) 0 0 DATE OF BIRTH OF ER -YEAR(8) Date of Birth of ER - Year(8) 0 0 LINE OF ER FROM THE HH LISTING FORM(1) Line of ER from the HH Listing Form(1) 0 0 LINE OF ER FROM THE HH LISTING FORM(2) Line of ER from the HH Listing Form(2) 0 0 LINE OF ER FROM THE HH LISTING FORM(3) Line of ER from the HH Listing Form(3) 0 0 LINE OF ER FROM THE HH LISTING FORM(4) Line of ER from the HH Listing Form(4) 0 0 LINE OF ER FROM THE HH LISTING FORM(5) Line of ER from the HH Listing Form(5) 0 0 LINE OF ER FROM THE HH LISTING FORM(6) Line of ER from the HH Listing Form(6) 0 0 LINE OF ER FROM THE HH LISTING FORM(7) Line of ER from the HH Listing Form(7) 0 0 LINE OF ER FROM THE HH LISTING FORM(8) Line of ER from the HH Listing Form(8) 0 0 CONTINUE HOUSEHOLD QUESTIONAIRE? Continue household questionnaire? 0 0 H1. RECORD THE TIME THE INTERVIEW BEGAN -HOUR H1. Record the time the Interview Began - Hour 0 0 H1. RECORD THE TIME THE INTERVIEW BEGAN -MIN H1. Record the time the Interview Began - Min 0 0 H2. Sex of the head of household H2. Sex of the head of household 0 0 H3. Age of the head of the household H3. Age of the head of the household 0 0 H4. How is the selected respondent related to you? H4. How is the selected respondent related to you? 0 0 H4. Other (Specify) H4. Other (Specify) 0 0 H5. What is the main source of drinking water for members of your household? H5. What is the main source of drinking water for members of your household? 0 0 H5. Other (Specify) H5. Other (Specify) 0 0 H6. What is the main source of water used by your household for other purposes s H6. What is the main source of water used by your household for other purposes such as cooking and hand washing? 0 0 H6. Other (Specify) H6. Other (Specify) 0 0 H7. What kind of toilet facility do members of your household usually use? H7. What kind of toilet facility do members of your household usually use? IF “FLUSH” OR “POUR FLUSH”, PROBE:Where does it flush to? 0 0 H7. Other (Specify) H7. Other (Specify) 0 0 H8. Do you share this facility with other households? H8. Do you share this facility with other households? 0 0 H9A. Electricity H9A. Does your household have: Electricity? PLEASE CIRCLE THE APPROPRIATE RESPONSE FOR QUESTION A THROUGH F. 0 0 H9B. Radio H9B. Does your household have: Radio? PLEASE CIRCLE THE APPROPRIATE RESPONSE FOR QUESTION A THROUGH F. 0 0 H9C. Television H9C. Does your household have: Television? PLEASE CIRCLE THE APPROPRIATE RESPONSE FOR QUESTION A THROUGH F. 0 0 H9D. Mobile Telephone H9D. Does your household have: Mobile Telephone? PLEASE CIRCLE THE APPROPRIATE RESPONSE FOR QUESTION A THROUGH F. 0 0 H9E. Non-Mobile Telephone H9E. Does your household have: Non-Mobile Telephone? PLEASE CIRCLE THE APPROPRIATE RESPONSE FOR QUESTION A THROUGH F. 0 0 H9F. Refrigerator H9F. Does your household have: Refrigerator? PLEASE CIRCLE THE APPROPRIATE RESPONSE FOR QUESTION A THROUGH F. 0 0 H10A. Table H10A. Does your household have the following furniture: Table? 0 0 H10B. Chair H10B. Does your household have the following furniture: Chair? 0 0 H10C. Sofa H10C. Does your household have the following furniture: Sofa? 0 0 H10D. Bed H10D. Does your household have the following furniture: Bed? 0 0 H10E. Wardrobe H10E. Does your household have the following furniture: Wardrobe? 0 0 H10F. Kitchen Cabinet H10F. Does your household have the following furniture: Kitchen Cabinet? 0 0 H11. What type of fuel does your household mainly use for cooking? H11. What type of fuel does your household mainly use for cooking? 0 0 H11. Other (Specify) H11. Other (Specify) 0 0 H12. Main material of the dwelling floor H12. Main material of the dwelling floor Observation only 0 0 H12. Other (Specify) H12. Other (Specify) 0 0 H13. Main material of the roof H13. Main material of the roof Observation only 0 0 H13. Other (Specify) H13. Other (Specify) 0 0 H14. Main material of the walls H14. Main material of the walls Observation only 0 0 H14. Other (Specify) H14. Other (Specify) 0 0 H15. How many rooms are there in this household? H15. How many rooms are there in this household? This excludes bathroom, kitchen, garage and rice storage. 0 0 H16. How many rooms in this household are used for sleeping? H16. How many rooms in this household are used for sleeping? 0 0 H17A. Watch H17A. Does any member of your household own: Watch? 0 0 H17B. Bicycle H17B. Does any member of your household own: Bicycle? 0 0 H17C. Motorcycle or scooter H17C. Does any member of your household own: Motorcycle or scooter? 0 0 H17D. Animal drawn-cart H17D. Does any member of your household own: Animal drawn-cart? 0 0 H17E. Car or van H17E. Does any member of your household own: Car or van? 0 0 H17F. Boat without a motor? H17F. Does any member of your household own: Boat without a motor? 0 0 H17G. Boat with a motor H17G. Does any member of your household own: Boat with a motor? 0 0 H17H. Tractor H17H. Does any member of your household own: Tractor? 0 0 H17I. Hand Tractor H17I. Does any member of your household own: Hand Tractor? 0 0 H18. Does any member of this household have any land that can be used for agricu H18. Does any member of this household have any land that can be used for agricultural purposes? 0 0 H19. Does this household own any livestock, herds, or farm animals? H19. Does this household own any livestock, herds, or farm animals? 0 0 H20. Does any member of this household have a bank account? H20. Does any member of this household have a bank account? 0 0 CONTINUE RESPONDENT QUESTIONAIRE? Continue respondent questionnaire? 0 0 RECORD THE TIME THE INTERVIEW BEGAN -HOUR M1. Record the time the interview began - Hour 0 0 RECORD THE TIME THE INTERVIEW BEGAN -MIN M1. Record the time the interview began - Min 0 0 M2. How old are you? M2. I would like to start by asking you questions about yourself:How old are you? 0 0 M3. Have you attended school? M3. Have you attended school? NO [2] -> M8DON'T KNOW/DECLINED [99] -> M8 0 0 M4. Are you currently attending school? M4. Are you currently attending school? YES [1] -> M6DON'T KNOW/DECLINED [99] -> M8 0 0 M5. What is the highest level of schooling you have completed? M5. What is the highest level of schooling you have completed? LESS THAN PRIMARY [1] -> M8PRIMARY [2] -> M8SECONDARY [3] -> M8 0 0 M6. What is your current level of school? M6. What is your current level of school? 0 0 M7. How much do you feel connected or close to other students? M7. How much do you feel connected or close to other students? 0 0 M8. How much do you talk to friends about important things? M8. How much do you talk to friends about important things? 0 0 M9. Have you ever worked for money or any other form of payment? M9. Have you ever worked for money or any other form of payment? NO [2] -> M11DON'T KNOW/DECLINED [99] -> M11 0 0 M10. Do you currently work? M10. Do you currently work? 0 0 M11. Is your biological mother living with you? PARENTS: Now, I would like to ask you some questions about your biological parents, your natural parents who gave birth to you. NO [2] -> M16DON'T KNOW/DECLINED [99] -> M16 0 0 M12. How old were you when you last lived with her? M12. How old were you when you last lived with her? 0 0 M13. What was the main reason you stopped living with her? M13. What was the main reason you stopped living with her? MOTHER DIED [1] -> M15 0 0 M13. Other (Specify) M13. Other (Specify) 0 0 M14. Is your biological mother still alive? M14. Is your biological mother still alive? YES [1] -> M16DON'T KNOW/DECLINED [99] -> M16 0 0 M15. How old were you when she died? M15. How old were you when she died? 0 0 M16. How close do you/did you feel to your biological mother? M16. How close do you/did you feel to your biological mother? 0 0 M17. Is your biological father living with you? 0 0 M18. How old were you when you last lived with your father? M18. How old were you when you last lived with your father? 0 0 M19. What was the main reason you stopped living with him? M19. What was the main reason you stopped living with him? MOTHER DIED [1] -> M21 0 0 M19. Other (Specify) M19. Other (Specify) 0 0 M20. Is your biological father still alive? M20. Is your biological father still alive? YES [1] -> M22DON'T KNOW/DECLINED [99] -> M22 0 0 M21. How old were you when he died? M21. How old were you when he died? 0 0 M22. How close do you/did you feel to your biological father? M22. How close do you/did you feel to your biological father? 0 0 M23. Have you ever been married? M23. Have you ever been married? YES [1] -> M27DON'T KNOW/DECLINED [99] -> M27 0 0 M24. How old were you when you first got married? M24. How old were you when you first got married? 0 0 M25. What is your current marital status now? M25. What is your current marital status now? Are you married, widowed, divorced, or separated? WIDOWED [2] -> M31DIVORCED [3] -> M31 SEPARATED [4] -> M31 0 0 M26. Are you currently living with your spouse? M26. Are you currently living with your spouse? YES [1] -> M31DON'T KNOW/DECLINED [99] -> M31 0 0 M27. Have you ever lived together with someone as if you were married? M27. Have you ever lived together with someone as if you were married? DON'T KNOW/DECLINED [99] -> M30 0 0 M28. How old were you when you first started living together? M28. How old were you when you first started living together? 0 0 M29. Are you currently living with that person now? M29. Are you currently living with that person now? YES [1] -> M31DON'T KNOW/DECLINED [99] -> M31 0 0 M30. Have you ever had a girlfriend or romantic partner? M30. Have you ever had a girlfriend or romantic partner? 0 0 M31A. IF SHE GOES OUT WITHOUT TELLING HIM M31A. Do you believe it is right for a man to hit or beat his wife: if she goes out without telling him? Read categories below. 0 0 M31B. IF SHE NEGLECTS THE CHILDREN M31B. Do you believe it is right for a man to hit or beat his wife: if she neglects the children? Read categories below. 0 0 M31C. IF SHE ARGUES WITH HIM M31C. Do you believe it is right for a man to hit or beat his wife: if she argues with him? Read categories below. 0 0 M31D. IF SHE REFUSES TO HAVE SEX WITH HIM M31D. Do you believe it is right for a man to hit or beat his wife: if she refuses to have sex with him? Read categories below. 0 0 M31E. IF SHE MAKES BAD FOOD M31E. Do you believe it is right for a man to hit or beat his wife: if she makes bad food? Read categories below. 0 0 M32A. MEN DECIDE WHEN TO HAVE SEX M32A. Do you believe: men decide when to have sex? Read categories below. 0 0 M32B. MEN NEED MORE SEX M32B. Do you believe: men need more sex? Read categories below. 0 0 M32C. MEN NEED OTHER WOMEN M32C. Do you believe: men need other women? Read categories below. 0 0 M32D. WOMEN WHO CARRY CONDOMS HAVE SEX WITH A LOT OF MEN M32D. Do you believe: women who carry condoms have sex with a lot of men? Read categories below. 0 0 M32E. WOMEN SHOULD TOLERATE VIOLENCE M32E. Do you believe: women should tolerate violence? Read categories below. 0 0 M33. How much do you trust people living in your community? M33. How much do you trust people living in your [insert culturally appropriate term for COMMUNITY] a lot, some, not too much, not at all? Read categories below. 0 0 M34. How safe do you feel in your community? M34. How safe do you feel in your [insert culturally appropriate term for COMMUNITY]? Read categories below. 0 0 M36A. Have you seen anyone physically hurt or scare someone else in your communi M36A. Have you seen anyone physically hurt or scare someone else in your [insert culturally appropriate term for COMMUNITY]: never, once, a few times, many times? NEVER [1] -> M37AONCE [2] -> M36CDK/DTA [99] -> M37A 0 0 M36B. How old were you when this first happened? M36B. How old were you when this first happened: 0-5, 6-11, 12-17, 18 or older? 0 0 M36C. How old were you the most recent time this happened? M36C. How old were you: ONCE: when this happened?FEW OR MANY: the most recent time this happened? 0 0 M36D. Did this happen in the last 12 months? M36D. Did this happen in the last 12 months? 0 0 M37A. Slapping, punching or kicking them? M37A. Slapping, punching or kicking them? 0 0 M37B. Using or threatening to use a knife, gun, stick, rock or other similar wea M37B. Using or threatening to use a knife, gun, stick, rock or other similar weapon? IF M37A=1 AND M37B=2/99 -> M38IF M37A=1 AND M37B=1 -> M38 FOLLOWED BY M39IF M37A =2/99 AND M37B=1 -> M39 0 0 M38A. Did the slapping, punching or kicking occur once, a few times or many time M38A. Did the slapping, punching or kicking occur once, a few times or many times? NEVER [1] -> M38CDK/DTA [99] -> M39 OR M100 0 0 M38B. How old were you when this first happened? M38B. How old were you when this first happened: 0-5, 6-11, 12-17, 18 or older? 0 0 M38C. How old were you the most recent time this happened? M38C. How old were you: ONCE: when this happened?FEW OR MANY: the most recent time this happened? 0 0 M38D. Did this happen in the last 12 months? M38D. Did this happen in the last 12 months? 0 0 M39A. Did the using or threatening to use a knife, gun, stick, rock or similar w M39A. Did the using or threatening to use a knife, gun, stick, rock or similar weapon occur once, a few times or many times? NEVER [1] -> M39CDK/DTA [99] -> M100 0 0 M39B. How old were you when this first happened? M39B. How old were you when this first happened: 0-5, 6-11, 12-17, 18 or older? 0 0 M39C. How old were you the most recent time this happened? M39C. How old were you: ONCE: when this happened?FEW OR MANY: the most recent time this happened? 0 0 M39D. Did this happen in the last 12 months? M39D. Did this happen in the last 12 months? 0 0 M100A. Has a romantic partner, girlfriend or wife ever: slapped or pushed you? PV: PHYSICAL VIOLENCEPV1: INTIMATE PARTNER VIOLENCE 0 0 M100B. Has a romantic partner, girlfriend or wife ever: punched, kicked, whipped M100B. Has a romantic partner, girlfriend or wife ever: punched, kicked, whipped or beat you with an object? 0 0 M100C. Has a romantic partner, girlfriend or wife ever: choked, smothered, tried M100C. Has a romantic partner, girlfriend or wife ever: choked, smothered, tried to drown you or burned you intentionally? 0 0 M100D. Has a romantic partner, girlfriend or wife ever: used or threatened you w M100D. Has a romantic partner, girlfriend or wife ever: used or threatened you with a knife or other weapon? IF M100A =1 AND M100B=2/99 AND M100C=2/99 AND M100D=2/99 -> M101 IF M100A =2/99 AND M100B=1 AND M100C=2/99 AND M100D=2/99 -> M114 IF M100A =2/99 AND M100B=2/99 AND M100C=1 AND M100D=2/99 -> M127 0 0 M101. How many times have you been slapped or pushed by a romantic partner /wife PV1A:M101. How many times have you been slapped or pushed by a romantic partner /wife: once, a few times, many times? ONCE [1] -> M108DON'T KNOW/DECLINED [99] -> M108 0 0 M102. How old were you the last time this happened? PV1A: MOST RECENT TIMEM102. How old were you the last time this happened? 0 0 M103. Was this partner who did this to you this last time your girlfriend, roman M103. Was this partner who did this to you this last time your girlfriend, romantic partner, wife? 0 0 M104. Was this partner older than you, younger than you, or about the same age? M104. Was this partner older than you, younger than you, or about the same age? YOUNGER [2] -> M106ABOUT SAME AGE [3] -> M106DON’T KNOW/DECLINED [99] -> M106 0 0 M105. Would you say this partner was more than 10 years older than you, 5-10 yea M105. Would you say this partner was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M106. Did this happen in the last 12 months? M106. Did this happen in the last 12 months? 0 0 M107A. FEAR OR ANXIETY M107A. As a result of the last time when your partner slapped/pushed you, did you experience FEAR OR ANXIETY? 0 0 M107B. CUTS, SCRATCHES, BRUISES M107B. As a result of the last time when your partner slapped/pushed you, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M107C. SPRAINS, DISLOCATIONS, BLISTERING M107C. As a result of the last time when your partner slapped/pushed you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M107D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M107D. As a result of the last time when your partner slapped/pushed you, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M107E. PERMANENT INJURY OR DISFIGUREMENT M107E. As a result of the last time when your partner slapped/pushed you, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M108. How old were you the first time this happened? PV1A: FIRST TIMEM108. How old were you the first time this happened? 0 0 M109. Was this partner who did this to you this first time your girlfriend, roma M109. Was this partner who did this to you this first time your girlfriend, romantic partner, wife? 0 0 M110. Was this partner older than you, younger than you, or about the same age? M110. Was this partner older than you, younger than you, or about the same age? YOUNGER [2] -> M112ABOUT SAME AGE [3] -> M112DON’T KNOW/DECLINED [99] -> M112 0 0 M111. Would you say this partner was more than 10 years older than you, 5-10 yea M111. Would you say this partner was more than 10 years older than you, 5-10 years older? 0 0 M112. Did this happen in the last 12 months? M112. Did this happen in the last 12 months? 0 0 M113A. FEAR OR ANXIETY M113A. As a result of this first time when your partner slapped/pushed you, did you experience FEAR OR ANXIETY? 0 0 M113B. CUTS, SCRATCHES, BRUISES M113B. As a result of this first time when your partner slapped/pushed you, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M113C. SPRAINS, DISLOCATIONS, BLISTERING M113C. As a result of this first time when your partner slapped/pushed you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M113D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M113D. As a result of this first time when your partner slapped/pushed you, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M113E. PERMANENT INJURY OR DISFIGUREMENT M113E. As a result of this first time when your partner slapped/pushed you, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M114. How many times have you been punched, kicked, whipped, or beat with an obj PV1B:M114. How many times have you been punched, kicked, whipped, or beat with an object by a romantic partner /wife: once, a few times, many times? ONCE [1] -> M121DON'T KNOW/DECLINED [99] -> M121 0 0 M115. How old were you the last time this happened? PV1B: MOST RECENT TIMEM115. How old were you the last time this happened? 0 0 M116. Was this partner who did this to you this last time your girlfriend, roman M116. Was this partner who did this to you this last time your girlfriend, romantic partner, wife? 0 0 M117. Was this partner older than you, younger than you, or about the same age? M117. Was this partner older than you, younger than you, or about the same age? YOUNGER [2] -> M119ABOUT SAME AGE [3] -> M119DON’T KNOW/DECLINED [99] -> M119 0 0 M118. Would you say this partner was more than 10 years older than you, 5-10 yea M118. Would you say this partner was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M119. Did this happen in the last 12 months? M119. Did this happen in the last 12 months? 0 0 M120A. FEAR OR ANXIETY M120A. As a result of the last time when your partner punched, kicked, whipped, or beat you, did you experience FEAR OR ANXIETY? 0 0 M120B. CUTS, SCRATCHES, BRUISES M120B. As a result of the last time when your partner punched, kicked, whipped, or beat you, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M120C. SPRAINS, DISLOCATIONS, BLISTERING M120C. As a result of the last time when your partner punched, kicked, whipped, or beat you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M120D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M120D. As a result of the last time when your partner punched, kicked, whipped, or beat you, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M120E. PERMANENT INJURY OR DISFIGUREMENT M120E. As a result of the last time when your partner punched, kicked, whipped, or beat you, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M121. How old were you the first time this happened? PV1B: FIRST TIMEM121. How old were you the first time this happened? 0 0 M122. Was this partner who did this to you this first time your girlfriend, roma M122. Was this partner who did this to you this first time your girlfriend, romantic partner, wife? 0 0 M123. Was this partner older than you, younger than you, or about the same age? M123. Was this partner older than you, younger than you, or about the same age? YOUNGER [2] -> M125ABOUT SAME AGE [3] -> M125DON’T KNOW/DECLINED [99] -> M125 0 0 M124. Would you say this partner was more than 10 years older than you, 5-10 yea M124. Would you say this partner was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M125. Did this happen in the last 12 months? M125. Did this happen in the last 12 months? 0 0 M126A. FEAR OR ANXIETY M126A. As a result of this first time when your partner punched, kicked, whipped, or beat you, did you experience FEAR OR ANXIETY? 0 0 M126B. CUTS, SCRATCHES, BRUISES M126B. As a result of this first time when your partner punched, kicked, whipped, or beat you, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M126C. SPRAINS, DISLOCATIONS, BLISTERING M126C. As a result of this first time when your partner punched, kicked, whipped, or beat you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M126D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M126D. As a result of this first time when your partner punched, kicked, whipped, or beat you, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M126E. PERMANENT INJURY OR DISFIGUREMENT M126E. As a result of this first time when your partner punched, kicked, whipped, or beat you, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M127. How many times has a romantic partner/wife choked, smothered, tried to dro PV1C:M127. How many times has a romantic partner/wife choked, smothered, tried to drown you, or burned or scalded you intentionally: once, a few times, many times? ONCE [1] -> M134DON'T KNOW/DECLINED [99] -> M134 0 0 M128. How old were you the last time this happened? PV1C: MOST RECENT TIMEM128. How old were you the last time this happened? 0 0 M129. Was this partner who did this to you this last time your girlfriend, roman M129. Was this partner who did this to you this last time your girlfriend, romantic partner, wife? 0 0 M130. Was this partner older than you, younger than you, or about the same age? M130. Was this partner older than you, younger than you, or about the same age? YOUNGER [2] -> M132ABOUT SAME AGE [3] -> M132DON’T KNOW/DECLINED [99] -> M132 0 0 M131. Would you say this partner was more than 10 years older than you, 5-10 yea M131. Would you say this partner was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M132. Did this happen in the last 12 months? M132. Did this happen in the last 12 months? 0 0 M133A. FEAR OR ANXIETY M133A. As a result of this last time when your partner choked, smothered, tried to drown you, burned or scalded you intentionally, did you experience FEAR OR ANXIETY? 0 0 M133B. CUTS, SCRATCHES, BRUISES M133B. As a result of this last time when your partner choked, smothered, tried to drown you, burned or scalded you intentionally, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M133C. SPRAINS, DISLOCATIONS, BLISTERING M133C. As a result of this last time when your partner choked, smothered, tried to drown you, burned or scalded you intentionally, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M133D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M133D. As a result of this last time when your partner choked, smothered, tried to drown you, burned or scalded you intentionally, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M133E. PERMANENT INJURY OR DISFIGUREMENT M133E. As a result of this last time when your partner choked, smothered, tried to drown you, burned or scalded you intentionally, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M134. How old were you the first time this happened? PV1C: FIRST TIMEM134. How old were you the first time this happened? 0 0 M135. Was this partner who did this to you this first time your girlfriend, roma M135. Was this partner who did this to you this first time your girlfriend, romantic partner, wife? 0 0 M136. Was this partner older than you, younger than you, or about the same age? M136. Was this partner older than you, younger than you, or about the same age? YOUNGER [2] -> M138ABOUT SAME AGE [3] -> M138DON’T KNOW/DECLINED [99] -> M138 0 0 M137. Would you say this partner was more than 10 years older than you, 5-10 yea M137. Would you say this partner was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M138. Did this happen in the last 12 months? M138. Did this happen in the last 12 months? 0 0 M139A. FEAR OR ANXIETY M139A. As a result of the first time when your partner choked, smothered, tried to drown, burned or scaled you intentionally, did you experience FEAR OR ANXIETY? 0 0 M139B. CUTS, SCRATCHES, BRUISES M139B. As a result of the first time when your partner choked, smothered, tried to drown, burned or scaled you intentionally, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M139C. SPRAINS, DISLOCATIONS, BLISTERING M139C. As a result of the first time when your partner choked, smothered, tried to drown, burned or scaled you intentionally, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M139D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M139D. As a result of the first time when your partner choked, smothered, tried to drown, burned or scaled you intentionally, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M139E. PERMANENT INJURY OR DISFIGUREMENT M139E. As a result of the first time when your partner choked, smothered, tried to drown, burned or scaled you intentionally, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M140. How many times has a romantic partner/wife used or threatened to use a kni PV1D:M140. How many times has a romantic partner/wife used or threatened to use a knife or other weapon against you: once, a few times, many times? ONCE [1] -> M147DON'T KNOW/DECLINED [99] -> M147 0 0 M141. How old were you the last time this happened? M141. How old were you the last time this happened? 0 0 M142. Was this partner who did this to you this last time your girlfriend, roman M142. Was this partner who did this to you this last time your girlfriend, romantic partner, wife? 0 0 M143. Was this partner older than you, younger than you, or about the same age? M143. Was this partner older than you, younger than you, or about the same age? YOUNGER [2] -> M145ABOUT SAME AGE [3] -> M145DON’T KNOW/DECLINED [99] -> M145 0 0 M144. Would you say this partner was more than 10 years older than you, 5-10 yea M144. Would you say this partner was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M145. Did this happen in the last 12 months? M145. Did this happen in the last 12 months? 0 0 M146A. FEAR OR ANXIETY M146A. As a result of this last time when a partner used or threatened to use a weapon against you, did you experience FEAR OR ANXIETY? 0 0 M146B. CUTS, SCRATCHES, BRUISES M146B. As a result of this last time when a partner used or threatened to use a weapon against you, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M146C. SPRAINS, DISLOCATIONS, BLISTERING M146C. As a result of this last time when a partner used or threatened to use a weapon against you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M146D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M146D. As a result of this last time when a partner used or threatened to use a weapon against you, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M146E. PERMANENT INJURY OR DISFIGUREMENT M146E. As a result of this last time when a partner used or threatened to use a weapon against you, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M147. How old were you the first time this happened? PV1D: FIRST TIMEM147. How old were you the first time this happened? 0 0 M148. Was this partner who did this to you this first time your girlfriend, roma M148. Was this partner who did this to you this first time your girlfriend, romantic partner, wife? 0 0 M149. Was this partner older than you, younger than you, or about the same age? M149. Was this partner older than you, younger than you, or about the same age? 0 0 M150. Would you say this partner was more than 10 years older than you, 5-10 yea M150. Would you say this partner was more than 10 years older than you, 5-10 years older or less than 5 years older? YOUNGER [2] -> M151ABOUT SAME AGE [3] -> M151DON’T KNOW/DECLINED [99] -> M151 0 0 M151. Did this happen in the last 12 months? M151. Did this happen in the last 12 months? 0 0 M152A. FEAR OR ANXIETY M152A. As a result of this first time when a partner used or threatened to use a weapon against you, did you experience FEAR OR ANXIETY? 0 0 M152B. CUTS, SCRATCHES, BRUISES M152B. As a result of this first time when a partner used or threatened to use a weapon against you, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M152C. SPRAINS, DISLOCATIONS, BLISTERING M152C. As a result of this first time when a partner used or threatened to use a weapon against you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M152D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M152D. As a result of this first time when a partner used or threatened to use a weapon against you, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M152E. PERMANENT INJURY OR DISFIGUREMENT M152E. As a result of this first time when a partner used or threatened to use a weapon against you, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M153A. Has a parent or other adult relative ever: punched, kicked, whipped, or b PV2: PARENTS AND OTHER ADULT RELATIVES The next questions are about parents or other adult relatives. Remember, you can ask to skip any question that you do not want to answer. 0 0 M153B. Has a parent or other adult relative ever: choked, smothered, tried to dr M153B. Has a parent or other adult relative ever: choked, smothered, tried to drown you, or burned you intentionally? 0 0 M153C. Has a parent or other adult relative ever: used or threatened you with a M153C. Has a parent or other adult relative ever: used or threatened you with a knife or other weapon? IF M153A=1 AND M153B=2/99 AND M153C =2/99 -> M154 IF M153A=2/99 AND M153B=1 AND M153C =2/99 -> M165 IF M153A=2/99 AND M153B=2/99 AND M153C =1 -> M176 0 0 M154. How many times has a parent or other adult relative punched, kicked, whipp PV2A:M154. How many times has a parent or other adult relative punched, kicked, whipped, or beat you with an object: once, a few times, many times? ONCE [1] -> M160DON'T KNOW/DECLINED [99] -> M160 0 0 M155. How old were you the last time this happened? PV2A: MOST RECENT TIMEM155. How old were you the last time this happened? 0 0 M156. What was your relationship to the relative who did this to you this last t M156. What was your relationship to the relative who did this to you this last time? 0 0 M156. Other (Specify) M156. Other (Specify) 0 0 M157. Did this relative live within the same household as you when this last eve M157. Did this relative live within the same household as you when this last event occurred? 0 0 M158. Did this happen in the last 12 months? M158. Did this happen in the last 12 months? 0 0 M159A. FEAR OR ANXIETY M159A. As a result of this last time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience FEAR OR ANXIETY? 0 0 M159B. CUTS, SCRATCHES, BRUISES M159B. As a result of this last time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M159C. SPRAINS, DISLOCATIONS, BLISTERING M159C. As a result of this last time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M159D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M159D. As a result of this last time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M159E. PERMANENT INJURY OR DISFIGUREMENT M159E. As a result of this last time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M160. How old were you the first time this happened? M160. How old were you the first time this happened? 0 0 M161. What was your relationship to the relative who did this to you the first t M161. What was your relationship to the relative who did this to you the first time? 0 0 M161. Other (Specify) M161. Other (Specify) 0 0 M162. Did this relative live within the same household as you when this first ev M162. Did this relative live within the same household as you when this first event occurred? 0 0 M163. Did this happen in the last 12 months? M163. Did this happen in the last 12 months? 0 0 M164A. FEAR OR ANXIETY M164A. As a result of this first time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience FEAR OR ANXIETY? 0 0 M164B. CUTS, SCRATCHES, BRUISES M164B. As a result of this first time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M164C. SPRAINS, DISLOCATIONS, BLISTERING M164C. As a result of this first time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M164D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M164D. As a result of this first time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M164E. PERMANENT INJURY OR DISFIGUREMENT M164E. As a result of this first time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M165. How many times has as a parent or any adult relative choked, smothered, tr PV2B:M165. How many times has as a parent or any adult relative choked, smothered, tried to drown you, burned or scalded you intentionally: once, a few times, many times? ONCE [1] -> M171DON'T KNOW/DECLINED [99] -> M171 0 0 M166. How old were you the last time this happened? PV2B: MOST RECENT TIMEM166. How old were you the last time this happened? 0 0 M167. What was your relationship to the relative who did this to you this last t M167. What was your relationship to the relative who did this to you this last time? 0 0 M167. Other (Specify) M167. Other (Specify) 0 0 M168. Did this relative live within the same household as you when this last eve M168. Did this relative live within the same household as you when this most recent event occurred? 0 0 M169. Did this happen in the last 12 months? M169. Did this happen in the last 12 months? 0 0 M170A. FEAR OR ANXIETY M170A. As a result of this last time when a parent or adult relative choked, smothered, tried to drown, burned or scalded you intentionally, did you experience FEAR OR ANXIETY? 0 0 M170B. CUTS, SCRATCHES, BRUISES M170B. As a result of this last time when a parent or adult relative choked, smothered, tried to drown, burned or scalded you intentionally, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M170C. SPRAINS, DISLOCATIONS, BLISTERING M170C. As a result of this last time when a parent or adult relative choked, smothered, tried to drown, burned or scalded you intentionally, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M170D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M170D. As a result of this last time when a parent or adult relative choked, smothered, tried to drown, burned or scalded you intentionally, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M170E. PERMANENT INJURY OR DISFIGUREMENT M170E. As a result of this last time when a parent or adult relative choked, smothered, tried to drown, burned or scalded you intentionally, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M171. How old were you the first time this happened? PV2B: FIRST TIMEM171. How old were you the first time this happened? 0 0 M172. What was your relationship to the relative who did this to you the first t M172. What was your relationship to the relative who did this to you the first time? 0 0 M172. Other (Specify) M172. Other (Specify) 0 0 M173. Did this relative live within the same household as you when this firts ev M173. Did this parent or adult relative live within the same household as you when this first event occurred? 0 0 M174. Did this happen in the last 12 months? M174. Did this happen in the last 12 months? 0 0 M175A. FEAR OR ANXIETY M175A. As a result of the first time when a parent or adult relative choked, smothered, tried to drown, or burned or scalded you intentionally, did you experience FEAR OR ANXIETY? 0 0 M175B. CUTS, SCRATCHES, BRUISES M175B. As a result of the first time when a parent or adult relative choked, smothered, tried to drown, or burned or scalded you intentionally, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M175C. SPRAINS, DISLOCATIONS, BLISTERING M175C. As a result of the first time when a parent or adult relative choked, smothered, tried to drown, or burned or scalded you intentionally, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M175D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M175D. As a result of the first time when a parent or adult relative choked, smothered, tried to drown, or burned or scalded you intentionally, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M175E. PERMANENT INJURY OR DISFIGUREMENT M175E. As a result of the first time when a parent or adult relative choked, smothered, tried to drown, or burned or scalded you intentionally, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M176. How many times has a parent or other adult relative used or threatened to PV2C:M176. How many times has a parent or other adult relative used or threatened to use a knife or other weapon against you: once, a few times, many times? ONCE [1] -> M182DON'T KNOW/DECLINED [99] -> M182 0 0 M177. How old were you the most recent time this happened? PV2C: MOST RECENT TIMEM177. How old were you the most recent time this happened? 0 0 M178. What was your relationship to the relative who did this to you this last t M178. What was your relationship to the relative who did this to you this last time? 0 0 M178. Other (Specify) M178. Other (Specify) 0 0 M179. Did this relative live within the same household as you when this last eve M179. Did this relative live within the same household as you when this last event occurred? 0 0 M180. Did this happen in the last 12 months? M180. Did this happen in the last 12 months? 0 0 M181A. FEAR OR ANXIETY M181A. As a result of this last time when a parent or adult relative used or threatened to use a weapon against you, did you experience FEAR OR ANXIETY? 0 0 M181B. CUTS, SCRATCHES, BRUISES M181B. As a result of this last time when a parent or adult relative used or threatened to use a weapon against you, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M181C. SPRAINS, DISLOCATIONS, BLISTERING M181C. As a result of this last time when a parent or adult relative used or threatened to use a weapon against you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M181D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M181D. As a result of this last time when a parent or adult relative used or threatened to use a weapon against you, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M181E. PERMANENT INJURY OR DISFIGUREMENT M181E. As a result of this last time when a parent or adult relative used or threatened to use a weapon against you, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M182. How old were you the first time this happened? PV2C: FIRST TIMEM182. How old were you the first time this happened? 0 0 M183. What was your relationship to the relative who did this to you the first t M183. What was your relationship to the relative who did this to you the first time? 0 0 M183. Other (Specify) M183. Other (Specify) 0 0 M184. Did this relative live within the same household as you when this first ev M184. Did this relative live within the same household as you when this first event occurred? 0 0 M185. Did this happen in the last 12 months? M185. Did this happen in the last 12 months? 0 0 M186A. FEAR OR ANXIETY M186A. As a result of the first time when a parent or adult relative used or threatened to use a weapon against you, did you experience FEAR OR ANXIETY? 0 0 M186B. CUTS, SCRATCHES, BRUISES M186B. As a result of the first time when a parent or adult relative used or threatened to use a weapon against you, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M186C. SPRAINS, DISLOCATIONS, BLISTERING M186C. As a result of the first time when a parent or adult relative used or threatened to use a weapon against you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M186D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M186D. As a result of the first time when a parent or adult relative used or threatened to use a weapon against you, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M186E. PERMANENT INJURY OR DISFIGUREMENT M186E. As a result of the first time when a parent or adult relative used or threatened to use a weapon against you, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M187A. Has other people who are in your community punched, kicked, whipped, or b PV3: PEOPLE LIVING IN THE COMMUNITYThe next questions are about other people who are in your [insert culturally appropriate term for COMMUNITY]. This includes such people as teachers, police, religious or community leaders, friends, classmates or even strangers. 0 0 M187B. Has other people who are in your community choked, smothered, tried to dr M187B. Have other people who are in your community choked, smothered, tried to drown you, or burned you intentionally? 0 0 M187C. Has other people who are in your community used or threatened you with a M187C. Have other people who are in your community used or threatened you with a knife or other weapon? IF M187A=1 AND M187B=2/99 AND M187C =2/99 -> M188 IF M187A=2/99 AND M187B=1 AND M187C =2/99 -> M201 IF M187A=2/99 AND M187B=2/99 AND M187C =1 -> M214 0 0 M188. How many times have you been punched you, kicked, whipped, or beat with an PV3A:M188. How many times have you been punched you, kicked, whipped, or beat with an object by someone in your [insert culturally appropriate term for COMMUNITY]: once, a few times, or many times? ONCE [1] -> M195DON'T KNOW/DECLINED [99] -> M195 0 0 M189. How old were you the last time this happened? PV3A: MOST RECENT TIMEM189. How old were you the last time this happened? 0 0 M190. What was your relationship to the person who did this to you this last tim M190. What was your relationship to the person who did this to you this last time? 0 0 M190. Other (Specify) M190. Other (Specify) 0 0 M191. Was this person older than you, younger than you, or about the same age? M191. Was this person older than you, younger than you, or about the same age? YOUNGER [2] -> M193ABOUT SAME AGE [3] -> M193DON’T KNOW/DECLINED [99] -> M193 0 0 M192. Would you say this person was more than 10 years older than you, 5-10 year M192. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M193. Did this happen in the last 12 months? M193. Did this happen in the last 12 months? 0 0 M194A. FEAR OR ANXIETY M194A. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience FEAR OR ANXIETY? 0 0 M194B. CUTS, SCRATCHES, BRUISES M194B. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M194C. SPRAINS, DISLOCATIONS, BLISTERING M194C. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M194D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M194D. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M194E. PERMANENT INJURY OR DISFIGUREMENT M194E. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M195. How old were you the first time this happened? PV3A: FIRST TIMEM195. How old were you the first time this happened? 0 0 M196. What was your relationship to the person who did this to you this first ti M196. What was your relationship to the person who did this to you this first time? 0 0 M196. Other (Specify) M196. Other (Specify) 0 0 M197. Was this person older than you, younger than you, or about the same age? M197. Was this person older than you, younger than you, or about the same age? YOUNGER [2] -> M199ABOUT SAME AGE [3] -> M199DON’T KNOW/DECLINED [99] -> M199 0 0 M198. Would you say this person was more than 10 years older than you, 5-10 year M198. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M199. Did this happen in the last 12 months? M199. Did this happen in the last 12 months? 0 0 M200A. FEAR OR ANXIETY M200A. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience FEAR OR ANXIETY? 0 0 M200B. CUTS, SCRATCHES, BRUISES M200B. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M200C. SPRAINS, DISLOCATIONS, BLISTERING M200C. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M200D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M200D. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M200E. PERMANENT INJURY OR DISFIGUREMENT M200E. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M201. How many times has someone in your community choked, smothered, tried to d PV3B:M201. How many times has someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally: once, a few times, or many times? ONCE [1] -> M208DON'T KNOW/DECLINED [99] -> M208 0 0 M202. How old were you the last time this happened? PV3B: MOST RECENT TIMEM202. How old were you the last time this happened? 0 0 M203. What was your relationship to the person who did this to you this last tim M203. What was your relationship to the person who did this to you this last time? 0 0 M203. Other (Specify) M203. Other (Specify) 0 0 M204. Was this person older than you, younger than you, or about the same age? M204. Was this person older than you, younger than you, or about the same age? YOUNGER [2] -> M206ABOUT SAME AGE [3] -> M206DON’T KNOW/DECLINED [99] -> M206 0 0 M205. Would you say this person was more than 10 years older than you, 5-10 year M205. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M206. Did this happen in the last 12 months? M206. Did this happen in the last 12 months? 0 0 M207A. FEAR OR ANXIETY M207A. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience FEAR OR ANXIETY? 0 0 M207B. CUTS, SCRATCHES, BRUISES M207B. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M207C. SPRAINS, DISLOCATIONS, BLISTERING M207C. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M207D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M207D. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M207E. PERMANENT INJURY OR DISFIGUREMENT M207E. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M208. How old were you the first time this happened? PV3B: FIRST TIMEM208. How old were you the first time this happened? 0 0 M209. What was your relationship to the person who did this to you this first ti M209. What was your relationship to the person who did this to you this first time? 0 0 M209. Other (Specify) M209. Other (Specify) 0 0 M210. Was this person older than you, younger than you, or about the same age? M210. Was this person older than you, younger than you, or about the same age? YOUNGER [2] -> M212ABOUT SAME AGE [3] -> M212DON’T KNOW/DECLINED [99] -> M212 0 0 M211. Would you say this person was more than 10 years older than you, 5-10 year M211. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M212. Did this happen in the last 12 months? M212. Did this happen in the last 12 months? 0 0 M213A. FEAR OR ANXIETY M213A. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience FEAR OR ANXIETY? 0 0 M213B. CUTS, SCRATCHES, BRUISES M213B. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M223C. SPRAINS, DISLOCATIONS, BLISTERING M223C. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M213D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M213D. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M213E. PERMANENT INJURY OR DISFIGUREMENT M213E. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M214. How many times has someone in your community used or threatened to use a k PV3C:M214. How many times has someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a knife or other weapon against you: once, a few times, or many times? ONCE [1] -> M221DON'T KNOW/DECLINED [99] -> M221 0 0 M215. How old were you the last time this happened? PV3C: MOST RECENT TIMEM215. How old were you the last time this happened? 0 0 M216. What was your relationship to the person who did this to you this last tim M216. What was your relationship to the person who did this to you this last time? 0 0 M216. Other (Specify) M216. Other (Specify) 0 0 M217. Was this person older than you, younger than you, or about the same age? M217. Was this person older than you, younger than you, or about the same age? YOUNGER [2] -> M219ABOUT SAME AGE [3] -> M219DON’T KNOW/DECLINED [99] -> M219 0 0 M218. Would you say this person was more than 10 years older than you, 5-10 year M218. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M219. Did this happen in the last 12 months? M219. Did this happen in the last 12 months? 0 0 M220A. FEAR OR ANXIETY M220A. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience FEAR OR ANXIETY? 0 0 M220B. CUTS, SCRATCHES, BRUISES M220B. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M220C. SPRAINS, DISLOCATIONS, BLISTERING M220C. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M220D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M220D. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M220E. PERMANENT INJURY OR DISFIGUREMENT M220E. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M221. How old were you the first time this happened? M221. How old were you the first time this happened? 0 0 M222. What was your relationship to the person who did this to you this first ti M222. What was your relationship to the person who did this to you this first time? 0 0 M222. Other (Specify) M222. Other (Specify) 0 0 M223. Was this person older than you, younger than you, or about the same age? M223. Was this person older than you, younger than you, or about the same age? YOUNGER [2] -> M225ABOUT SAME AGE [3] -> M225DON’T KNOW/DECLINED [99] -> M225 0 0 M224. Would you say this person was more than 10 years older than you, 5-10 year M224. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M225. Did this happen in the last 12 months? M225. Did this happen in the last 12 months? 0 0 M226A. FEAR OR ANXIETY M226A. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience FEAR OR ANXIETY? 0 0 M226B. CUTS, SCRATCHES, BRUISES M226B. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience CUTS, SCRATCHES, BRUISES? 0 0 M226C. SPRAINS, DISLOCATIONS, BLISTERING M226C. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 M226D. DEEP WOUNDS, BROKEN BONES, CHARRED SKIN M226D. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 M226E. PERMANENT INJURY OR DISFIGUREMENT M226E. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 M227. Thinking about all your experiences with physical violence, have you ever PV SERVICESM227. Thinking about all your experiences with physical violence, have you ever sought help for any of these experiences? NO [2] -> M229DON'T KNOW/DECLINED [99] -> M229 0 0 M228. From whom have you sought help? M228. From whom have you sought help? Anyone else? RECORD ALL MENTIONED 0 0 M228A. OWN FAMILY M228A. OWN FAMILY -> M300 0 0 M228B. WIFE’S/PARTNER’S FAMILY M228B. WIFE’S/PARTNER’S FAMILY -> M300 0 0 M228C. CURRENT/FORMER WIFE PARTNER M228C. CURRENT/FORMER WIFE PARTNER -> M300 0 0 M228D. CURRENT/FORMER GIRLFRIEND M228D. CURRENT/FORMER GIRLFRIEND -> M300 0 0 M228E. FRIEND M228E. FRIEND -> M300 0 0 M228F. NEIGHBOR M228F. NEIGHBOR -> M300 0 0 M228G. RELIGIOUS LEADER M228G. RELIGIOUS LEADER -> M300 0 0 M228H. DOCTOR/MEDICAL PERSONNEL M228H. DOCTOR/MEDICAL PERSONNEL -> M300 0 0 M228I. POLICE M228I. POLICE -> M300 0 0 M228J. LAWYER M228J. LAWYER -> M300 0 0 M228K. SOCIAL SERVICE ORGANIZATION M228K. SOCIAL SERVICE ORGANIZATION -> M300 0 0 M228X. OTHER M228X. OTHER -> M300 0 0 M228Z. DON’T KNOW/DECLINED M228Z. DON’T KNOW/DECLINED -> M300 0 0 M228. Other (Specify) M228. Other (Specify) -> M300 0 0 M229. What was the main reason you did not seek help? M229. What was the main reason you did not seek help? -> M300 0 0 M229. Other (Specify) M229. Other (Specify) -> M300 0 0 M230. Have you ever told anyone about these experiences? M230. Have you ever told anyone about these experiences? NO [2] -> M300DON'T KNOW/DECLINED [99] -> M300 0 0 M231. From whom have you sought help? M231. Who else did you speak to regarding any physical violence experiences that happened? RECORD ALL MENTIONED 0 0 M231A. OWN FAMILY M231A. OWN FAMILY 0 0 M231B. WIFE’S/PARTNER’S FAMILY M231B. WIFE’S/PARTNER’S FAMILY 0 0 M231C. CURRENT/FORMER WIFE PARTNER M231C. CURRENT/FORMER WIFE PARTNER 0 0 M231D. CURRENT/FORMER GIRLFRIEND M231D. CURRENT/FORMER GIRLFRIEND 0 0 M231E. FRIEND M231E. FRIEND 0 0 M231F. NEIGHBOR M231F. NEIGHBOR 0 0 M231G. RELIGIOUS LEADER M231G. RELIGIOUS LEADER 0 0 M231H. DOCTOR/MEDICAL PERSONNEL M231H. DOCTOR/MEDICAL PERSONNEL 0 0 M231I. POLICE M231I. POLICE 0 0 M231J. LAWYER M231J. LAWYER 0 0 M231K. SOCIAL SERVICE ORGANIZATION M231K. SOCIAL SERVICE ORGANIZATION 0 0 M231X. OTHER M231X. OTHER 0 0 M231Z. DON’T KNOW/DECLINED M231Z. DON’T KNOW/DECLINED 0 0 M231. Other (Specify) M231. Other (Specify) 0 0 M300A. Has a parent or someone like a parent ever: told you that you were not lo M300A. Has a parent or someone like a parent ever: told you that you were not loved, or did not deserve to be loved? 0 0 M300B. said they wished you had never been born or were dead? M300B. Has a parent or someone like a parent ever: said they wished you had never been born or were dead? 0 0 M300C. ever ridiculed you or put you down (for example say that you were stupid M300C. Has a parent or someone like a parent ever: ever ridiculed you or put you down (for example say that you were stupid or useless)? IF M300A =1 OR M300B=1 OR M300C =1 -> M301 IF M300A=2/99 AND M300B=2/99 AND M300C =2/99 -> M400 0 0 M301. How many times has/did a parent or someone like a parent ever said or done EV1M301. How many times has/did a parent or someone like a parent ever said or done these things: once, a few times, or many times? ONCE [1] -> M305DON'T KNOW/DECLINED [99] -> M305 0 0 M302. How old were you the most recent time this happened? EV1: MOST RECENT TIMEM302. How old were you the most recent time this happened? 0 0 M303. What was your relationship to the parent or primary caregiver who did this M303. What was your relationship to this person who did this to you this most recent time? 0 0 M303. Other (Specify) M303. Other (Specify) 0 0 M304. Did this happen in the last 12 months? M304. Did this happen in the last 12 months? 0 0 M305. How old were you the first time this happened? M305. How old were you the first time this happened? 0 0 M306. What was your relationship to this person who did this to you the first ti M306. What was your relationship to this person who did this to you the first time? 0 0 M306. Other (Specify) M306. Other (Specify) 0 0 M307. Did this happen in the last 12 months? M307. Did this happen in the last 12 months? 0 0 M400. Have you ever had sexual intercourse whether this was something you wanted SEXUAL BEHAVIOR: The next questions are about sexual activity. NO [2] -> M500DON'T KNOW/DECLINED [99] -> M500 0 0 M401. How old were you when you had sexual intercourse for the very first time? M401. How old were you when you had sexual intercourse for the very first time? 0 0 M402. The first time you had sexual intercourse, was it because you wanted to or M402. The first time you had sexual intercourse, was it because you wanted to or because you were made to have it without your permission? 0 0 M403. In your life, how many sexual partners have you ever had? SEX HISTORY AND RISK TAKING:For these next questions, a sexual partner is any person with whom you have had sexual intercourse. A sexual partner could be a girlfriend, romantic partner, or wife, or someone you met just that day. 0 IS NOT AN ACCEPTABLE ANSWER FOR THIS QUESTION, IF RESPONDENT SAYS 0 THEN REFER BACK TO M400 AND CORRECT IF NECESSARY. 0 0 M404. Have you had sexual intercourse in the past 12 months? M404. Have you had sexual intercourse in the past 12 months? NO [2] -> M500DON'T KNOW/DECLINED [99] -> M500 0 0 M405. How many partners have you had sexual intercourse with in the past 12 mont M405. How many partners have you had sexual intercourse with in the past 12 months? 0 0 M406. What is/was your relationship to the most recent person with whom you had I am going to ask you some questions about your sexual partners in the last 12 months.PARTNER 1 MOST RECENT 0 0 M406. Other (Specify) M406. Other (Specify) PARTNER 1 0 0 M407. In the past 12 months, how often did you or this partner use a condom duri M407. In the past 12 months, how often did you or this partner use a condom during sexual intercourse? Would you say always, sometimes, or never? PARTNER 1 CHECK NUMBER OF PARTNERS REPORTED IN M405IF M405=1 -> M500 0 0 M406. What is/was your relationship to the SECOND MOST recent person with whom y PARTNER 2 SECOND MOST RECENT Now think back to the partner you had sexual intercourse with before the partner we just talked about. 0 0 M406. Other (Specify) M406. Other (Specify) PARTNER 2 0 0 M407. In the past 12 months, how often did you or this partner use a condom duri M407. In the past 12 months, how often did you or this partner use a condom during sexual intercourse? Would you say always, sometimes, or never? SECOND PARTNER IF M405=2 -> M500 IF M405>2 -> M406 PARTNER 3 0 0 M406. What is/was your relationship to the THIRD MOST recent person with whom yo PARTNER 3 THIRD MOST RECENT Now think back to the partner you had sexual intercourse with before the partner we just talked about. GO TO M500 0 0 M406. Other (Specify) M406. Other (Specify) PARTNER 3 0 0 M407. In the past 12 months, how often did you or this partner use a condom duri M407. In the past 12 months, how often did you or this partner use a condom during sexual intercourse? Would you say always, sometimes, or never? THIRD PARTNER 0 0 M500. Has anyone ever given you money, food, gifts, or any favors to have sexual SEXUAL VIOLENCE: MONEY, GOODS OR FAVORS EXCHANGED FOR SEX/EXPLOITATION I’d like to ask you about some experiences you may have had with sex. Remember that everything you say will be confidential, and you can skip any questions that you don’t feel comfortable answering. NO [2] -> M600DON'T KNOW/DECLINED [99] -> M600 0 0 M501. How old were you when you were first given money, food, gifts, or any favo M501. How old were you when you were first given money, food, gifts, or any favors to have sexual intercourse or perform any other sexual acts? 0 0 M502. Was this person older than you, younger than you, or about the same age? M502. Was this person older than you, younger than you, or about the same age? YOUNGER [2] -> M504ABOUT SAME AGE [3] -> M504DON’T KNOW/DECLINED [99] -> M504 0 0 M503. Would you say this person was more than 10 years older than you, 5-10 year M503. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M504. In the last 12 months, how many sexual partners gave you money, food, gift M504. In the last 12 months, how many sexual partners gave you money, food, gifts, or any favors to have sexual intercourse or perform any other sexual acts with them? 0 0 M505. What was your relationship to the people who did this to you? Now think back to all experiences when you were given money, food, gifts, or any favors to have sexual intercourse or perform any other sexual acts with someone. What was your relationship to the people who did this to you?M505. What was your relationship to the people who did this to you? Circle all mentioned 0 0 M505A. MALE FRIEND OR ACQUIANTANCE M505A. MALE FRIEND OR ACQUAINTANCE 0 0 M505B. MALE TEACHER M505B. MALE TEACHER 0 0 M505C. MALE COMMUNITY LEADER M505C. MALE COMMUNITY LEADER 0 0 M505D. MALE RELIGIOUS LEADER M505D. MALE RELIGIOUS LEADER 0 0 M505E. MALE EMPLOYER M505E. MALE EMPLOYER 0 0 M505F. MALE CLASSMATE/ SCHOOLMATE M505F. MALE CLASSMATE/ SCHOOLMATE 0 0 M505G. MALE NEIGHBOR M505G. MALE NEIGHBOR 0 0 M505H. MALE POLICE M505H. MALE POLICE 0 0 M505I. MALE SOLDIER M505I. MALE SOLDIER 0 0 M505J. MALE TRUCK DRIVER M505J. MALE TRUCK DRIVER 0 0 M505K. MALE TOURIST OR NON-NATIONAL M505K. MALE TOURIST OR NON-NATIONAL 0 0 M505L. MALE I DON’T KNOW/ STRANGER M505L. MALE I DON’T KNOW/ STRANGER 0 0 M505X. OTHER MALE M505X. OTHER MALE 0 0 M505M. FEMALE FRIEND OR ACQUIANTANCE M505M. FEMALE FRIEND OR ACQUIANTANCE 0 0 M505N. FEMALE TEACHER M505N. FEMALE TEACHER 0 0 M505O. FEMALE COMMUNITY LEADER M505O. FEMALE COMMUNITY LEADER 0 0 M505P. FEMALE RELIGIOUS LEADER M505P. FEMALE RELIGIOUS LEADER 0 0 M505Q. FEMALE EMPLOYER M505Q. FEMALE EMPLOYER 0 0 M505R. FEMALE CLASSMATE/ SCHOOLMATE M505R. FEMALE CLASSMATE/ SCHOOLMATE 0 0 M505S. FEMALE NEIGHBOR M505S. FEMALE NEIGHBOR 0 0 M505T. FEMALE POLICE/ SOLDIER M505T. FEMALE POLICE/ SOLDIER 0 0 M505U. FEMALE SOLDIER M505U. FEMALE SOLDIER 0 0 M505V. FEMALE TRUCK DRIVER M505V. FEMALE TRUCK DRIVER 0 0 M505W. FEMALE TOURIST OR NON-NATIONAL M505W. FEMALE TOURIST OR NON-NATIONAL 0 0 M505AA. FEMALE I DON’T KNOW/STRANGER M505AA. FEMALE I DON’T KNOW/STRANGER 0 0 M505Y. OTHER FEMALE M505Y. OTHER FEMALE 0 0 M505Z. DON’T KNOW/DECLINED M505Z. DON’T KNOW/DECLINED 0 0 M505X. Other Male M505X. Other Male 0 0 M505Y. Other Female M505Y. Other Female 0 0 M600A. Has anyone ever made you upset by speaking to you in a sexual way or writ SEXUAL VIOLENCE : NON-CONTACT SEXUAL VIOLENCE/EXPLOITATION M600A. Has anyone ever made you upset by speaking to you in a sexual way or writing sexual things about you? IF M600A=1 AND M600B=2/99 AND M600C =2/99 -> M601IF M600A=2/99 AND M600B=1 AND M600C =2/99 -> M602IF M600A=2/99 AND M600B=2/99 AND M600C =1 -> M603 0 0 M600B. Has anyone ever forced you to watch sex photos or sex videos against your M600B. Has anyone ever forced you to watch sex photos or sex videos against your will? 0 0 M600C. Has anyone ever forced you to be in a sex photo or video against your wil M600C. Has anyone ever forced you to be in a sex photo or video against your will? 0 0 M601A. How many times has someone made you upset by speaking to you in a sexual M601A. How many times has someone made you upset by speaking to you in a sexual way or writing sexual things about you: once, a few times or many times? ONCE [1] -> M601CDK/DTA [99] -> CK, M600B and M600C 0 0 M601B. How old were you when this first happened? M601B. How old were you when this first happened: 0-5, 6-11, 12-17, 18 or older? 0 0 M601C. How old were you the most recent time this happened? M601C. How old were you: ONCE: when this happened?FEW OR MANY: the most recent time this happened? 0 0 M601D. Did this happen in the last 12 months? M601D. Did this happen in the last 12 months? 0 0 M602A. How many times has someone forced you to watch sex photos or sex videos a M602A. How many times has someone forced you to watch sex photos or sex videos against your will? ONCE [1] -> M602CDK/DTA [99] -> CK, M600C 0 0 M602B. How old were you when this first happened? M602B. How old were you when this first happened? 0 0 M602C. How old were you the most recent time this happened? M602C. How old were you the most recent time this happened? 0 0 M602D. Did this happen in the last 12 months? M602D. Did this happen in the last 12 months? 0 0 M603A. How many times has someone forced you to be in a sex photo or video again M603A. How many times has someone forced you to be in a sex photo or video against your will: once, a few times or many times? ONCE [1] -> M603CDK/DTA [99] -> M700 0 0 M603B. How old were you when this first happened? M603B. How old were you when this first happened: 0-5, 6-11, 12-17, 18 or older? 0 0 M603C. How old were you the most recent time this happened? M603C. How old were you: ONCE: when this happened?FEW OR MANY: the most recent time this happened? 0 0 M603D. Did this happen in the last 12 months? M603D. Did this happen in the last 12 months? 0 0 M700. Has anyone, male or female, ever touched you in a sexual way without your SEXUAL VIOLENCE: SEXUAL ABUSEBoys and men may experience unwanted sexual contact by people they know well, such as a romantic partner, family member or friend, or by strangers. Your answers are confidential and you can skip any questions that you don’t feel comfortable answering. 0 0 M800. Has anyone ever tried to make you have sexual intercourse of any kind with M800. Has anyone ever tried to make you have sexual intercourse of any kind without your permission, but did not succeed?This includes someone penetrating your anus with their penis, hands, fingers, mouth, or any other objects, or penetrating your mouth with their penis. It can also include someone forcing your penis into their mouth, vagina or anus. 0 0 M900. Has anyone ever physically forced you to have sexual intercourse of any ki M900. Has anyone ever physically forced you to have sexual intercourse of any kind regardless of whether you did or did not fight back?By physical force, we mean things like being pinned or held down or use of violence like pulling your hair, pushing, shoving, punching, using or threatening to use a weapon, or threatening to physically harm you or a loved one. Please include experiences when you may or may not have fought back. 0 0 M1000. Has anyone ever pressured you in a nonphysical way, to have sexual interc M1000. Has anyone ever pressured you in a nonphysical way, to have sexual intercourse of any kind when you did not want to and sex happened?When someone pressures you into sex, it could involve things like threats, harassment, luring you, or tricking you into having sex. IF M700=1 MOVE TO M701IF M800=1 MOVE TO M801IF M900=1 MOVE TO M901 0 0 M701. How many times in your life has anyone touched you in a sexual way without SV1: TOUCHING WITHOUT PERMISSION- LIFETIMEThese questions ask you about a time when anyone, male or female, touched you in a sexual way without your permission, but the person did not try and force you to have sex. 1 [1] -> M174WRITE NUMBER IF 2 TIMES OR MORE: __ -> M702DON’T KNOW/DECLINED [99] -> M714 0 0 M702. How old were you the most recent time this happened? SV1A: TOUCHING – MOST RECENTNow think about the most recent time anyone touched you in a sexual way without your permission but did not try to force you to have sex. 0 0 M703. This most recent time, did more than one person touch you in a sexual way M703. This most recent time, did more than one person touch you in a sexual way without your permission? NO, ONE PERSON ONLY [2] -> M706DON’T' KNOW/DECLINED [99] -> M706 0 0 M704. This most recent time, how many people touched you in a sexual way without M704. This most recent time, how many people touched you in a sexual way without 0 0 M706. What was your relationship to the person who did this to you? Of these people who touched you in a sexual way without your permission this most recent time, think of the person you know the best for the following questions:M706. What was your relationship to the person who did this to you? This could be a girlfriend, wife, parent or other relative, neighbor, teacher, police, other security personnel, or anyone else. 0 0 M706. Other (Specify) M706. Other (Specify) 0 0 M707. Was the person older than you, younger than you, or about the same age? M707. Was the person older than you, younger than you, or about the same age? YOUNGER [2] -> M709ABOUT SAME AGE [3] -> M709DON’T KNOW/DECLINED [99] -> M709 0 0 M708. Would you say this person was more than 10 years older than you, 5-10 year M708. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? ON A ROAD/STREET [4] -> M712MARKET/SHOP [5] -> M712SCHOOL [6] -> M712 0 0 M709. Where were you when this happened to you? M709. Where were you when this happened to you? 0 0 M709. Other (Specify) M709. Other (Specify) 0 0 M710. Was anyone else at home at the time? M710. Was anyone else at home at the time? NO [2] -> M712DON'T KNOW/DECLINED [99] -> M712 0 0 M711. Who else was at home at the time? M711. Who else was at home at the time? Circle all mentioned 0 0 M711A. PARENT M711A. PARENT 0 0 M711B. SIBLING M711B. SIBLING 0 0 M711C. OTHER RELATIVE M711C. OTHER RELATIVE 0 0 M711D. FRIEND M711D. FRIEND 0 0 M711X. OTHER M711X. OTHER 0 0 M711Z. DON'T KNOW/DECLINED M711Z. DON'T KNOW/DECLINED 0 0 M711X. Other (Specify) M711X. Other (Specify) 0 0 M712. About what time of day did this happen? M712. About what time of day did this happen? 0 0 M713. Did this happen to you within the past 12 months? M713. Did this happen to you within the past 12 months? 0 0 M714. How old were you the first time this happened? SV1B: TOUCHING – FIRST TIMENow think about the first time anyone touched you in a sexual way without your permission but did not try to force you to have sex of any kind. DON'T KNOW/DECLINED [99] -> M800 - M1000 0 0 M715. This first time, did more than one person touch you in a sexual way withou M715. This first time, did more than one person touch you in a sexual way without your permission? NO, ONE PERSON ONLY [2] -> M718DON’T' KNOW/DECLINED [99] -> M718 0 0 M716. This first time, how many people touched you in a sexual way without your M716. This first time, how many people touched you in a sexual way without your permission? 0 0 M718. What was your relationship to the person who did this to you? Of these people who touched you in a sexual way without your permission this first time, think of the person you know the best for the following questions:M718. What was your relationship to the person who did this to you? This could be a girlfriend, wife, parent or other relative, neighbor, teacher, police, other security personnel, or anyone else. 0 0 M718. Other (Specify) M718. Other (Specify) 0 0 M719. Was the person older than you, younger than you, or about the same age? M719. Was the person older than you, younger than you, or about the same age? YOUNGER [2] -> M721ABOUT SAME AGE [3] -> M721DON’T KNOW/DECLINED [99] -> M721 0 0 M720. Would you say this person was more than 10 years older than you, 5-10 year M720. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M721. Where were you when this happened to you? M721. Where were you when this happened to you? ON A ROAD/STREET [4] -> M724MARKET/SHOP [5] -> M724SCHOOL [6] -> M724 0 0 M721. Other (Specify) M721. Other (Specify) 0 0 M722. Was anyone else at home at the time? M722. Was anyone else at home at the time? NO [2] -> M724DON'T KNOW/DECLINED [99] -> M724 0 0 M723. Who else was at home at the time? M723. Who else was at home at the time? Circle all mentioned 0 0 M723A. PARENT M723A. PARENT 0 0 M723B. SIBLING M723B. SIBLING 0 0 M723C. OTHER RELATIVE M723C. OTHER RELATIVE 0 0 M723D. FRIEND M723D. FRIEND 0 0 M723X. OTHER M723X. OTHER 0 0 M723Z. DON'T KNOW/DECLINED M723Z. DON'T KNOW/DECLINED 0 0 M723X. Other (Specify) M723X. Other (Specify) 0 0 M724. About what time of day did this happen? M724. About what time of day did this happen? 0 0 M725. Did this happen to you within the past 12 months? M725. Did this happen to you within the past 12 months? REFER TO M800 M900 M1000 FOR ROUTING TO NEXT SECTIONIF M800=1 MOVE TO M801 0 0 M801. How many times in your life has anyone tried to make you have sexual inter SV2: ATTEMPTED SEX- LIFETIMEM801. How many times in your life has anyone tried to make you have sexual intercourse of any kind without your permission, but did not succeed? 1 [1] -> M814WRITE NUMBER IF 2 TIMES OR MORE: __ -> M802DON'T KNOW/DECLINED [99] -> M814 0 0 M802. How old were you the most recent time this happened? SV2A: ATTEMPTED SEX – MOST RECENTNow think about the most recent time anyone tried to make you have sexual intercourse of any kind without your permission, but did not succeed. 0 0 M803. This most recent time, did more than one person try to make you have sexua M803. This most recent time, did more than one person try to make you have sexual intercourse of any kind without your permission? NO, ONE PERSON ONLY [2] -> M806DON’T' KNOW/DECLINED [99] -> M806 0 0 M804. This most recent time, how many people tried to make you have sexual inter M804. This most recent time, how many people tried to make you have sexual intercourse of any kind without your permission? 0 0 M806. What was your relationship to the person who did this to you? Of these people who attempted to have sex with you without your permission this most recent time, think of the person you know the best for the following questions:M806. What was your relationship to the person who did this to you? This could be a girlfriend, wife, parent or other relative, neighbor, teacher, police, other security personnel, or anyone else. 0 0 M806. Other (Specify) M806. Other (Specify) 0 0 M807. Was the person older than you, younger than you, or about the same age? M807. Was the person older than you, younger than you, or about the same age? YOUNGER [2] -> M809ABOUT SAME AGE [3] -> M809DON’T KNOW/DECLINED [99] -> M809 0 0 M808. Would you say this person was more than 10 years older than you, 5-10 year M808. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M809. Where were you when this happened to you? M809. Where were you when this happened to you? ON A ROAD/STREET [4] -> M812MARKET/SHOP [5] -> M812SCHOOL [6] -> M812 0 0 M809. Other (Specify) M809. Other (Specify) 0 0 M810. Was anyone else at home at the time? M810. Was anyone else at home at the time? NO [2] -> M812DON'T KNOW/DECLINED [99] -> M812 0 0 M811. Who else was at home at the time? M811. Who else was at home at the time? 0 0 M811A. PARENT M811A. PARENT 0 0 M811B. SIBLING M811B. SIBLING 0 0 M811C. OTHER RELATIVE M811C. OTHER RELATIVE 0 0 M811D. FRIEND M811D. FRIEND 0 0 M811X. OTHER M811X. OTHER 0 0 M811Z. DON'T KNOW/DECLINED M811Z. DON'T KNOW/DECLINED 0 0 M811X. Other (Specify) M811X. Other (Specify) 0 0 M812. About what time of day did this happen? M812. About what time of day did this happen? 0 0 M813. Did this happen to you within the past 12 months? M813. Did this happen to you within the past 12 months? 0 0 M814. How old were you the first time this happened? SV2B: ATTEMPTED SEX - FIRST TIMENow think about the first time anyone tried to make you have sexual intercourse of any kind without your permission, but did not succeed. DON'T KNOW/DECLINED [99] -> Section based on M900 and M1000 0 0 M815. This first time, did more than one person try to make you have sexual inte M815. This first time, did more than one person try to make you have sexual intercourse of any kind without your permission? NO, ONE PERSON ONLY [2] -> M818DON’T' KNOW/DECLINED [99] -> M818 0 0 M816. This first time, how many people tried to make you have sexual intercourse M816. This first time, how many people tried to make you have sexual intercourse of any kind without your permission? 0 0 M818. What was your relationship to the person who did this to you? Of these people who attempted to have sex with you without your permission this first time, think of the person you know the best for the following questions:M818. What was your relationship to the person who did this to you? This could be a girlfriend, wife, parent or other relative, neighbor, teacher, police, other security personnel, or anyone else. 0 0 M818. Other (Specify) M818. Other (Specify) 0 0 M819. Was the person older than you, younger than you, or about the same age? M819. Was the person older than you, younger than you, or about the same age? YOUNGER [2] -> M821ABOUT SAME AGE [3] -> M821DON’T KNOW/DECLINED [99] -> M821 0 0 M820. Would you say this person was more than 10 years older than you, 5-10 year M820. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M821. Where were you when this happened to you? M821. Where were you when this happened to you? ON A ROAD/STREET [4] -> M824MARKET/SHOP [5] -> M824SCHOOL [6] -> M824 0 0 M821. Other (Specify) M821. Other (Specify) 0 0 M822. Was anyone else at home at the time? M822. Was anyone else at home at the time? NO [2] -> M824DON'T KNOW/DECLINED [99] -> M824 0 0 M823. Who else was at home at the time? M823. Who else was at home at the time? Circle all mentioned 0 0 M823A. PARENT M823A. PARENT 0 0 M823B. SIBLING M823B. SIBLING 0 0 M823C. OTHER RELATIVE M823C. OTHER RELATIVE 0 0 M823D. FRIEND M823D. FRIEND 0 0 M823X. OTHER M823X. OTHER 0 0 M823Z. DON'T KNOW/DECLINED M823Z. DON'T KNOW/DECLINED 0 0 M823X. Other (Specify) M823X. Other (Specify) 0 0 M824. About what time of day did this happen? M824. About what time of day did this happen? 0 0 M825. Did this happen to you within the past 12 months? M825. Did this happen to you within the past 12 months? REFER TO M900 M1000 FOR ROUTING TO NEXT SECTIONIF M900=1 MOVE TO M901IF M1000=1 MOVE TO M1001 0 0 M901. How many times in your life have you been physically forced to have sexual SV3: PHYSICALLY FORCED SEX- LIFETIMEM901. How many times in your life have you been physically forced to have sexual intercourse of any kind regardless of whether you did or did not fight back? 1 [1] -> M915WRITE NUMBER IF 2 TIMES OR MORE: __ -> M902DON'T KNOW/DECLINED [99] -> M915 0 0 M902. How old were you the most recent time this ever happened? SV3A: PHYSICALLY FORCED SEX – MOST RECENTNow think about the most recent time anyone physically forced you to have sexual intercourse of any kind without your permission. NO, ONE PERSON ONLY [2] -> M906DON’T' KNOW/DECLINED [99] -> M906 0 0 M903. This most recent time, did more than one person physically force you to ha M903. This most recent time, did more than one person physically force you to have sexual intercourse of any kind without your permission? 0 0 M904. This most recent time, how many people physically forced you to have sexua M904. This most recent time, how many people physically forced you to have sexual intercourse of any kind without your permission? 0 0 M906. What was your relationship to the person who did this to you? Of these people who physically forced you to have sex of any kind without your permission this most recent time, think of the person you know best for the following questions:M906. What was your relationship to the person who did this to you? This could be a girlfriend, wife, parent or other relative, neighbor, teacher, police, other security personnel, or anyone else. 0 0 M906. Other (Specify) M906. Other (Specify) 0 0 M907. Was the person older than you, younger than you, or about the same age? M907. Was the person older than you, younger than you, or about the same age? YOUNGER [2] -> M821ABOUT SAME AGE [3] -> M821DON’T KNOW/DECLINED [99] -> M821 0 0 M908. Would you say this person was more than 10 years older than you, 5-10 year M908. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M909. Did the person who did this to you this most recent time use a weapon such M909. Did the person who did this to you this most recent time use a weapon such as a gun, knife or machete? 0 0 M910. Where were you when this happened to you? M910. Where were you when this happened to you? ON A ROAD/STREET [4] -> M913MARKET/SHOP [5] -> M913SCHOOL [6] -> M913 0 0 M910. Other (Specify) M910. Other (Specify) 0 0 M911. Was anyone else at home at the time? M911. Was anyone else at home at the time? NO [2] -> M913DON'T KNOW/DECLINED [99] -> M913 0 0 M912. Who else was at home at the time? M912. Who else was at home at the time? Circle all mentioned 0 0 M912A. PARENT M912A. PARENT 0 0 M912B. SIBLING M912B. SIBLING 0 0 M912C. OTHER RELATIVE M912C. OTHER RELATIVE 0 0 M912D. FRIEND M912D. FRIEND 0 0 M912X. OTHER M912X. OTHER 0 0 M912Z. DON'T KNOW/DECLINED M912Z. DON'T KNOW/DECLINED 0 0 M912X. Other (Specify) M912X. Other (Specify) 0 0 M913. About what time of day did this happen? M913. About what time of day did this happen? 0 0 M914. Did this most recent experience of being physically forced to have sex of M914. Did this most recent experience of being physically forced to have sex of any kind happen to you within the past 12 months? 0 0 M915. How old were you the first time this happened? SV3B: PHYSICALLY FORCED SEX – FIRST TIMENow think about the first time anyone physically forced you to have sexual intercourse of any kind without your permission. DON'T KNOW/DECLINED [99] -> Section based on M1000 0 0 M916. This first time, did more than one person physically force you to have sex M916. This first time, did more than one person physically force you to have sexual intercourse of any kind without your permission? NO, ONE PERSON ONLY [2] -> M919DON’T' KNOW/DECLINED [99] -> M919 0 0 M917. This first time, how many people physically forced you to have sexual inte M917. This first time, how many people physically forced you to have sexual intercourse of any kind without your permission? 0 0 M919. What was your relationship to the person who did this to you? Of these people who physically forced you to have sex of any kind without your permission the first time, think of the person you know best for the following questions:M919. What was your relationship to the person who did this to you? This could be a girlfriend, wife, parent or other relative, neighbor, teacher, police, other security personnel, or anyone else. 0 0 M919. Other (Specify) M919. Other (Specify) 0 0 M920. Did the person who did this to you the first time use a weapon such as a g M920. Did the person who did this to you the first time use a weapon such as a gun, knife or machete? 0 0 M921. Was the person older than you, younger than you, or about the same age? M921. Was the person older than you, younger than you, or about the same age? YOUNGER [2] -> M923ABOUT SAME AGE [3] -> M923DON’T KNOW/DECLINED [99] -> M923 0 0 M922. Would you say this person was more than 10 years older than you, 5-10 year M922. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M923. Where were you when this happened to you? M923. Where were you when this happened to you? ON A ROAD/STREET [4] -> M926MARKET/SHOP [5] -> M926SCHOOL [6] -> M926 0 0 M923. Other (Specify) M923. Other (Specify) 0 0 M924. Was anyone else at home at the time? M924. Was anyone else at home at the time? NO [2] -> M926DON'T KNOW/DECLINED [99] -> M926 0 0 M925. Who else was at home at the time? M925. Who else was at home at the time? Circle all mentioned 0 0 M925A. PARENT M925A. PARENT 0 0 M925B. SIBLING M925B. SIBLING 0 0 M925C. OTHER RELATIVE M925C. OTHER RELATIVE 0 0 M925D. FRIEND M925D. FRIEND 0 0 M925X. OTHER M925X. OTHER 0 0 M925Z. DON'T KNOW/DECLINED M925Z. DON'T KNOW/DECLINED 0 0 M925X. Other (Specify) M925X. Other (Specify) 0 0 M926. About what time of day did this happen? M926. About what time of day did this happen? 0 0 M927. Did this first experience when someone physically forced you to have sexua M927. Did this first experience when someone physically forced you to have sexual intercourse of any kind happen to you within the past 12 months? REFER TO M1000 FOR ROUTING TO NEXT SECTIONIF M1000=1 MOVE TO M1001IF M1000 =2/99 MOVE TO SVCS M1100 0 0 M1001. How many times in your life has someone pressured you in a nonphysical wa SV4: PRESSURED SEX- LIFETIMEM1001. How many times in your life has someone pressured you in a nonphysical way, to have sexual intercourse of any kind when you did not want to and sex happened? 1 [1] -> M1014WRITE NUMBER IF 2 TIMES OR MORE: __ -> M1002DON'T KNOW/DECLINED [99] -> M1014 0 0 M1002. How old were you the most recent time this happened? SV4A: PRESSURED INTO SEX – MOST RECENTNow think about the most recent time anyone pressured you, in a nonphysical way, to have sexual intercourse of any kind when you did not want to, and sex happened. 0 0 M1003. This most recent time, did more than one person pressure you, in a nonphy M1003. This most recent time, did more than one person pressure you, in a nonphysical way, to have sexual intercourse of any kind when you did not want to? NO, ONE PERSON ONLY [2] -> M1006DON’T' KNOW/DECLINED [99] -> M1006 0 0 M1004. This most recent time, how many people pressured you in a nonphysical way M1004. This most recent time, how many people pressured you in a nonphysical way to have sexual intercourse of any kind, when you did not want to? 0 0 M1006. What was your relationship to the person who did this to you? Of the people who pressured in a nonphysical way to have sexual intercourse of any kind when you did not want to this most recent time, think of the person you know the best for the following questions:M1006. What was your relationship to the person who did this to you? This could be a girlfriend, wife, parent or other relative, neighbor, teacher, police, other security personnel, or anyone else. 0 0 M1006. Other (Specify) M1006. Other (Specify) 0 0 M1007. Was the person older than you, younger than you, or about the same age? M1007. Was the person older than you, younger than you, or about the same age? YOUNGER [2] -> M1009ABOUT SAME AGE [3] -> M1009DON’T KNOW/DECLINED [99] -> M1009 0 0 M1008. Would you say this person was more than 10 years older than you, 5-10 yea M1008. Would you say this person was more than 10 years older than you, 5-10 years older, or less than 5 years older? 0 0 M1009. Where were you when this happened to you? M1009. Where were you when this happened to you? ON A ROAD/STREET [4] -> M1012MARKET/SHOP [5] -> M1012SCHOOL [6] -> M1012 0 0 M1009. Other (Specify) M1009. Other (Specify) 0 0 M1010. Was anyone else at home at the time? M1010. Was anyone else at home at the time? NO [2] -> M1012DON'T KNOW/DECLINED [99] -> M1012 0 0 M1011. Who else was at home at the time? M1011. Who else was at home at the time? Circle all mentioned 0 0 M1011A. PARENT M1011A. PARENT 0 0 M1011B. SIBLING M1011B. SIBLING 0 0 M1011C. OTHER RELATIVE M1011C. OTHER RELATIVE 0 0 M1011D. FRIEND M1011D. FRIEND 0 0 M1011X. OTHER M1011X. OTHER 0 0 M1011Z. DON'T KNOW/DECLINED M1011Z. DON'T KNOW/DECLINED 0 0 M1011X. Other (Specify) M1011X. Other (Specify) 0 0 M1012. About what time of day did this happen? M1012. About what time of day did this happen? 0 0 M1013. Did this most recent experience of being pressured in a nonphysical way t M1013. Did this most recent experience of being pressured in a nonphysical way to have sex of any kind happen to you within the past 12 months? 0 0 M1014. How old were you the first time this happened? SV4B: PRESSURED INTO SEX – FIRST TIMENow think about the first time anyone pressured you, in a nonphysical way, to have sex of any kind when you did not want to, and sex happened. DON'T KNOW/DECLINED [99] -> M1100 0 0 M1015. This first time, did more than one person pressure you, in a nonphysical way, to have sex of any kind when you did not want to? NO, ONE PERSON ONLY [2] -> M1018DON’T' KNOW/DECLINED [99] -> M1018 0 0 M1016. This first time, how many people pressured you in a nonphysical way to have sex of any kind, when you did not want to? 0 0 M1018. What was your relationship to the person who did this to you? Of these people who pressured you in a nonphysical way to have sex of any kind without your permission this first time, think of the person you know the best for the following questions:M1018. What was your relationship to the person who did this to you? This could be a girlfriend, wife, parent or other relative, neighbor, teacher, police, other security personnel, or anyone else. 0 0 M1018. Other (Specify) M1018. Other (Specify) 0 0 M1019. Was the person older than you, younger than you, or about the same age? M1019. Was the person older than you, younger than you, or about the same age? YOUNGER [2] -> M1021ABOUT SAME AGE [3] -> M1021DON’T KNOW/DECLINED [99] -> M1021 0 0 M1020. Would you say this person was more than 10 years older than you, 5-10 yea M1020. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 M1021. Where were you when this happened to you? M1021. Where were you when this happened to you? ON A ROAD/STREET [4] -> M1024MARKET/SHOP [5] -> M1024SCHOOL [6] -> M1024 0 0 M1021. Other (Specify) M1021. Other (Specify) 0 0 M1022. Was anyone else at home at the time? M1022. Was anyone else at home at the time? NO [2] -> M1024DON'T KNOW/DECLINED [99] -> M1024 0 0 M1023. Who else was at home at the time? M1023. Who else was at home at the time? Circle all mentioned 0 0 M1023A. PARENT M1023A. PARENT 0 0 M1023B. SIBLING M1023B. SIBLING 0 0 M1023C. OTHER RELATIVE M1023C. OTHER RELATIVE 0 0 M1023D. FRIEND M1023D. FRIEND 0 0 M1023X. OTHER M1023X. OTHER 0 0 M1023Z. DON'T KNOW/DECLINED M1023Z. DON'T KNOW/DECLINED 0 0 M1023X. Other (Specify) M1023X. Other (Specify) 0 0 M1024. About what time of day did this happen? M1024. About what time of day did this happen? 0 0 M1025. Did this first experience of being pressured in a nonphysical way to have M1025. Did this first experience of being pressured in a nonphysical way to have sex of any kind happen to you within the past 12 months? 0 0 M1100. Thinking about all of the sexual experiences that happened without your p SV SERVICESM1100. Thinking about all of the sexual experiences that happened without your permission, have you ever sought help for these experiences? NO [2] -> M1102DON'T KNOW/DECLINED [99] -> M1102 0 0 M1101. From whom have you sought help? M1101. From whom have you sought help? Anyone else? RECORD ALL MENTIONED 0 0 M1101A. OWN FAMILY M1101A. OWN FAMILY -> M1200 (PERPETRATION) 0 0 M1101B. WIFE’S/PARTNER’S FAMILY M1101B. WIFE’S/PARTNER’S FAMILY -> M1200 (PERPETRATION) 0 0 M1101C. CURRENT/FORMER WIFE PARTNER M1101C. CURRENT/FORMER WIFE PARTNER -> M1200 (PERPETRATION) 0 0 M1101D. CURRENT/FORMER GIRLFRIEND M1101D. CURRENT/FORMER GIRLFRIEND -> M1200 (PERPETRATION) 0 0 M1101E. FRIEND M1101E. FRIEND -> M1200 (PERPETRATION) 0 0 M1101F. NEIGHBOR M1101F. NEIGHBOR -> M1200 (PERPETRATION) 0 0 M1101G. RELIGIOUS LEADER M1101G. RELIGIOUS LEADER -> M1200 (PERPETRATION) 0 0 M1101H. DOCTOR/MEDICAL PERSONNEL M1101H. DOCTOR/MEDICAL PERSONNEL -> M1200 (PERPETRATION) 0 0 M1101I. POLICE M1101I. POLICE -> M1200 (PERPETRATION) 0 0 M1101J. LAWYER M1101J. LAWYER -> M1200 (PERPETRATION) 0 0 M1101K. SOCIAL SERVICE ORGANIZATION M1101K. SOCIAL SERVICE ORGANIZATION -> M1200 (PERPETRATION) 0 0 M1101X. OTHER M1101X. OTHER -> M1200 (PERPETRATION) 0 0 M1101Z. DON’T KNOW/DECLINED M1101Z. DON’T KNOW/DECLINED -> M1200 (PERPETRATION) 0 0 M1101. Other (Specify) M1101. Other (Specify) 0 0 M1102. What was the main reason you did not seek help? M1102. What was the main reason you did not seek help? 0 0 M1102. Other (Specify) M1102. Other (Specify) 0 0 M1103. Have you ever told anyone about these experiences? M1103. Have you ever told anyone about these experiences? NO [2] -> M1200DON'T KNOW/DECLINED [99] -> M1200 0 0 M1104. From whom have you sought help? M1104. Who else did you speak to regarding any of these sexual experiences that happened without your permission? RECORD ALL MENTIONED 0 0 M1104A. OWN FAMILY M1104A. OWN FAMILY 0 0 M1104B. WIFE’S/PARTNER’S FAMILY M1104B. WIFE’S/PARTNER’S FAMILY 0 0 M1104C. CURRENT/FORMER WIFE PARTNER M1104C. CURRENT/FORMER WIFE PARTNER 0 0 M1104D. CURRENT/FORMER GIRLFRIEND M1104D. CURRENT/FORMER GIRLFRIEND 0 0 M1104E. FRIEND M1104E. FRIEND 0 0 M1104F. NEIGHBOR M1104F. NEIGHBOR 0 0 M1104G. RELIGIOUS LEADER M1104G. RELIGIOUS LEADER 0 0 M1104H. DOCTOR/MEDICAL PERSONNEL M1104H. DOCTOR/MEDICAL PERSONNEL 0 0 M1104I. POLICE M1104I. POLICE 0 0 M1104J. LAWYER M1104J. LAWYER 0 0 M1104K. SOCIAL SERVICE ORGANIZATION M1104K. SOCIAL SERVICE ORGANIZATION 0 0 M1104X. OTHER M1104X. OTHER 0 0 M1104Z. DON’T KNOW/DECLINED M1104Z. DON’T KNOW/DECLINED 0 0 M1104. Other (Specify) M1104. Other (Specify) 0 0 M1200. Have you slapped or pushed a current or previous partner/wife? PERPETRATION M1200. Have you slapped or pushed a current or previous partner/wife: never, once, a few times, many times? By partner I mean a girlfriend, romantic partner, fiancé, live-in partner, or wife. 0 0 M1201. Have you punched, kicked, whipped, or beat with an object a current or pr M1201. Have you punched, kicked, whipped, or beat with an object a current or previous partner/wife: never, once, a few times, many times? 0 0 M1202. Have you choked, smothered, tried to drown, or intentionally burned or sc M1202. Have you choked, smothered, tried to drown, or intentionally burned or scalded a current or previous partner/wife: never, once, a few times, many times? 0 0 M1203. Have you used or threatened to use a knife or other weapon against a curr M1203. Have you used or threatened to use a knife or other weapon against a current or previous partner/wife: never, once, a few times, many times? 0 0 M1204. Have you forced a current or previous partner/wife to have sexual interco M1204. Have you forced a current or previous partner/wife to have sexual intercourse or perform any other sex acts with you when they did not want to: never, once, a few times, many times? 0 0 M1205. Have you ever had sexual intercourse with someone who is not your wife? M1205. Have you ever had sexual intercourse with someone who is not your wife or partner? NO [2] -> M1300DON'T KNOW/DECLINED [99] -> M1300 0 0 M1206. Did you force them or did they force you? M1206. Did you force them or did they force you? 0 0 M1300. In the past 30 days, have you used drugs such as marijuana, pills, ecstas SUBSTANCE ABUSE: M1300. In the past 30 days, have you used drugs such as marijuana, pills, ecstasy, yama or sniffed any chemical such as petrol or glue? 0 0 M1301. In the past 30 days, on how many days did you drink alcohol to the point M1301. In the past 30 days, on how many days did you drink alcohol to the point that you became drunk? 0 0 M1302. During the past 30 days, did you smoke cigarettes daily, occasionally, or M1302. During the past 30 days, did you smoke cigarettes daily, occasionally, or not at all? 0 0 M1303A. NERVOUS During the past 30 days, how often did you feel the following ways: (Read categories below)M1303A. All the time, most of the time, some of the time, a little of the time, or none of the time NERVOUS? 0 0 M1303B. HOPELESS M1303B. All the time, most of the time, some of the time, a little of the time, or none of the time HOPELESS? 0 0 M1303C. RESTLESS M1303C. All the time, most of the time, some of the time, a little of the time, or none of the time RESTLESS? 0 0 M1303D. SO DEPRESSED THAT NOTHING COULD CHEER YOU UP M1303D. All the time, most of the time, some of the time, a little of the time, or none of the time SO DEPRESSED THAT NOTHING COULD CHEER YOU UP? 0 0 M1303E. THAT EVERYTHING WAS AN EFFORT M1303E. All the time, most of the time, some of the time, a little of the time, or none of the time THAT EVERYTHING WAS AN EFFORT? 0 0 M1303F. WORTHLESS M1303F. All the time, most of the time, some of the time, a little of the time, or none of the time WORTHLESS? 0 0 M1304. Have you ever intentionally hurt yourself in any way? M1304. Have you ever intentionally hurt yourself in any way? 0 0 M1305. Have you ever thought about killing yourself? M1305. Have you ever thought about killing yourself? -> M1307 0 0 M1306. Have you ever tried to kill yourself? M1306. Have you ever tried to kill yourself? 0 0 M1307. Do you know what HIV is? HIV/AIDS - STIs: The next few questions ask you to think about HIV/AIDS. Remember that everything you say will be confidential, and you can skip any questions that you don’t feel comfortable answering. 0 0 M1308. Do you know any place where people could go for HIV testing? M1308. Do you know any place where people could go for HIV testing? 0 0 M1309. Have you ever been tested for HIV? M1309. Have you ever been tested for HIV? YES [1] -> M1311DON'T KNOW/DECLINED [99] -> M1313 0 0 M1310. What is the main reason you have never been tested? M1310. What is the main reason you have never been tested? -> M1313 0 0 M1310. Other (Specify) M1310. Other (Specify) 0 0 M1311. When was the most recent time you were tested for HIV? M1311. When was the most recent time you were tested for HIV: less than 12 months ago, 1-2 years ago, or more than 2 years ago? 0 0 M1312. This most recent time you were tested for HIV, did you get the results of M1312. This most recent time you were tested for HIV, did you get the results of your test? 0 0 M1313. Have you ever had an abnormal discharge from your penis? M1313. Sometimes boys and men experience an abnormal discharge from their penis. Have you ever had an abnormal discharge from your penis? 0 0 M1314. Have you ever had a sore or ulcer near your penis? M1314. Sometimes men have a sore or ulcer near their penis. Have you ever had a sore or ulcer near your penis? 0 0 M1400. Do you feel that the time you took to answer these questions was worthwhi RESPONSES TO SENSITVE QUESTIONSM1400. Do you feel that the time you took to answer these questions was worthwhile for you? 0 0 0 0 M1401. At any point during the interview, were you afraid that someone might hea M1401. At any point during the interview, were you afraid that someone might hear your answers and hurt you in any way because of what they heard? 0 0 0 0 M1402. Did my asking you any of these questions about violence make you feel ups M1402. Did my asking you any of these questions about violence make you feel upset because the violence reminded you of a past experience? 0 0 0 0 M1403. Did you find it upsetting or stressful to answer any of these questions? M1403. Did you find it upsetting or stressful to answer any of these questions? NO [2] -> M1406DON'T KNOW/DECLINED [99] -> M1406 0 0 0 0 M1404. Which questions did you find upsetting or stressful to answer? M1404. Which questions did you find upsetting or stressful to answer? The questions on physical violence, emotional violence, sexual violence, or other questions? RECORD ALL MENTIONED 0 0 0 0 M1404A. PARENT M1404A. PARENT 0 0 0 0 M1404B. SIBLING M1404B. SIBLING 0 0 0 0 M1404C. OTHER RELATIVE M1404C. OTHER RELATIVE 0 0 0 0 M1404X. OTHER M1404X. OTHER 0 0 0 0 M1404Z. DON'T KNOW/DECLINED M1404Z. DON'T KNOW/DECLINED 0 0 0 0 M1404. Other (Specify) M1404. Other (Specify) 0 0 0 0 M1405. Why did you find it upsetting or stressful to answer these questions? M1405. Why did you find it upsetting or stressful to answer these questions? 0 0 M1406. I have asked you about many difficult things. How has talking about these things made you feel? 0 0 M1407.Do you have any comments, or is there anything else you would like to add? M1407. We have now finished the interview. Do you have any comments, or is there anything else you would like to add? 0 0 TIME INTERVIEW ENDED -HOUR TIME INTERVIEW ENDED -HOUR 0 0 TIME INTERVIEW ENDED -MINUTE TIME INTERVIEW ENDED -MINUTE 0 0 DID RESPONDENT TELL YOU ABOUT/DISCLOSE ANY VIOLENCE IN THE PAST? Did respondent tell you about/disclose any violence in the past? 0 0 DID THE RESPONDENT SHOW ANY SIGNS OF BEING UPSET AT ANY POINT DURING THE INTERVI Did the respondent show any signs of being upset at any point during the interview e.g. being tearful, angry, sad, shaking body, difficulty in breathing, etc.? 0 0 DID THE RESPODENT TELL YOU ABOUT FEELING UNSAFE IN CURRENT LIVING SITUATION AT A Did the respondent tell you about feeling unsafe in current living situation or asks for help with current or past experiences of violence at any point during the interview? 0 0 Do you have any questions you would like to ask me? Do you have any questions you would like to ask me? 0 0 Do you think that you would like to talk to one of our social workers/arrange fo Do you think that you would like to talk to one of our social workers/arrange for a social worker from a local NGO to speak with you? 0 0 Do you have any questions you would like to ask me? Do you have any questions you would like to ask me? 0 0 INTERVIEWER QC CODE Interviewer QC initials 0 0 SUPERVISOR TEAM CODE Supervisor team code 0 0 URBAN/RURAL Urban/Rural 0 0 CLUSTER NUMBER Cluster number 0 0 Cluster number(1) 0 0 Province_Code Province code 0 0 Province_Name Province name 0 0 District_Code District code 0 0 District_Name District name 0 0 Commune_Code Commune code 0 0 Commune_Name Commune name 0 0 Village_Name Village name 0 0 ExpectedHits Expected hits 0 0 EA_Gender EA gender 0 0 Primary sampling unit 0 0 Final weight 0 0 Identification Identification 0 0 Identification Number Identification Number 0 0 EA Identification EA Identification 0 0 Province Province 0 0 District District 0 0 Commune Commune 0 0 EA EA 0 0 Household Household 0 0 Interviewer Code Interviewer Code 0 0 Cluster Type Cluster Type 0 0 Final Visit Number Final Visit Number 0 0 Final Visit Date Final Visit Date 0 0 Final Visit Date - Year Final Visit Date - Year 0 0 Final Visit Date - Month Final Visit Date - Month 0 0 Final Visit Date - Day Final Visit Date - Day 0 0 Final Household Listing Result Final Household Listing Result 0 0 Final Household Questionnaire Result Final Household Questionnaire Result 0 0 Final Respondent Questionnaire Result Final Respondent Questionnaire Result 0 0 Visit Number Aux. 1 Visit Number Aux. 1 0 0 Visit Date - Year Aux. 1 Visit Date - Year Aux. 1 0 0 Visit Date - Month Aux. 1 Visit Date - Month Aux. 1 0 0 Visit Date - Day Aux. 1 Visit Date - Day Aux. 1 0 0 Household Listing Result Aux. 1 Household Listing Result Aux. 1 0 0 Visit Number Aux. 2 Visit Number Aux. 2 0 0 Visit Date - Year Aux. 2 Visit Date - Year Aux. 2 0 0 Visit Date - Month Aux. 2 Visit Date - Month Aux. 2 0 0 Visit Date - Day Aux. 2 Visit Date - Day Aux. 2 0 0 Household Listing Result Aux. 2 Household Listing Result Aux. 2 0 0 Visit Number Aux. 3 Visit Number Aux. 3 0 0 Visit Date - Year Aux. 3 Visit Date - Year Aux. 3 0 0 Visit Date - Month Aux. 3 Visit Date - Month Aux. 3 0 0 Visit Date - Day Aux. 3 Visit Date - Day Aux. 3 0 0 Household Listing Result Aux. 3 Household Listing Result Aux. 3 0 0 Visit Number(1) Visit Number(1) 0 0 Visit Number(2) Visit Number(2) 0 0 Visit Number(3) Visit Number(3) 0 0 Visit Date - Year(1) Visit Date - Year(1) 0 0 Visit Date - Year(2) Visit Date - Year(2) 0 0 Visit Date - Year(3) Visit Date - Year(3) 0 0 Visit Date - Month(1) Visit Date - Month(1) 0 0 Visit Date - Month(2) Visit Date - Month(2) 0 0 Visit Date - Month(3) Visit Date - Month(3) 0 0 Visit Date - Day(1) Visit Date - Day(1) 0 0 Visit Date - Day(2) Visit Date - Day(2) 0 0 Visit Date - Day(3) Visit Date - Day(3) 0 0 Household Listing Result(1) Household Listing Result(1) 0 0 Household Listing Result(2) Household Listing Result(2) 0 0 Household Listing Result(3) Household Listing Result(3) 0 0 Household Questionnaire Result(1) Household Questionnaire Result(1) 0 0 Household Questionnaire Result(2) Household Questionnaire Result(2) 0 0 Household Questionnaire Result(3) Household Questionnaire Result(3) 0 0 Respondent Questionnaire Result(1) Respondent Questionnaire Result(1) 0 0 Respondent Questionnaire Result(2) Respondent Questionnaire Result(2) 0 0 Respondent Questionnaire Result(3) Respondent Questionnaire Result(3) 0 0 Number of People living in this Household Number of People Living In This Household 0 0 Number of Females in this Household Number of Females in this Household 0 0 Line Number of Selected ER Line Number of Selected ER 0 0 Line of ER Selected from HH Listing Form Line of ER Selected From Hh Listing Form 0 0 Head of Household Available Head of Household Available 0 0 Household Member Line(1) Household Member Line(1) 0 0 Household Member Line(2) Household Member Line(2) 0 0 Household Member Line(3) Household Member Line(3) 0 0 Household Member Line(4) Household Member Line(4) 0 0 Household Member Line(5) Household Member Line(5) 0 0 Household Member Line(6) Household Member Line(6) 0 0 Household Member Line(7) Household Member Line(7) 0 0 Household Member Line(8) Household Member Line(8) 0 0 Household Member Line(9) Household Member Line(9) 0 0 Household Member Line(10) Household Member Line(10) 0 0 Household Member Line(11) Household Member Line(11) 0 0 Household Member Line(12) Household Member Line(12) 0 0 Household Member Line(13) Household Member Line(13) 0 0 Household Member Line(14) Household Member Line(14) 0 0 Household Member Line(15) Household Member Line(15) 0 0 Household Member Line(16) Household Member Line(16) 0 0 Household Member Line(17) Household Member Line(17) 0 0 Household Member Line(18) Household Member Line(18) 0 0 Household Member Line(19) Household Member Line(19) 0 0 Age of Household Member(1) Age of Household Member(1) 0 0 Age of Household Member(2) Age of Household Member(2) 0 0 Age of Household Member(3) Age of Household Member(3) 0 0 Age of Household Member(4) Age of Household Member(4) 0 0 Age of Household Member(5) Age of Household Member(5) 0 0 Age of Household Member(6) Age of Household Member(6) 0 0 Age of Household Member(7) Age of Household Member(7) 0 0 Age of Household Member(8) Age of Household Member(8) 0 0 Age of Household Member(9) Age of Household Member(9) 0 0 Age of Household Member(10) Age of Household Member(10) 0 0 Age of Household Member(11) Age of Household Member(11) 0 0 Age of Household Member(12) Age of Household Member(12) 0 0 Age of Household Member(13) Age of Household Member(13) 0 0 Age of Household Member(14) Age of Household Member(14) 0 0 Age of Household Member(15) Age of Household Member(15) 0 0 Age of Household Member(16) Age of Household Member(16) 0 0 Age of Household Member(17) Age of Household Member(17) 0 0 Age of Household Member(18) Age of Household Member(18) 0 0 Age of Household Member(19) Age of Household Member(19) 0 0 Date of Birth(1) Date of Birth(1) 0 0 Date of Birth(2) Date of Birth(2) 0 0 Date of Birth(3) Date of Birth(3) 0 0 Date of Birth(4) Date of Birth(4) 0 0 Date of Birth(5) Date of Birth(5) 0 0 Date of Birth(6) Date of Birth(6) 0 0 Date of Birth(7) Date of Birth(7) 0 0 Date of Birth(8) Date of Birth(8) 0 0 Date of Birth(9) Date of Birth(9) 0 0 Date of Birth(10) Date of Birth(10) 0 0 Date of Birth(11) Date of Birth(11) 0 0 Date of Birth(12) Date of Birth(12) 0 0 Date of Birth(13) Date of Birth(13) 0 0 Date of Birth(14) Date of Birth(14) 0 0 Date of Birth(15) Date of Birth(15) 0 0 Date of Birth(16) Date of Birth(16) 0 0 Date of Birth(17) Date of Birth(17) 0 0 Date of Birth(18) Date of Birth(18) 0 0 Date of Birth(19) Date of Birth(19) 0 0 Date of Birth - Year(1) Date of Birth - Year(1) 0 0 Date of Birth - Year(2) Date of Birth - Year(2) 0 0 Date of Birth - Year(3) Date of Birth - Year(3) 0 0 Date of Birth - Year(4) Date of Birth - Year(4) 0 0 Date of Birth - Year(5) Date of Birth - Year(5) 0 0 Date of Birth - Year(6) Date of Birth - Year(6) 0 0 Date of Birth - Year(7) Date of Birth - Year(7) 0 0 Date of Birth - Year(8) Date of Birth - Year(8) 0 0 Date of Birth - Year(9) Date of Birth - Year(9) 0 0 Date of Birth - Year(10) Date of Birth - Year(10) 0 0 Date of Birth - Year(11) Date of Birth - Year(11) 0 0 Date of Birth - Year(12) Date of Birth - Year(12) 0 0 Date of Birth - Year(13) Date of Birth - Year(13) 0 0 Date of Birth - Year(14) Date of Birth - Year(14) 0 0 Date of Birth - Year(15) Date of Birth - Year(15) 0 0 Date of Birth - Year(16) Date of Birth - Year(16) 0 0 Date of Birth - Year(17) Date of Birth - Year(17) 0 0 Date of Birth - Year(18) Date of Birth - Year(18) 0 0 Date of Birth - Year(19) Date of Birth - Year(19) 0 0 Date of Birth - Month(1) Date of Birth - Month(1) 0 0 Date of Birth - Month(2) Date of Birth - Month(2) 0 0 Date of Birth - Month(3) Date of Birth - Month(3) 0 0 Date of Birth - Month(4) Date of Birth - Month(4) 0 0 Date of Birth - Month(5) Date of Birth - Month(5) 0 0 Date of Birth - Month(6) Date of Birth - Month(6) 0 0 Date of Birth - Month(7) Date of Birth - Month(7) 0 0 Date of Birth - Month(8) Date of Birth - Month(8) 0 0 Date of Birth - Month(9) Date of Birth - Month(9) 0 0 Date of Birth - Month(10) Date of Birth - Month(10) 0 0 Date of Birth - Month(11) Date of Birth - Month(11) 0 0 Date of Birth - Month(12) Date of Birth - Month(12) 0 0 Date of Birth - Month(13) Date of Birth - Month(13) 0 0 Date of Birth - Month(14) Date of Birth - Month(14) 0 0 Date of Birth - Month(15) Date of Birth - Month(15) 0 0 Date of Birth - Month(16) Date of Birth - Month(16) 0 0 Date of Birth - Month(17) Date of Birth - Month(17) 0 0 Date of Birth - Month(18) Date of Birth - Month(18) 0 0 Date of Birth - Month(19) Date of Birth - Month(19) 0 0 Date of Birth - Day(1) Date of Birth - Day(1) 0 0 Date of Birth - Day(2) Date of Birth - Day(2) 0 0 Date of Birth - Day(3) Date of Birth - Day(3) 0 0 Date of Birth - Day(4) Date of Birth - Day(4) 0 0 Date of Birth - Day(5) Date of Birth - Day(5) 0 0 Date of Birth - Day(6) Date of Birth - Day(6) 0 0 Date of Birth - Day(7) Date of Birth - Day(7) 0 0 Date of Birth - Day(8) Date of Birth - Day(8) 0 0 Date of Birth - Day(9) Date of Birth - Day(9) 0 0 Date of Birth - Day(10) Date of Birth - Day(10) 0 0 Date of Birth - Day(11) Date of Birth - Day(11) 0 0 Date of Birth - Day(12) Date of Birth - Day(12) 0 0 Date of Birth - Day(13) Date of Birth - Day(13) 0 0 Date of Birth - Day(14) Date of Birth - Day(14) 0 0 Date of Birth - Day(15) Date of Birth - Day(15) 0 0 Date of Birth - Day(16) Date of Birth - Day(16) 0 0 Date of Birth - Day(17) Date of Birth - Day(17) 0 0 Date of Birth - Day(18) Date of Birth - Day(18) 0 0 Date of Birth - Day(19) Date of Birth - Day(19) 0 0 Sex of Household Member(1) Sex of Household Member(1) 0 0 Sex of Household Member(2) Sex of Household Member(2) 0 0 Sex of Household Member(3) Sex of Household Member(3) 0 0 Sex of Household Member(4) Sex of Household Member(4) 0 0 Sex of Household Member(5) Sex of Household Member(5) 0 0 Sex of Household Member(6) Sex of Household Member(6) 0 0 Sex of Household Member(7) Sex of Household Member(7) 0 0 Sex of Household Member(8) Sex of Household Member(8) 0 0 Sex of Household Member(9) Sex of Household Member(9) 0 0 Sex of Household Member(10) Sex of Household Member(10) 0 0 Sex of Household Member(11) Sex of Household Member(11) 0 0 Sex of Household Member(12) Sex of Household Member(12) 0 0 Sex of Household Member(13) Sex of Household Member(13) 0 0 Sex of Household Member(14) Sex of Household Member(14) 0 0 Sex of Household Member(15) Sex of Household Member(15) 0 0 Sex of Household Member(16) Sex of Household Member(16) 0 0 Sex of Household Member(17) Sex of Household Member(17) 0 0 Sex of Household Member(18) Sex of Household Member(18) 0 0 Sex of Household Member(19) Sex of Household Member(19) 0 0 Household Member live in this House(1) Household Member live in this House(1) 0 0 Household Member live in this House(2) Household Member live in this House(2) 0 0 Household Member live in this House(3) Household Member live in this House(3) 0 0 Household Member live in this House(4) Household Member live in this House(4) 0 0 Household Member live in this House(5) Household Member live in this House(5) 0 0 Household Member live in this House(6) Household Member live in this House(6) 0 0 Household Member live in this House(7) Household Member live in this House(7) 0 0 Household Member live in this House(8) Household Member live in this House(8) 0 0 Household Member live in this House(9) Household Member live in this House(9) 0 0 Household Member live in this House(10) Household Member live in this House(10) 0 0 Household Member live in this House(11) Household Member live in this House(11) 0 0 Household Member live in this House(12) Household Member live in this House(12) 0 0 Household Member live in this House(13) Household Member live in this House(13) 0 0 Household Member live in this House(14) Household Member live in this House(14) 0 0 Household Member live in this House(15) Household Member live in this House(15) 0 0 Household Member live in this House(16) Household Member live in this House(16) 0 0 Household Member live in this House(17) Household Member live in this House(17) 0 0 Household Member live in this House(18) Household Member live in this House(18) 0 0 Household Member live in this House(19) Household Member live in this House(19) 0 0 Eligible Household Member(1) Eligible Household Member(1) 0 0 Eligible Household Member(2) Eligible Household Member(2) 0 0 Eligible Household Member(3) Eligible Household Member(3) 0 0 Eligible Household Member(4) Eligible Household Member(4) 0 0 Eligible Household Member(5) Eligible Household Member(5) 0 0 Eligible Household Member(6) Eligible Household Member(6) 0 0 Eligible Household Member(7) Eligible Household Member(7) 0 0 Eligible Household Member(8) Eligible Household Member(8) 0 0 Eligible Household Member(9) Eligible Household Member(9) 0 0 Eligible Household Member(10) Eligible Household Member(10) 0 0 Eligible Household Member(11) Eligible Household Member(11) 0 0 Eligible Household Member(12) Eligible Household Member(12) 0 0 Eligible Household Member(13) Eligible Household Member(13) 0 0 Eligible Household Member(14) Eligible Household Member(14) 0 0 Eligible Household Member(15) Eligible Household Member(15) 0 0 Eligible Household Member(16) Eligible Household Member(16) 0 0 Eligible Household Member(17) Eligible Household Member(17) 0 0 Eligible Household Member(18) Eligible Household Member(18) 0 0 Eligible Household Member(19) Eligible Household Member(19) 0 0 Age of Elegible Respondement(1) Age of Elegible Respondement(1) 0 0 Age of Elegible Respondement(2) Age of Elegible Respondement(2) 0 0 Age of Elegible Respondement(3) Age of Elegible Respondement(3) 0 0 Age of Elegible Respondement(4) Age of Elegible Respondement(4) 0 0 Age of Elegible Respondement(5) Age of Elegible Respondement(5) 0 0 Age of Elegible Respondement(6) Age of Elegible Respondement(6) 0 0 Age of Elegible Respondement(7) Age of Elegible Respondement(7) 0 0 Age of Elegible Respondement(8) Age of Elegible Respondement(8) 0 0 Date of Birth of ER - Day(1) Date of Birth of ER - Day(1) 0 0 Date of Birth of ER - Day(2) Date of Birth of ER - Day(2) 0 0 Date of Birth of ER - Day(3) Date of Birth of ER - Day(3) 0 0 Date of Birth of ER - Day(4) Date of Birth of ER - Day(4) 0 0 Date of Birth of ER - Day(5) Date of Birth of ER - Day(5) 0 0 Date of Birth of ER - Day(6) Date of Birth of ER - Day(6) 0 0 Date of Birth of ER - Day(7) Date of Birth of ER - Day(7) 0 0 Date of Birth of ER - Day(8) Date of Birth of ER - Day(8) 0 0 Date of Birth of ER - Month(1) Date of Birth of ER - Month(1) 0 0 Date of Birth of ER - Month(2) Date of Birth of ER - Month(2) 0 0 Date of Birth of ER - Month(3) Date of Birth of ER - Month(3) 0 0 Date of Birth of ER - Month(4) Date of Birth of ER - Month(4) 0 0 Date of Birth of ER - Month(5) Date of Birth of ER - Month(5) 0 0 Date of Birth of ER - Month(6) Date of Birth of ER - Month(6) 0 0 Date of Birth of ER - Month(7) Date of Birth of ER - Month(7) 0 0 Date of Birth of ER - Month(8) Date of Birth of ER - Month(8) 0 0 Date of Birth of ER - Year(1) Date of Birth of ER - Year(1) 0 0 Date of Birth of ER - Year(2) Date of Birth of ER - Year(2) 0 0 Date of Birth of ER - Year(3) Date of Birth of ER - Year(3) 0 0 Date of Birth of ER - Year(4) Date of Birth of ER - Year(4) 0 0 Date of Birth of ER - Year(5) Date of Birth of ER - Year(5) 0 0 Date of Birth of ER - Year(6) Date of Birth of ER - Year(6) 0 0 Date of Birth of ER - Year(7) Date of Birth of ER - Year(7) 0 0 Date of Birth of ER - Year(8) Date of Birth of ER - Year(8) 0 0 Line of ER from the HH Listing Form(1) Line of ER from the HH Listing Form(1) 0 0 Line of ER from the HH Listing Form(2) Line of ER from the HH Listing Form(2) 0 0 Line of ER from the HH Listing Form(3) Line of ER from the HH Listing Form(3) 0 0 Line of ER from the HH Listing Form(4) Line of ER from the HH Listing Form(4) 0 0 Line of ER from the HH Listing Form(5) Line of ER from the HH Listing Form(5) 0 0 Line of ER from the HH Listing Form(6) Line of ER from the HH Listing Form(6) 0 0 Line of ER from the HH Listing Form(7) Line of ER from the HH Listing Form(7) 0 0 Line of ER from the HH Listing Form(8) Line of ER from the HH Listing Form(8) 0 0 Continue household questionnaire? Continue household questionnaire? 0 0 H1. Record the time the Interview Began - Hour H1. Record the time the Interview Began - Hour 0 0 H1. Record the time the Interview Began - Min H1. Record the time the Interview Began - Min 0 0 Sex of hhld head H2. Sex of the head of household 0 0 Age of hhld head H3. Age of the head of the household 0 0 Relationship to selected respondent H4. How is the selected respondent related to you? 0 0 Relationship to selected respondent, other H4. Other (Specify) 0 0 Main source of drinking water H5. What is the main source of drinking water for members of your household? 0 0 Main source of drinking water, other H5. Other (Specify) 0 0 Main source of water for other purposes H6. What is the main source of water used by your household for other purposes such as cooking and hand washing? 0 0 Main source of water for other purposes, other H6. Other (Specify) 0 0 Kind of toilet facility H7. What kind of toilet facility do members of your household usually use? IF “FLUSH” OR “POUR FLUSH”, PROBE:Where does it flush to? 0 0 Kind of toilet facility, other H7. Other (Specify) 0 0 Share toilet facility with others H8. Do you share this facility with other households? 0 0 Electricity H9A. Does your household have: Electricity? PLEASE CIRCLE THE APPROPRIATE RESPONSE FOR QUESTION A THROUGH F. 0 0 Radio H9B. Does your household have: Radio? PLEASE CIRCLE THE APPROPRIATE RESPONSE FOR QUESTION A THROUGH F. 0 0 Television H9C. Does your household have: Television? PLEASE CIRCLE THE APPROPRIATE RESPONSE FOR QUESTION A THROUGH F. 0 0 Mobile Telephone H9D. Does your household have: Mobile Telephone? PLEASE CIRCLE THE APPROPRIATE RESPONSE FOR QUESTION A THROUGH F. 0 0 Non-Mobile Telephone H9E. Does your household have: Non-Mobile Telephone? PLEASE CIRCLE THE APPROPRIATE RESPONSE FOR QUESTION A THROUGH F. 0 0 Refrigerator H9F. Does your household have: Refrigerator? PLEASE CIRCLE THE APPROPRIATE RESPONSE FOR QUESTION A THROUGH F. 0 0 Table H10A. Does your household have the following furniture: Table? 0 0 Chair H10B. Does your household have the following furniture: Chair? 0 0 Sofa H10C. Does your household have the following furniture: Sofa? 0 0 Bed H10D. Does your household have the following furniture: Bed? 0 0 Wardrobe H10E. Does your household have the following furniture: Wardrobe? 0 0 Kitchen Cabinet H10F. Does your household have the following furniture: Kitchen Cabinet? 0 0 Fuel for cooking H11. What type of fuel does your household mainly use for cooking? 0 0 Fuel for cooking, other H11. Other (Specify) 0 0 Floor material Interviewer H12. Main material of the dwelling floor Observation only 0 0 Floor material, other H12. Other (Specify) 0 0 Roof material Interviewer H13. Main material of the roof Observation only 0 0 Roof material, other H13. Other (Specify) 0 0 Wall material Interviewer H14. Main material of the walls Observation only 0 0 Wall material, other H14. Other (Specify) 0 0 Number of rooms H15. How many rooms are there in this household? This excludes bathroom, kitchen, garage and rice storage. 0 0 Number of rooms for sleeping H16. How many rooms in this household are used for sleeping? 0 0 Watch H17A. Does any member of your household own: Watch? 0 0 Bicycle H17B. Does any member of your household own: Bicycle? 0 0 Motorcycle or scooter H17C. Does any member of your household own: Motorcycle or scooter? 0 0 Animal drawn-cart H17D. Does any member of your household own: Animal drawn-cart? 0 0 Car or van H17E. Does any member of your household own: Car or van? 0 0 Boat without a motor? H17F. Does any member of your household own: Boat without a motor? 0 0 Boat with a motor H17G. Does any member of your household own: Boat with a motor? 0 0 Tractor H17H. Does any member of your household own: Tractor? 0 0 Hand Tractor H17I. Does any member of your household own: Hand Tractor? 0 0 Own land for agriculture H18. Does any member of this household have any land that can be used for agricultural purposes? 0 0 Own livestock, herds, etc. H19. Does this household own any livestock, herds, or farm animals? 0 0 Bank account H20. Does any member of this household have a bank account? 0 0 Continue respondent qsnaire Continue respondent questionnaire? 0 0 Time of interview - start - hour The question should be ask member of family above 13 and above. 0 0 Time of interview - start - min 0 0 Age Eligible respondent the question ask only female respondent between 13 and 24 years old . 0 0 How old are you? Education - Attended school Eligible respondent F8 DON'T KNOW/DECLINED [99] -> F8]]> the question ask only female respondent between 13 and 24 years old . 0 0 Education - Attending school Eligible respondent YES [1] -> F6DON'T KNOW/DECLINED [99] -> F8 Age the question ask only female respondent between 13 and 24 years old . 0 0 Age Education - Highest level of education Eligible respondent LESS THAN PRIMARY [1] -> F8PRIMARY [2] -> F8SECONDARY [3] -> F8 the question ask only female respondent between 13 and 24 years old . 0 0 Education - Current level Eligible respondent the question ask only female respondent between 13 and 24 years old . 0 0 Education - Connection with other students Eligible respondent the question ask only female respondent between 13 and 24 years old . 0 0 Friendship - Talk to friends Eligible respondent the question ask only female respondent between 13 and 24 years old . 0 0 Work - Ever worked for money Eligible respondent NO [2] -> F11DON'T KNOW/DECLINED [99] -> F11 the question ask only female respondent between 13 and 24 years old . 0 0 Work - Currently working Eligible respondent 0 0 Parents - Living with mother NO [2] -> F16DON'T KNOW/DECLINED [99] -> F16 0 0 Parents - Age last lived with mother 0 0 Parents - Reason for not living with mother MOTHER DIED [1] -> F15 0 0 Parents - Reason for not living with mother, other 0 0 Parents - Mother still alive YES [1] -> F16DON'T KNOW/DECLINED [99] -> F16 0 0 Parents - Age when mother died if her mother die, Asking about age of her monther. 0 0 Parents - How close to mother 0 0 Parents - Living with father 0 0 Parents - Age last lived with father 0 0 Parents - Reason for not living with father MOTHER DIED [1] -> F21 0 0 Parents - Reason for not living with father, other 0 0 Parents - Father still alive YES [1] -> F22DON'T KNOW/DECLINED [99] -> F22 0 0 Parents - Age when father died 0 0 Parents - How close to father 0 0 This question ask about relationship between her father with her, How close do you/did you feel to your biological father? Would you say very close, close, not close, or never had a relationship with her? Marriage - Ever been married Eligible respondent YES [1] -> F27DON'T KNOW/DECLINED [99] -> F27 0 0 Marriage - Age at first marriage Eligible respondent 0 0 Marriage - Marital status Eligible respondent WIDOWED [2] -> F27DIVORCED [3] -> F27SEPARATED [4] -> F27 0 0 Marriage - Living with spouse Eligible respondent YES [1] -> F31DON'T KNOW/DECLINED [99] -> F31 0 0 Partner - Ever lived together with someone Eligible respondent DON'T KNOW/DECLINED [99] -> F30 0 0 Partner - Age at first live in Eligible respondent 0 0 Partner - Living with someone Eligible respondent YES [1] -> F31DON'T KNOW/DECLINED [99] -> F31 0 0 Are you currently living with that person now? Partner - Ever had boyfriend Eligible respondent 0 0 Have you ever had a boyfriend or romantic partner? GA - Beat - goes out without telling husband Eligible respondent Read categories below. 0 0 GA - Beat - neglects children Eligible respondent Read categories below. 0 0 GA - Beat - argues with husband Eligible respondent Read categories below. 0 0 GA - Beat - refuses to have sex Eligible respondent F31D. Do you believe it is right for a man to hit or beat his wife: if she refuses to have sex with him? Read categories below. 0 0 GA - Beat - makes bad food Eligible respondent F31E. Do you believe it is right for a man to hit or beat his wife: if she makes bad food? Read categories below. 0 0 GA - Men decide when to have sex Eligible respondent F32A. Do you believe: men decide when to have sex? Read categories below. 0 0 GA - Men need more sex Eligible respondent F32B. Do you believe: men need more sex? Read categories below. 0 0 GA - Men need other women Eligible respondent F32C. Do you believe: men need other women? Read categories below. 0 0 GA - Women who carry condoms have sex with a lot of men Eligible respondent F32D. Do you believe: women who carry condoms have sex with a lot of men? Read categories below. 0 0 GA - Women should tolerate violence Eligible respondent F32E. Do you believe: women should tolerate violence? Read categories below. 0 0 GA - Safety - trust people in community Eligible respondent Read categories below. 0 0 GA - Safety - feel safe in community Eligible respondent Read categories below. 0 0 PV - witness to physical violence Eligible respondent NEVER [1] -> F37AONCE [2] -> F36CDK/DTA [99] -> F37A 0 0 PV - witness - first time - age Eligible respondent 0 0 How old were you when this first happened: 0-5, 6-11, 12-17, 18 or older? PV - witness - recent - age Eligible respondent 0 0 PV - witness - recent - happened in last 12 months Eligible respondent 0 0 Did this happen in the last 12 months? PV - Slap - witness Eligible respondent 0 0 Did the slapping, punching or kicking occur once, a few times or many times? PV - Used knife - witness Eligible respondent IF F37A=1 AND M37B=2/99 -> F38IF F37A=1 AND F37B=1 -> F38 FOLLOWED BY F39IF F37A =2/99 AND F37B=1 -> F39 0 0 Have you ever seen an adult hurt or scare another adult by using or threatening to use a knife, gun, stick, rock or other similar weapon? PV - Slap - witness - number of times occurred Eligible respondent NEVER [1] -> F38CDK/DTA [99] -> F39 OR F100 0 0 Did the slapping, punching or kicking occur once, a few times or many time? PV - Slap - witness - first - age Eligible respondent 0 0 How old were you when this first happened? ( the slapping, punching or kicking occur ) PV - Slap - witness - recent - age Eligible respondent 0 0 How old were you the most recent time this happened? PV - Slap - witness - happened in last 12 months Eligible respondent 0 0 Did this happen in the last 12 months? PV - Used knife - witness - number of times occurred Eligible respondent NEVER [1] -> F39CDK/DTA [99] -> F100 0 0 Have you ever seen an adult hurt or scare another adult by using or threatening to use a knife, gun, stick, rock or similar weapon occur once, a few times or many times? PV - Used knife - witness - first - age Eligible respondent 0 0 How old were you when this first happened? PV - Used knife - witness - recent - age Eligible respondent 0 0 How old were you the most recent time this happened? PV - Used knife - witness - happened in last 12 months Eligible respondent 0 0 Did this happen in the last 12 months? PV1A - Ever been slapped by partner Eligible respondent 0 0 PV1B - Ever been punched by partner Eligible respondent 0 0 PV1C - Ever been choked by partner Eligible respondent 0 0 PV1D - Ever been threatened with use of knife by partner Eligible respondent IF F100A =1 AND F100B=2/99 AND F100C=2/99 AND F100D=2/99 -> F101 IF F100A =2/99 AND F100B=1 AND F100C=2/99 AND F100D=2/99 -> F114 IF F100A =2/99 AND F100B=2/99 AND F100C=1 AND F100D=2/99 -> F127 0 0 PV1A - Slap - number of times Eligible respondent ONCE [1] -> F108DON'T KNOW/DECLINED [99] -> F108 the question ask only respondent between 13 and 24 years old. 0 0 PV1A - Slap - recent - age Eligible respondent Asking about most recent time that respondent has a romantic partner, boyfriend or husband ever punched, kicked, whipped, or beat you with an object. 0 0 Asking about MOST RECENT TIME PV1A - Slap - recent - relationship to person Eligible respondent 0 0 Was this partner who did this to you the last time your boyfriend, romantic partner, husband? PV1A - Slap - recent - relative age Eligible respondent YOUNGER [2] -> F106ABOUT SAME AGE [3] -> F106DON’T KNOW/DECLINED [99] -> F106 0 0 Was this partner older than you, younger than you, or about the same age? PV1A - Slap - recent - estimated age Eligible respondent 0 0 PV1A - Slap - recent - happened in last 12 months Eligible respondent 0 0 PV1A - Slap - recent - fear Eligible respondent 0 0 PV1A - Slap - recent - cuts Eligible respondent 0 0 PV1A - Slap - recent - sprains Eligible respondent 0 0 PV1A - Slap - recent - deep wounds Eligible respondent 0 0 PV1A - Slap - recent - miscarriage Eligible respondent 0 0 PV1A - Slap - recent - permanent injury Eligible respondent 0 0 PV1A - Slap - first time - age Eligible respondent Asking about first time that respondent has a romantic partner, boyfriend or husband ever slapped or pushed. 0 0 PV1A - Slap - first time - relationship to person Eligible respondent 0 0 PV1A - Slap - first time - relative age Eligible respondent YOUNGER [2] -> F112ABOUT SAME AGE [3] -> F112DON’T KNOW/DECLINED [99] -> F112 0 0 PV1A - Slap - first time - estimated age Eligible respondent Asking about age of repondent partner that has violence on her . 0 0 PV1A - Slap - first time - happened in last 12 months 0 0 PV1A - Slap - first time - fear Eligible respondent As a result of the last time when your partner slapped/pushed you, did you experience? 0 0 Asking about her feeling when she met violence . PV1A - Slap - first time - cuts Eligible respondent 0 0 PV1A - Slap - first time - sprains Eligible respondent 0 0 PV1A - Slap - first time - deep wounds Eligible respondent 0 0 PV1A - Slap - first time - miscarriage Eligible respondent 0 0 PV1A - Slap - first time - permanent injury Eligible respondent 0 0 PV1B - Punch - number of times Eligible respondent ONCE [1] -> F121DON'T KNOW/DECLINED [99] -> F121 0 0 PV1B - Punch - recent - age Eligible respondent 0 0 PV1B - Punch - recent - relationship to person Eligible respondent Asking about the most recent time when she met violence. 0 0 PV1B - Punch - recent - relative age Eligible respondent YOUNGER [2] -> F119ABOUT SAME AGE [3] -> F119DON’T KNOW/DECLINED [99] -> F119 Was this partner older than you, younger than you, or about the same age? 0 0 PV1B - Punch - recent - estimated age Eligible respondent Would you say this partner was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 PV1B - Punch - recent - happened in last 12 months Eligible respondent Did this happen in the last 12 months? 0 0 PV1B - Punch - recent - fear Eligible respondent As a result of the last time when your partner slapped/pushed you, did you experience? 0 0 PV1B - Punch - recent - cuts Eligible respondent F120B. As a result of the last time when your partner punched, kicked, whipped, or beat you, did you experience CUTS, SCRATCHES, BRUISES? CUTS, SCRATCHES, BRUISES 0 0 PV1B - Punch - recent - sprains F120C. As a result of the last time when your partner punched, kicked, whipped, or beat you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? SPRAINS, DISLOCATIONS, BLISTERING 0 0 PV1B - Punch - recent - deep wounds DEEP WOUNDS, BROKEN BONES, CHARRED SKIN 0 0 PV1B - Punch - recent - miscarriage MISCARRIAGE 0 0 PV1B - Punch - recent - permanent injury 0 0 PV1B - Punch - first time - age 0 0 PV1B - Punch - first time - relationship to person 0 0 PV1B - Punch - first time - relative age YOUNGER [2] -> F125ABOUT SAME AGE [3] -> F125DON’T KNOW/DECLINED [99] -> F125 0 0 PV1B - Punch - first time - estimated age 0 0 PV1B - Punch - first time - happened in last 12 months 0 0 PV1B - Punch - first time - fear 0 0 PV1B - Punch - first time - cuts 0 0 PV1B - Punch - first time - sprains 0 0 PV1B - Punch - first time - deep wounds 0 0 PV1B - Punch - first time - miscarriage 0 0 PV1B - Punch - first time - permanent injury 0 0 PV1C - Choke - number of times ONCE [1] -> F134DON'T KNOW/DECLINED [99] -> F134 0 0 PV1C - Choke - recent - age 0 0 PV1C - Choke - recent - relationship to person 0 0 PV1C - Choke - recent - relative age YOUNGER [2] -> F132ABOUT SAME AGE [3] -> F132DON’T KNOW/DECLINED [99] -> F132 0 0 PV1C - Choke - recent - estimated age 0 0 PV1C - Choke - recent - happened in last 12 months 0 0 PV1C - Choke - recent - fear F133A. As a result of this last time when your partner choked, smothered, tried to drown you, burned or scalded you intentionally, did you experience FEAR OR ANXIETY? 0 0 PV1C - Choke - recent - cuts F133B. As a result of this last time when your partner choked, smothered, tried to drown you, burned or scalded you intentionally, did you experience CUTS, SCRATCHES, BRUISES? 0 0 PV1C - Choke - recent - sprains F133C. As a result of this last time when your partner choked, smothered, tried to drown you, burned or scalded you intentionally, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 PV1C - Choke - recent - deep wounds F133D. As a result of this last time when your partner choked, smothered, tried to drown you, burned or scalded you intentionally, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 PV1C - Choke - recent - miscarriage F133E. As a result of this last time when your partner choked, smothered, tried to drown you, burned or scalded you intentionally, did you experience A MISCARRIAGE? 0 0 PV1C - Choke - recent - permanent injury F133F. As a result of this last time when your partner choked, smothered, tried to drown you, burned or scalded you intentionally, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 PV1C - Choke - first time - age 0 0 PV1C - Choke - first time - relationship to person F135. Was this partner who did this to you this first time your boyfriend, romantic partner, husband? 0 0 PV1C - Choke - first time - relative age F136. Was this partner older than you, younger than you, or about the same age? YOUNGER [2] -> F138ABOUT SAME AGE [3] -> F138DON’T KNOW/DECLINED [99] -> F138 0 0 PV1C - Choke - first time - estimated age F137. Would you say this partner was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 PV1C - Choke - first time - happened in last 12 months 0 0 PV1C - Choke - first time - fear F139A. As a result of the first time when your partner choked, smothered, tried to drown, burned or scaled you intentionally, did you experience FEAR OR ANXIETY? 0 0 PV1C - Choke - first time - cuts F139B. As a result of the first time when your partner choked, smothered, tried to drown, burned or scaled you intentionally, did you experience CUTS, SCRATCHES, BRUISES? 0 0 PV1C - Choke - first time - sprains F139C. As a result of the first time when your partner choked, smothered, tried to drown, burned or scaled you intentionally, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 PV1C - Choke - first time - deep wounds F139D. As a result of the first time when your partner choked, smothered, tried to drown, burned or scaled you intentionally, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 PV1C - Choke - first time - miscarriage F139E. As a result of the first time when your partner choked, smothered, tried to drown, burned or scaled you intentionally, did you experience A MISCARRIAGE? 0 0 PV1C - Choke - first time - permanent injury F139F. As a result of the first time when your partner choked, smothered, tried to drown, burned or scaled you intentionally, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 PV1D - Used knife - number of times PV1D:F140. How many times has a romantic partner/husband used or threatened to use a knife or other weapon against you: once, a few times, many times? ONCE [1] -> F147DON'T KNOW/DECLINED [99] -> F147 0 0 PV1D - Used knife - recent - age F141. How old were you the last time this happened? 0 0 PV1D - Used knife - recent - relationship to person F142. Was this partner who did this to you this last time your boyfriend, romantic partner, husband? 0 0 PV1D - Used knife - recent - relative age F143. Was this partner older than you, younger than you, or about the same age? YOUNGER [2] -> F145ABOUT SAME AGE [3] -> F145DON’T KNOW/DECLINED [99] -> F145 0 0 PV1D - Used knife - recent - estimated age F144. Would you say this partner was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 PV1D - Used knife - recent - happened in last 12 months F145. Did this happen in the last 12 months? 0 0 PV1D - Used knife - recent - fear F146A. As a result of this last time when a partner used or threatened to use a weapon against you, did you experience FEAR OR ANXIETY? 0 0 PV1D - Used knife - recent - cuts F146B. As a result of this last time when a partner used or threatened to use a weapon against you, did you experience CUTS, SCRATCHES, BRUISES? 0 0 PV1D - Used knife - recent - sprains F146C. As a result of this last time when a partner used or threatened to use a weapon against you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 PV1D - Used knife - recent - deep wounds F146D. As a result of this last time when a partner used or threatened to use a weapon against you, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 PV1D - Used knife - recent - miscarriage F146E. As a result of this last time when a partner used or threatened to use a weapon against you, did you experience A MISCARRIAGE? 0 0 PV1D - Used knife - recent - permanent injury F146F. As a result of this last time when a partner used or threatened to use a weapon against you, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 PV1D - Used knife - first time - age PV1D: FIRST TIMEF147. How old were you the first time this happened? 0 0 PV1D - Used knife - first time - relationship to person F148. Was this partner who did this to you this first time your boyfriend, romantic partner, husband? 0 0 PV1D - Used knife - first time - relative age F149. Was this partner older than you, younger than you, or about the same age? 0 0 PV1D - Used knife - first time - estimated age F150. Would you say this partner was more than 10 years older than you, 5-10 years older or less than 5 years older? YOUNGER [2] -> F151ABOUT SAME AGE [3] -> F151DON’T KNOW/DECLINED [99] -> F151 0 0 PV1D - Used knife - first time - happened in last 12 months F151. Did this happen in the last 12 months? 0 0 PV1D - Used knife - first time - fear F152A. As a result of this first time when a partner used or threatened to use a weapon against you, did you experience FEAR OR ANXIETY? 0 0 PV1D - Used knife - first time - cuts F152B. As a result of this first time when a partner used or threatened to use a weapon against you, did you experience CUTS, SCRATCHES, BRUISES? 0 0 PV1D - Used knife - first time - sprains F152C. As a result of this first time when a partner used or threatened to use a weapon against you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 PV1D - Used knife - first time - deep wounds F152D. As a result of this first time when a partner used or threatened to use a weapon against you, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 PV1D - Used knife - first time - miscarriage F152E. As a result of this first time when a partner used or threatened to use a weapon against you, did you experience A MISCARRIAGE? 0 0 PV1D - Used knife - first time - permanent injury F152F. As a result of this first time when a partner used or threatened to use a weapon against you, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 PV2A - Ever been punched by parent PV2: PARENTS AND OTHER ADULT RELATIVESThe next questions are about parents or other adult relatives. Remember, you can ask to skip any question that you do not want to answer. 0 0 PV2B - Ever been choked by parent F153B. Has a parent or other adult relative ever: choked, smothered, tried to drown you, or burned you intentionally? 0 0 PV2C - Ever been threatened with use of knife by parent F153C. Has a parent or other adult relative ever: used or threatened you with a knife or other weapon? IF F153A=1 AND F153B=2/99 AND F153C =2/99 -> F154 IF F153A=2/99 AND F153B=1 AND F153C =2/99 -> F165 IF F153A=2/99 AND F153B=2/99 AND F153C =1 -> F176 0 0 PV2A - Punch - number of times PV2A:F154. How many times has a parent or other adult relative punched, kicked, whipped, or beat you with an object: once, a few times, many times? ONCE [1] -> F160DON'T KNOW/DECLINED [99] -> F160 0 0 PV2A - Punch - recent - age PV2A: MOST RECENT TIMEF155. How old were you the last time this happened? 0 0 PV2A - Punch - recent - relationship to person F156. What was your relationship to the relative who did this to you this last time? 0 0 PV2A - Punch - recent - relative age F156. Other (Specify) 0 0 PV2A - Punch - recent - estimated age F157. Did this relative live within the same household as you when this last event occurred? 0 0 PV2A - Punch - recent - happened in last 12 months F158. Did this happen in the last 12 months? 0 0 PV2A - Punch - recent - fear F159A. As a result of this last time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience FEAR OR ANXIETY? 0 0 PV2A - Punch - recent - cuts F159B. As a result of this last time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience CUTS, SCRATCHES, BRUISES? 0 0 PV2A - Punch - recent - sprains F159C. As a result of this last time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 PV2A - Punch - recent - deep wounds F159D. As a result of this last time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 PV2A - Punch - recent - miscarriage F159E. As a result of this last time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience A MISCARRIAGE? 0 0 PV2A - Punch - recent - permanent injury F159F. As a result of this last time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 PV2A - Punch - first time - age F160. How old were you the first time this happened? 0 0 PV2A - Punch - first time - relationship to person F161. What was your relationship to the relative who did this to you the first time? 0 0 PV2A - Punch - first time - relative age F161. Other (Specify) 0 0 PV2A - Punch - first time - estimated age F162. Did this relative live within the same household as you when this first event occurred? 0 0 PV2A - Punch - first time - happened in last 12 months F163. Did this happen in the last 12 months? 0 0 PV2A - Punch - first time - fear F164A. As a result of this first time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience FEAR OR ANXIETY? 0 0 PV2A - Punch - first time - cuts F164B. As a result of this first time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience CUTS, SCRATCHES, BRUISES? 0 0 PV2A - Punch - first time - sprains F164C. As a result of this first time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 PV2A - Punch - first time - deep wounds F164D. As a result of this first time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 PV2A - Punch - first time - miscarriage F164E. As a result of this first time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience A MISCARRIAGE? 0 0 PV2A - Punch - first time - permanent injury F164F. As a result of this first time when a parent or adult relative punched, kicked, whipped, or beat you with an object, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 PV2B - Choke - number of times PV2B:F165. How many times has as a parent or any adult relative choked, smothered, tried to drown you, burned or scalded you intentionally: once, a few times, many times? ONCE [1] -> F171DON'T KNOW/DECLINED [99] -> F171 0 0 PV2B - Choke - recent - age PV2B: MOST RECENT TIMEF166. How old were you the last time this happened? 0 0 PV2B - Choke - recent - relationship to person F167. What was your relationship to the relative who did this to you this last time? 0 0 PV2B - Choke - recent - relative age F167. Other (Specify) 0 0 PV2B - Choke - recent - estimated age F168. Did this relative live within the same household as you when this most recent event occurred? 0 0 PV2B - Choke - recent - happened in last 12 months F169. Did this happen in the last 12 months? 0 0 PV2B - Choke - recent - fear F170A. As a result of this last time when a parent or adult relative choked, smothered, tried to drown, burned or scalded you intentionally, did you experience FEAR OR ANXIETY? 0 0 PV2B - Choke - recent - cuts F170B. As a result of this last time when a parent or adult relative choked, smothered, tried to drown, burned or scalded you intentionally, did you experience CUTS, SCRATCHES, BRUISES? 0 0 PV2B - Choke - recent - sprains F170C. As a result of this last time when a parent or adult relative choked, smothered, tried to drown, burned or scalded you intentionally, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 PV2B - Choke - recent - deep wounds F170D. As a result of this last time when a parent or adult relative choked, smothered, tried to drown, burned or scalded you intentionally, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 PV2B - Choke - recent - miscarriage F170E. As a result of this last time when a parent or adult relative choked, smothered, tried to drown, burned or scalded you intentionally, did you experience A MISCARRIAGE? 0 0 PV2B - Choke - recent - permanent injury F170F. As a result of this last time when a parent or adult relative choked, smothered, tried to drown, burned or scalded you intentionally, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 PV2B - Choke - first time - age PV2B: FIRST TIMEF171. How old were you the first time this happened? 0 0 PV2B - Choke - first time - relationship to person F172. What was your relationship to the relative who did this to you the first time? 0 0 PV2B - Choke - first time - relative age F172. Other (Specify) 0 0 PV2B - Choke - first time - estimated age F173. Did this parent or adult relative live within the same household as you when this first event occurred? 0 0 PV2B - Choke - first time - happened in last 12 months F174. Did this happen in the last 12 months? 0 0 PV2B - Choke - first time - fear F175A. As a result of the first time when a parent or adult relative choked, smothered, tried to drown, or burned or scalded you intentionally, did you experience FEAR OR ANXIETY? 0 0 PV2B - Choke - first time - cuts F175B. As a result of the first time when a parent or adult relative choked, smothered, tried to drown, or burned or scalded you intentionally, did you experience CUTS, SCRATCHES, BRUISES? 0 0 PV2B - Choke - first time - sprains F175C. As a result of the first time when a parent or adult relative choked, smothered, tried to drown, or burned or scalded you intentionally, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 PV2B - Choke - first time - deep wounds F175D. As a result of the first time when a parent or adult relative choked, smothered, tried to drown, or burned or scalded you intentionally, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 PV2B - Choke - first time - miscarriage F175E. As a result of the first time when a parent or adult relative choked, smothered, tried to drown, or burned or scalded you intentionally, did you experience A MISCARRIAGE? 0 0 PV2B - Choke - first time - permanent injury F175F. As a result of the first time when a parent or adult relative choked, smothered, tried to drown, or burned or scalded you intentionally, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 PV2C - Used knife - number of times PV2C:F176. How many times has a parent or other adult relative used or threatened to use a knife or other weapon against you: once, a few times, many times? ONCE [1] -> F182DON'T KNOW/DECLINED [99] -> F182 0 0 PV2C - Used knife - recent - age PV2C: MOST RECENT TIMEF177. How old were you the most recent time this happened? 0 0 PV2C - Used knife - recent - relationship to person F178. What was your relationship to the relative who did this to you this last time? 0 0 PV2C - Used knife - recent - relative age F178. Other (Specify) 0 0 PV2C - Used knife - recent - estimated age F179. Did this relative live within the same household as you when this last event occurred? 0 0 PV2C - Used knife - recent - happened in last 12 months F180. Did this happen in the last 12 months? 0 0 PV2C - Used knife - recent - fear F181A. As a result of this last time when a parent or adult relative used or threatened to use a weapon against you, did you experience FEAR OR ANXIETY? 0 0 PV2C - Used knife - recent - cuts F181B. As a result of this last time when a parent or adult relative used or threatened to use a weapon against you, did you experience CUTS, SCRATCHES, BRUISES? 0 0 PV2C - Used knife - recent - sprains F181C. As a result of this last time when a parent or adult relative used or threatened to use a weapon against you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 PV2C - Used knife - recent - deep wounds F181D. As a result of this last time when a parent or adult relative used or threatened to use a weapon against you, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 PV2C - Used knife - recent - miscarriage F181E. As a result of this last time when a parent or adult relative used or threatened to use a weapon against you, did you experienceA MISCARRIAGE? 0 0 PV2C - Used knife - recent - permanent injury F181F. As a result of this last time when a parent or adult relative used or threatened to use a weapon against you, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 PV2C - Used knife - first time - age PV2C: FIRST TIMEF182. How old were you the first time this happened? 0 0 PV2C - Used knife - first time - relationship to person F183. What was your relationship to the relative who did this to you the first time? 0 0 PV2C - Used knife - first time - relative age F183. Other (Specify) 0 0 PV2C - Used knife - first time - estimated age F184. Did this relative live within the same household as you when this first event occurred? 0 0 PV2C - Used knife - first time - happened in last 12 months F185. Did this happen in the last 12 months? 0 0 PV2C - Used knife - first time - fear F186A. As a result of the first time when a parent or adult relative used or threatened to use a weapon against you, did you experience FEAR OR ANXIETY? 0 0 PV2C - Used knife - first time - cuts F186B. As a result of the first time when a parent or adult relative used or threatened to use a weapon against you, did you experience CUTS, SCRATCHES, BRUISES? 0 0 PV2C - Used knife - first time - sprains F186C. As a result of the first time when a parent or adult relative used or threatened to use a weapon against you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 PV2C - Used knife - first time - deep wounds F186D. As a result of the first time when a parent or adult relative used or threatened to use a weapon against you, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 PV2C - Used knife - first time - miscarriage F186E. As a result of the first time when a parent or adult relative used or threatened to use a weapon against you, did you experience A MISCARRIAGE? 0 0 PV2C - Used knife - first time - permanent injury F186F. As a result of the first time when a parent or adult relative used or threatened to use a weapon against you, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 PV3A - Ever been punched by people in community PV3: PEOPLE LIVING IN THE COMMUNITYThe next questions are about other people who are in your [insert culturally appropriate term for COMMUNITY]. This includes such people as teachers, police, religious or community leaders, friends, classmates or even strangers. 0 0 PV3B - Ever been choked by people in community F187B. Have other people who are in your community choked, smothered, tried to drown you, or burned you intentionally? 0 0 PV3C - Ever been threatened with use of knife by people in community F187C. Have other people who are in your community used or threatened you with a knife or other weapon? IF F187A=1 AND F187B=2/99 AND F187C =2/99 -> F188 IF F187A=2/99 AND F187B=1 AND F187C =2/99 -> F201 IF F187A=2/99 AND F187B=2/99 AND F187C =1 -> F214 0 0 PV3A - Punch - number of times PV3A:F188. How many times have you been punched you, kicked, whipped, or beat with an object by someone in your [insert culturally appropriate term for COMMUNITY]: once, a few times, or many times? ONCE [1] -> F195DON'T KNOW/DECLINED [99] -> F195 0 0 PV3A - Punch - recent - age PV3A: MOST RECENT TIMEF189. How old were you the last time this happened? 0 0 PV3A - Punch - recent - relationship to person F190. What was your relationship to the person who did this to you this last time? 0 0 PV3A - Punch - recent - relationship to person, other F190. Other (Specify) 0 0 PV3A - Punch - recent - relative age of person F191. Was this person older than you, younger than you, or about the same age? YOUNGER [2] -> F193ABOUT SAME AGE [3] -> F193DON’T KNOW/DECLINED [99] -> F193 0 0 PV3A - Punch - recent - estimated age of person F192. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 PV3A - Punch - recent - happened in last 12 months F193. Did this happen in the last 12 months? 0 0 PV3A - Punch - recent - fear F194A. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience FEAR OR ANXIETY? 0 0 PV3A - Punch - recent - cuts F194B. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience CUTS, SCRATCHES, BRUISES? 0 0 PV3A - Punch - recent - sprains F194C. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 PV3A - Punch - recent - deep wounds F194D. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 PV3A - Punch - recent - miscarriage F194E. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience A MISCARRIAGE? 0 0 PV3A - Punch - recent - permanent injury F194F. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 PV3A - Punch - first time - age PV3A: FIRST TIMEF195. How old were you the first time this happened? 0 0 PV3A - Punch - first time - relationship to person F196. What was your relationship to the person who did this to you this first time? 0 0 PV3A - Punch - first time - relationship to person, other F196. Other (Specify) 0 0 PV3A - Punch - first time - relative age of person F197. Was this person older than you, younger than you, or about the same age? YOUNGER [2] -> F199ABOUT SAME AGE [3] -> F199DON’T KNOW/DECLINED [99] -> F199 0 0 PV3A - Punch - first time - estimated age of person F198. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 PV3A - Punch - first time - happened in last 12 months F199. Did this happen in the last 12 months? 0 0 PV3A - Punch - first time - fear F200A. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience FEAR OR ANXIETY? 0 0 PV3A - Punch - first time - cuts F200B. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience CUTS, SCRATCHES, BRUISES? 0 0 PV3A - Punch - first time - sprains F200C. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 PV3A - Punch - first time - deep wounds F200D. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 PV3A - Punch - first time - miscarriage F200E. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience A MISCARRIAGE? 0 0 PV3A - Punch - first time - permanent injury F200F. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] punched, kicked, whipped, or beat you with an object, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 PV3B - Choke - number of times PV3B:F201. How many times has someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally: once, a few times, or many times? ONCE [1] -> F208DON'T KNOW/DECLINED [99] -> F208 0 0 PV3B - Choke - recent - age PV3B: MOST RECENT TIMEF202. How old were you the last time this happened? 0 0 PV3B - Choke - recent - relationship to person F203. What was your relationship to the person who did this to you this last time? 0 0 PV3B - Choke - recent - relationship to person, other F203. Other (Specify) 0 0 PV3B - Choke - recent - relative age of person F204. Was this person older than you, younger than you, or about the same age? YOUNGER [2] -> F206ABOUT SAME AGE [3] -> F206DON’T KNOW/DECLINED [99] -> F206 0 0 PV3B - Choke - recent - estimated age of person F205. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 PV3B - Choke - recent - happened in last 12 months F206. Did this happen in the last 12 months? 0 0 PV3B - Choke - recent - fear F207A. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience FEAR OR ANXIETY? 0 0 PV3B - Choke - recent - cuts F207B. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience CUTS, SCRATCHES, BRUISES? 0 0 PV3B - Choke - recent - sprains F207C. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 PV3B - Choke - recent - deep wounds F207D. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 PV3B - Choke - recent - miscarriage F207E. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience A MISCARRIAGE? 0 0 PV3B - Choke - recent - permanent injury F207F. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 PV3B - Choke - first time - age PV3B: FIRST TIMEF208. How old were you the first time this happened? 0 0 PV3B - Choke - first time - relationship to person F209. What was your relationship to the person who did this to you this first time? 0 0 PV3B - Choke - first time - relationship to person, other F209. Other (Specify) 0 0 PV3B - Choke - first time - relative age of person F210. Was this person older than you, younger than you, or about the same age? YOUNGER [2] -> F212ABOUT SAME AGE [3] -> F212DON’T KNOW/DECLINED [99] -> F212 0 0 PV3B - Choke - first time - estimated age of person F211. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 PV3B - Choke - first time - happened in last 12 months F212. Did this happen in the last 12 months? 0 0 PV3B - Choke - first time - fear F213A. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience FEAR OR ANXIETY? 0 0 PV3B - Choke - first time - cuts F213B. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience CUTS, SCRATCHES, BRUISES? 0 0 PV3B - Choke - first time - sprains F213C. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 PV3B - Choke - first time - deep wounds F213D. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 PV3B - Choke - first time - miscarriage F213E. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience A MISCARRIAGE? 0 0 PV3B - Choke - first time - permanent injury F213F. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] choked, smothered, tried to drown, burned or scalded you intentionally, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 PV3C - Used knife - number of times PV3C:F214. How many times has someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a knife or other weapon against you: once, a few times, or many times? ONCE [1] -> F221DON'T KNOW/DECLINED [99] -> F221 0 0 PV3C - Used knife - recent - age PV3C: MOST RECENT TIMEF215. How old were you the last time this happened? 0 0 PV3C - Used knife - recent - relationship to person F216. What was your relationship to the person who did this to you this last time? 0 0 PV3C - Used knife - recent - relationship to person, other F216. Other (Specify) 0 0 PV3C - Used knife - recent - relative age of person F217. Was this person older than you, younger than you, or about the same age? YOUNGER [2] -> F219ABOUT SAME AGE [3] -> F219DON’T KNOW/DECLINED [99] -> F219 0 0 PV3C - Used knife - recent - estimated age of person F218. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 PV3C - Used knife - recent - happened in last 12 months F219. Did this happen in the last 12 months? 0 0 PV3C - Used knife - recent - fear F220A. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience FEAR OR ANXIETY? 0 0 PV3C - Used knife - recent - cuts F220B. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience CUTS, SCRATCHES, BRUISES? 0 0 PV3C - Used knife - recent - sprains F220C. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 PV3C - Used knife - recent - deep wounds F220D. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 PV3C - Used knife - recent - miscarriage F220E. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience A MISCARRIAGE? 0 0 PV3C - Used knife - recent - permanent injury F220F. As a result of this last time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 PV3C - Used knife - first time - age F221. How old were you the first time this happened? 0 0 PV3C - Used knife - first time - relationship to person F222. What was your relationship to the person who did this to you this first time? 0 0 PV3C - Used knife - first time - relationship to person, other F222. Other (Specify) 0 0 PV3C - Used knife - first time - relative age of person F223. Was this person older than you, younger than you, or about the same age? YOUNGER [2] -> F225ABOUT SAME AGE [3] -> F225DON’T KNOW/DECLINED [99] -> F225 0 0 PV3C - Used knife - first time - estimated age of person F224. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 PV3C - Used knife - first time - happened in last 12 months F225. Did this happen in the last 12 months? 0 0 PV3C - Used knife - first time - fear F226A. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience FEAR OR ANXIETY? 0 0 PV3C - Used knife - first time - cuts F226B. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience CUTS, SCRATCHES, BRUISES? 0 0 PV3C - Used knife - first time - sprains F226C. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience SPRAINS, DISLOCATIONS, BLISTERING? 0 0 PV3C - Used knife - first time - deep wounds F226D. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience DEEP WOUNDS, BROKEN BONES, CHARRED SKIN? 0 0 PV3C - Used knife - first time - miscarriage F226E. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience A MISCARRIAGE? 0 0 PV3C - Used knife - first time - permanent injury F226F. As a result of the first time when someone in your [insert culturally appropriate term for COMMUNITY] used or threatened to use a weapon against you, did you experience PERMANENT INJURY OR DISFIGUREMENT? 0 0 PV - Thought of seeking help PV SERVICESF227. Thinking about all your experiences with physical violence, have you ever sought help for any of these experiences? NO [2] -> F229DON'T KNOW/DECLINED [99] -> F229 0 0 PV - Sought help F228. From whom have you sought help? Anyone else? RECORD ALL MENTIONED 0 0 PV - Sought help - own family F228A. OWN FAMILY -> F300 0 0 PV - Sought help - husband's family F228B. HUSBAND’S/PARTNER’S FAMILY -> F300 0 0 PV - Sought help - current husband F228C. CURRENT/FORMER HUSBAND/PARTNER -> F300 0 0 PV - Sought help - current partner F228D. CURRENT/FORMER BOYFRIEND -> F300 0 0 PV - Sought help - friend F228E. FRIEND -> F300 0 0 PV - Sought help - neighbor F228F. NEIGHBOR -> F300 0 0 PV - Sought help - religious leader F228G. RELIGIOUS LEADER -> F300 0 0 PV - Sought help - doctor F228H. DOCTOR/MEDICAL PERSONNEL -> F300 0 0 PV - Sought help - police F228I. POLICE -> F300 0 0 PV - Sought help - lawyer F228J. LAWYER -> F300 0 0 PV - Sought help - social service organization F228K. SOCIAL SERVICE ORGANIZATION -> F300 0 0 PV - Sought help - other F228X. OTHER -> F300 0 0 PV - Sought help - don't know F228Z. DON’T KNOW/DECLINED -> F300 0 0 PV - Sought help - other F228. Other (Specify) -> F300 0 0 PV - Reason why not seek help F229. What was the main reason you did not seek help? -> F300 0 0 PV - Reason why not seek help - other F229. Other (Specify) -> F300 0 0 PV - Told anyone F230. Have you ever told anyone about these experiences? NO [2] -> F300DON'T KNOW/DECLINED [99] -> F300 0 0 PV - Spoken with someone F231. Who else did you speak to regarding any physical violence experiences that happened? RECORD ALL MENTIONED 0 0 PV - Spoke to - own family F231A. OWN FAMILY 0 0 PV - Spoke to - husband's family F231B. HUSBAND’S/PARTNER’S FAMILY 0 0 PV - Spoke to - current husband F231C. CURRENT/FORMER HUSBAND/PARTNER 0 0 PV - Spoke to - current partnet F231D. CURRENT/FORMER BOYFRIEND 0 0 PV - Spoke to - friend F231E. FRIEND 0 0 PV - Spoke to - neighbor F231F. NEIGHBOR 0 0 PV - Spoke to - religious leader F231G. RELIGIOUS LEADER 0 0 PV - Spoke to - doctor F231H. DOCTOR/MEDICAL PERSONNEL 0 0 PV - Spoke to - police F231I. POLICE 0 0 PV - Spoke to - lawyer F231J. LAWYER 0 0 PV - Spoke to - social service organization F231K. SOCIAL SERVICE ORGANIZATION 0 0 PV - Spoke to - other F231X. OTHER 0 0 PV - Spoke to - don't know F231Z. DON’T KNOW/DECLINED 0 0 PV - Spoke to - other F231. Other (Specify) 0 0 EV - Ever told not loved by parent F300A. Has a parent or someone like a parent ever: told you that you were not loved, or did not deserve to be loved? 0 0 EV - Ever told wished never born by parent F300B. Has a parent or someone like a parent ever: said they wished you had never been born or were dead? 0 0 EV - Ever been ridiculed by parent F300C. Has a parent or someone like a parent ever: ever ridiculed you or put you down (for example say that you were stupid or useless)? IF F300A =1 OR F300B=1 OR F300C =1 -> F301 IF F300A=2/99 AND F300B=2/99 AND F300C =2/99 -> F400 0 0 EV1 - Not loved - number of times EV1F301. How many times has/did a parent or someone like a parent ever said or done these things: once, a few times, or many times? ONCE [1] -> F305DON'T KNOW/DECLINED [99] -> F305 0 0 EV1 - Not loved - recent - age EV1: MOST RECENT TIMEF302. How old were you the most recent time this happened? 0 0 EV1 - Not loved - recent - relationship to person F303. What was your relationship to this person who did this to you this most recent time? 0 0 EV1 - Not loved - recent - relationship to person, other F303. Other (Specify) 0 0 EV1 - Not loved - recent - happened in last 12 months F304. Did this happen in the last 12 months? 0 0 EV1 - Not loved - first time - age F305. How old were you the first time this happened? 0 0 EV1 - Not loved - first time - relationship to person F306. What was your relationship to this person who did this to you the first time? 0 0 EV1 - Not loved - first time - relationship to person, other F306. Other (Specify) 0 0 EV1 - Not loved - first time - happened in last 12 months F307. Did this happen in the last 12 months? 0 0 SB - Ever had sex SEXUAL BEHAVIOR: The next questions are about sexual activity. NO [2] -> F500DON'T KNOW/DECLINED [99] -> F500 0 0 SB - Age at first sex F401. How old were you when you had sexual intercourse for the very first time? 0 0 SB - Wanted/ unwanted first sex F402. The first time you had sexual intercourse, was it because you wanted to or because you were made to have it without your permission? 0 0 Pregnancy - Ever been pregnant PREGNANCY:The next questions are about pregnancy. NO [2] -> F406DON'T KNOW/DECLINED [99] -> F406 0 0 Pregnancy - Age at first pregnancy F404. How old were you the first time that you got pregnant? 0 0 Pregnancy - Ever had stillborn F405. Have you ever had a pregnancy that did not end in a live birth? 0 0 SH - Number of sexual partners SEX HISTORY AND RISK TAKING:For these next questions, a sexual partner is any person with whom you have had sexual intercourse. A sexual partner could be a boyfriend, romantic partner, or husband, or someone you met just that day. 0 IS NOT AN ACCEPTABLE ANSWER FOR THIS QUESTION, IF RESPONDENT SAYS 0 THEN REFER BACK TO F400 AND CORRECT IF NECESSARY. 0 0 SH - Had sex in past 12 months F407. Have you had sexual intercourse in the past 12 months? NO [2] -> F500DON'T KNOW/DECLINED [99] -> F500 0 0 SH - Number of partners - past 12 months F408. How many partners have you had sexual intercourse with in the past 12 months? 0 0 SH - Most recent partner - relationship I am going to ask you some questions about your sexual partners in the last 12 months.PARTNER 1 MOST RECENT 0 0 SH - Most recent partner - relationship, other F409. Other (Specify) PARTNER 1 0 0 SH - Most recent partner - condom use freq - past 12 months F410. In the past 12 months, how often did you or this partner use a condom during sexual intercourse? Would you say always, sometimes, or never? PARTNER 1 CHECK NUMBER OF PARTNERS REPORTED IN F408IF F408=1 -> F500 0 0 SH - 2nd most recent partner - relationship PARTNER 2 SECOND MOST RECENT Now think back to the partner you had sexual intercourse with before the partner we just talked about. 0 0 SH - 2nd most recent partner - relationship, other F409. Other (Specify) PARTNER 2 0 0 SH - 2nd most recent partner - condom use freq - past 12 months M410. In the past 12 months, how often did you or this partner use a condom during sexual intercourse? Would you say always, sometimes, or never? SECOND PARTNER IF F408=1 -> F500 IF F408>1 -> F409 PARTNER 3 0 0 SH - 3rd most recent partner - relationship PARTNER 3 THIRD MOST RECENT Now think back to the partner you had sexual intercourse with before the partner we just talked about. GO TO F500 0 0 SH - 3rd most recent partner - relationship, other F409. Other (Specify) PARTNER 3 0 0 SH - 3rd most recent partner - condom use freq - past 12 months M410. In the past 12 months, how often did you or this partner use a condom during sexual intercourse? Would you say always, sometimes, or never? THIRD PARTNER 0 0 SV - Ever been bribed for sex SEXUAL VIOLENCE: MONEY, GOODS OR FAVORS EXCHANGED FOR SEX/EXPLOITATION I’d like to ask you about some experiences you may have had with sex. Remember that everything you say will be confidential, and you can skip any questions that you don’t feel comfortable answering. NO [2] -> F600DON'T KNOW/DECLINED [99] -> F600 0 0 SV - Bribed for sex - age F501. How old were you when you were first given money, food, gifts, or any favors to have sexual intercourse or perform any other sexual acts? 0 0 SV - Bribed for sex - relative age of person F502. Was this person older than you, younger than you, or about the same age? YOUNGER [2] -> F504ABOUT SAME AGE [3] -> F504DON’T KNOW/DECLINED [99] -> F504 0 0 SV - Bribed for sex - estimated age of person F503. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 SV - Bribed for sex - number of partners - past 12 months F504. In the last 12 months, how many sexual partners gave you money, food, gifts, or any favors to have sexual intercourse or perform any other sexual acts with them? 0 0 SV - Bribed for sex - relationship to person Now think back to all experiences when you were given money, food, gifts, or any favors to have sexual intercourse or perform any other sexual acts with someone. What was your relationship to the people who did this to you?F505. What was your relationship to the people who did this to you? Circle all mentioned 0 0 SV - Bribed for sex - male - friend M505A. MALE FRIEND OR ACQUAINTANCE 0 0 SV - Bribed for sex - male - teacher M505B. MALE TEACHER 0 0 SV - Bribed for sex - male community leader M505C. MALE COMMUNITY LEADER 0 0 SV - Bribed for sex - male - religious leader M505D. MALE RELIGIOUS LEADER 0 0 SV - Bribed for sex - male - employer M505E. MALE EMPLOYER 0 0 SV - Bribed for sex - male - classmate/ schoolmate M505F. MALE CLASSMATE/ SCHOOLMATE 0 0 SV - Bribed for sex - male - neighbor M505G. MALE NEIGHBOR 0 0 SV - Bribed for sex - male - police M505H. MALE POLICE 0 0 SV - Bribed for sex - male - soldier M505I. MALE SOLDIER 0 0 SV - Bribed for sex - male - truck driver M505J. MALE TRUCK DRIVER 0 0 SV - Bribed for sex - male - tourist or non-national M505K. MALE TOURIST OR NON-NATIONAL 0 0 SV - Bribed for sex - male - i don't know/ stranger M505L. MALE I DON’T KNOW/ STRANGER 0 0 SV - Bribed for sex - other male,1 M505X. OTHER MALE 0 0 SV - Bribed for sex - female - friend M505M. FEMALE FRIEND OR ACQUIANTANCE 0 0 SV - Bribed for sex - female - teacher M505N. FEMALE TEACHER 0 0 SV - Bribed for sex - female - community leader M505O. FEMALE COMMUNITY LEADER 0 0 SV - Bribed for sex - female - religious leader M505P. FEMALE RELIGIOUS LEADER 0 0 SV - Bribed for sex - female - employer M505Q. FEMALE EMPLOYER 0 0 SV - Bribed for sex - female - classmate/ schoolmate M505R. FEMALE CLASSMATE/ SCHOOLMATE 0 0 SV - Bribed for sex - female - neighbor M505S. FEMALE NEIGHBOR 0 0 SV - Bribed for sex - female - police M505T. FEMALE POLICE/ SOLDIER 0 0 SV - Bribed for sex - female - soldier M505U. FEMALE SOLDIER 0 0 SV - Bribed for sex - female - truck driver M505V. FEMALE TRUCK DRIVER 0 0 SV - Bribed for sex - female - tourist or non-national M505W. FEMALE TOURIST OR NON-NATIONAL 0 0 M505AA. FEMALE I DON’T KNOW/STRANGER 0 0 SV - Bribed for sex - other female,1 M505Y. OTHER FEMALE 0 0 SV - Bribed for sex - don't know/declined M505Z. DON’T KNOW/DECLINED 0 0 SV - Bribed for sex - other male,2 M505X. Other Male 0 0 SV - Bribed for sex - other female,2 M505Y. Other Female 0 0 SV - Non-contact sex - verbal/ written words SEXUAL VIOLENCE : NON-CONTACT SEXUAL VIOLENCE/EXPLOITATION F600A. Has anyone ever made you upset by speaking to you in a sexual way or writing sexual things about you? IF F600A=1 AND F600B=2/99 AND F600C =2/99 -> F601IF F600A=2/99 AND F600B=1 AND F600C =2/99 -> F602IF F600A=2/99 AND F600B=2/99 AND F600C =1 -> F603 0 0 SV - Non-contact sex - forced to watch sex photo/ video F600B. Has anyone ever forced you to watch sex photos or sex videos against your will? 0 0 SV - Non-contact sex - forced to be in sex photo/ video F600C. Has anyone ever forced you to be in a sex photo or video against your will? 0 0 SV - Non-contact sex - Verbal/ written sex - number of times F601A. How many times has someone made you upset by speaking to you in a sexual way or writing sexual things about you: once, a few times or many times? ONCE [1] -> F601CDK/DTA [99] -> CK, F600B and F600C 0 0 SV - Non-contact sex - Verbal/ written sex - first time - age F601B. How old were you when this first happened: 0-5, 6-11, 12-17, 18 or older? 0 0 SV - Non-contact sex - Verbal/ written sex - recent - age F601C. How old were you: ONCE: when this happened?FEW OR MANY: the most recent time this happened? 0 0 SV - Non-contact sex - Verbal/ written sex - happened in last 12 months F601D. Did this happen in the last 12 months? 0 0 SV - Non-contact sex - Watch sex photo/ video - number of times F602A. How many times has someone forced you to watch sex photos or sex videos against your will? ONCE [1] -> F602CDK/DTA [99] -> CK, F600C 0 0 SV - Non-contact sex - Watch sex photo/ video - first time - age F602B. How old were you when this first happened? 0 0 SV - Non-contact sex - Watch sex photo/ video - recent - age F602C. How old were you the most recent time this happened? 0 0 SV - Non-contact sex - Watch sex photo/ video - happened in last 12 months F602D. Did this happen in the last 12 months? 0 0 SV - Non-contact sex - Be in sex photo/ video - number of times F603A. How many times has someone forced you to be in a sex photo or video against your will: once, a few times or many times? ONCE [1] -> F603CDK/DTA [99] -> F700 0 0 SV - Non-contact sex - Be in sex photo/ video - first time - age F603B. How old were you when this first happened: 0-5, 6-11, 12-17, 18 or older? 0 0 SV - Non-contact sex - Be in sex photo/ video - recent - age F603C. How old were you: ONCE: when this happened?FEW OR MANY: the most recent time this happened? 0 0 SV - Non-contact sex - Be in sex photo/ video - happened in last 12 months F603D. Did this happen in the last 12 months? 0 0 SV1 - Ever been touched without permission SEXUAL VIOLENCE: SEXUAL ABUSEGirls and women may experience unwanted sexual contact by people they know well, such as a romantic partner, family member or friend, or by strangers. Your answers are confidential and you can skip any questions that you don’t feel comfortable answering. 0 0 SV2 - Ever been attempted to have sex without permission F800. Has anyone ever tried to make you have sexual intercourse of any kind without your permission, but did not succeed?This includes someone penetrating your vagina or anus with their penis, hands, fingers, mouth, or any other objects, or penetrating your mouth with their penis. 0 0 SV3 - Ever forced to have sex without permission F900. Has anyone ever physically forced you to have sexual intercourse of any kind regardless of whether you did or did not fight back?By physical force, we mean things like being pinned or held down or use of violence like pulling your hair, pushing, shoving, punching, using or threatening to use a weapon, or threatening to physically harm you or a loved one. Please include experiences when you may or may not have fought back. 0 0 SV4 - Ever pressured to have sex without permission F1000. Has anyone ever pressured you in a nonphysical way, to have sexual intercourse of any kind when you did not want to and sex happened?When someone pressures you into sex, it could involve things like threats, harassment, luring you, or tricking you into having sex. IF F700=1 FOVE TO F701IF F800=1 FOVE TO F801IF F900=1 FOVE TO F901 0 0 SV1 - Touching - number of times SV1: TOUCHING WITHOUT PERMISSION- LIFETIMEThese questions ask you about a time when anyone, male or female, touched you in a sexual way without your permission, but the person did not try and force you to have sex. 1 [1] -> F174WRITE NUMBER IF 2 TIMES OR MORE: __ -> F702DON’T KNOW/DECLINED [99] -> F714 0 0 SV1A - Touching - recent - age SV1A: TOUCHING – MOST RECENTNow think about the most recent time anyone touched you in a sexual way without your permission but did not try to force you to have sex. 0 0 SV1A - Touching - recent - more than 1 person F703. This most recent time, did more than one person touch you in a sexual way without your permission? NO, ONE PERSON ONLY [2] -> F706DON’T' KNOW/DECLINED [99] -> F706 0 0 SV1A - Touching - recent - number of persons F704. This most recent time, how many people touched you in a sexual way without 0 0 SV1A - Touching - recent - relationship to person Of these people who touched you in a sexual way without your permission this most recent time, think of the person you know the best for the following questions:F706. What was your relationship to the person who did this to you? 0 0 SV1A - Touching - recent - relationship to person, other F706. Other (Specify) 0 0 SV1A - Touching - recent - relative age of person F707. Was the person older than you, younger than you, or about the same age? YOUNGER [2] -> F709ABOUT SAME AGE [3] -> F709DON’T KNOW/DECLINED [99] -> F709 0 0 SV1A - Touching - recent - estimated age of person F708. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? ON A ROAD/STREET [4] -> F712MARKET/SHOP [5] -> F712SCHOOL [6] -> F712 0 0 SV1A - Touching - recent - place F709. Where were you when this happened to you? 0 0 SV1A - Touching - recent - place, other F709. Other (Specify) 0 0 SV1A - Touching - recent - anyone else at home F710. Was anyone else at home at the time? NO [2] -> F712DON'T KNOW/DECLINED [99] -> F712 0 0 SV1A - Touching - recent - who else at home F711. Who else was at home at the time? Circle all mentioned 0 0 SV1A - Touching - recent - at home - parent F711A. PARENT 0 0 SV1A - Touching - recent - at home - sibling F711B. SIBLING 0 0 SV1A - Touching - recent - at home - other relative F711C. OTHER RELATIVE 0 0 SV1A - Touching - recent - at home - friend F711D. FRIEND 0 0 SV1A - Touching - recent - at home - other F711X. OTHER 0 0 SV1A - Touching - recent - at home - don't know/declined F711Z. DON'T KNOW/DECLINED 0 0 SV1A - Touching - recent - at home - other (specify) F711X. Other (Specify) 0 0 SV1A - Touching - recent - time of incident F712. About what time of day did this happen? 0 0 SV1A - Touching - recent - happened in last 12 months F713. Did this happen to you within the past 12 months? 0 0 SV1B - Touching - first time - age SV1B: TOUCHING – FIRST TIMENow think about the first time anyone touched you in a sexual way without your permission but did not try to force you to have sex of any kind. DON'T KNOW/DECLINED [99] -> F800 - F1000 0 0 SV1B - Touching - first time - more than 1 person F715. This first time, did more than one person touch you in a sexual way without your permission? NO, ONE PERSON ONLY [2] -> F718DON’T' KNOW/DECLINED [99] -> F718 0 0 SV1B - Touching - first time - number of persons F716. This first time, how many people touched you in a sexual way without your permission? 0 0 SV1B - Touching - first time - relationship to person Of these people who touched you in a sexual way without your permission this first time, think of the person you know the best for the following questions:F718. What was your relationship to the person who did this to you? 0 0 SV1B - Touching - first time - relationship to person, other F718. Other (Specify) 0 0 SV1B - Touching - first time - relative age of person F719. Was the person older than you, younger than you, or about the same age? YOUNGER [2] -> F721ABOUT SAME AGE [3] -> F721DON’T KNOW/DECLINED [99] -> F721 0 0 SV1B - Touching - first time - estimated age of person F720. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 SV1B - Touching - first time - place F721. Where were you when this happened to you? ON A ROAD/STREET [4] -> F724MARKET/SHOP [5] -> F724SCHOOL [6] -> F724 0 0 SV1B - Touching - first time - place, other F721. Other (Specify) 0 0 SV1B - Touching - first time - anyone else at home F722. Was anyone else at home at the time? NO [2] -> F724DON'T KNOW/DECLINED [99] -> F724 0 0 SV1B - Touching - first time - who else at home F723. Who else was at home at the time? Circle all mentioned 0 0 SV1B - Touching - first time - at home - parent F723A. PARENT 0 0 SV1B - Touching - first time - at home - sibling F723B. SIBLING 0 0 SV1B - Touching - first time - at home - other relative F723C. OTHER RELATIVE 0 0 SV1B - Touching - first time - at home - friend F723D. FRIEND 0 0 SV1B - Touching - first time - at home - other F723X. OTHER 0 0 SV1B - Touching - first time - at home - don't know/declined F723Z. DON'T KNOW/DECLINED 0 0 SV1B - Touching - first time - at home - other (specify) F723X. Other (Specify) 0 0 SV1B - Touching - first time - time of incident F724. About what time of day did this happen? 0 0 SV1B - Touching - first time - happened in last 12 months F725. Did this happen to you within the past 12 months? REFER TO F800 F900 F1000 FOR ROUTING TO NEXT SECTIONIF F800=1 FOVE TO F801 0 0 SV2 - Attempted sex - number of times SV2: ATTEMPTED SEX- LIFETIMEF801. How many times in your life has anyone tried to make you have sexual intercourse of any kind without your permission, but did not succeed? 1 [1] -> F814WRITE NUMBER IF 2 TIMES OR MORE: __ -> F802DON'T KNOW/DECLINED [99] -> F814 0 0 SV2A - Attempted sex - recent - age SV2A: ATTEMPTED SEX – MOST RECENTNow think about the most recent time anyone tried to make you have sexual intercourse of any kind without your permission, but did not succeed. 0 0 SV2A - Attempted sex - recent - more than 1 person F803. This most recent time, did more than one person try to make you have sexual intercourse of any kind without your permission? NO, ONE PERSON ONLY [2] -> F806DON’T' KNOW/DECLINED [99] -> F806 0 0 SV2A - Attempted sex - recent - number of persons F804. This most recent time, how many people tried to make you have sexual intercourse of any kind without your permission? 0 0 SV2A - Attempted sex - recent - relationship to person Of these people who attempted to have sex with you without your permission this most recent time, think of the person you know the best for the following questions:F806. What was your relationship to the person who did this to you? 0 0 SV2A - Attempted sex - recent - relationship to person, other F806. Other (Specify) 0 0 SV2A - Attempted sex - recent - relative age of person F807. Was the person older than you, younger than you, or about the same age? YOUNGER [2] -> F809ABOUT SAME AGE [3] -> F809DON’T KNOW/DECLINED [99] -> F809 0 0 SV2A - Attempted sex - recent - estimated age of person F808. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 SV2A - Attempted sex - recent - place F809. Where were you when this happened to you? ON A ROAD/STREET [4] -> F812MARKET/SHOP [5] -> F812SCHOOL [6] -> F812 0 0 SV2A - Attempted sex - recent - place, other F809. Other (Specify) 0 0 SV2A - Attempted sex - recent - anyone else at home F810. Was anyone else at home at the time? NO [2] -> F812DON'T KNOW/DECLINED [99] -> F812 0 0 SV2A - Attempted sex - recent - who else at home F811. Who else was at home at the time? 0 0 SV2A - Attempted sex - recent - at home - parent F811A. PARENT 0 0 SV2A - Attempted sex - recent - at home - sibling F811B. SIBLING 0 0 SV2A - Attempted sex - recent - at home - other relative F811C. OTHER RELATIVE 0 0 SV2A - Attempted sex - recent - at home - friend F811D. FRIEND 0 0 SV2A - Attempted sex - recent - at home - other F811X. OTHER 0 0 SV2A - Attempted sex - recent - at home - don't know/declined F811Z. DON'T KNOW/DECLINED 0 0 SV2A - Attempted sex - recent - at home - other (specify) F811X. Other (Specify) 0 0 SV2A - Attempted sex - recent - time of incident F812. About what time of day did this happen? 0 0 SV2A - Attempted sex - recent - happened in last 12 months F813. Did this happen to you within the past 12 months? 0 0 SV2B - Attempted sex - first time - age SV2B: ATTEMPTED SEX - FIRST TIMENow think about the first time anyone tried to make you have sexual intercourse of any kind without your permission, but did not succeed. DON'T KNOW/DECLINED [99] -> Section based on F900 and F1000 0 0 SV2B - Attempted sex - first time - more than 1 person F815. This first time, did more than one person try to make you have sexual intercourse of any kind without your permission? NO, ONE PERSON ONLY [2] -> F818DON’T' KNOW/DECLINED [99] -> F818 0 0 SV2B - Attempted sex - first time - number of persons F816. This first time, how many people tried to make you have sexual intercourse of any kind without your permission? 0 0 SV2B - Attempted sex - first time - relationship to person Of these people who attempted to have sex with you without your permission this first time, think of the person you know the best for the following questions:F818. What was your relationship to the person who did this to you? 0 0 SV2B - Attempted sex - first time - relationship to person, other F818. Other (Specify) 0 0 SV2B - Attempted sex - first time - relative age of person F819. Was the person older than you, younger than you, or about the same age? YOUNGER [2] -> F821ABOUT SAME AGE [3] -> F821DON’T KNOW/DECLINED [99] -> F821 0 0 SV2B - Attempted sex - first time - estimated age of person F820. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 SV2B - Attempted sex - first time - place F821. Where were you when this happened to you? ON A ROAD/STREET [4] -> F824MARKET/SHOP [5] -> F824SCHOOL [6] -> F824 0 0 SV2B - Attempted sex - first time - place, other F821. Other (Specify) 0 0 SV2B - Attempted sex - first time - anyone else at home F822. Was anyone else at home at the time? NO [2] -> F824DON'T KNOW/DECLINED [99] -> F824 0 0 SV2B - Attempted sex - first time - who else at home F823. Who else was at home at the time? Circle all mentioned 0 0 SV2B - Attempted sex - first time - at home - parent F823A. PARENT 0 0 SV2B - Attempted sex - first time - at home - sibling F823B. SIBLING 0 0 SV2B - Attempted sex - first time - at home - other relative F823C. OTHER RELATIVE 0 0 SV2B - Attempted sex - first time - at home - friend F823D. FRIEND 0 0 SV2B - Attempted sex - first time - at home - other F823X. OTHER 0 0 SV2B - Attempted sex - first time - at home - don't know/declined F823Z. DON'T KNOW/DECLINED 0 0 SV2B - Attempted sex - first time - at home - other (specify) F823X. Other (Specify) 0 0 SV2B - Attempted sex - first time - time of incident F824. About what time of day did this happen? 0 0 SV2B - Attempted sex - first time - happened in last 12 months F825. Did this happen to you within the past 12 months? REFER TO F900 F1000 FOR ROUTING TO NEXT SECTIONIF F900=1 MOVE TO F901IF F1000=1 MOVE TO F1001 0 0 SV3 - Forced sex - number of times SV3: PHYSICALLY FORCED SEX- LIFETIMEF901. How many times in your life have you been physically forced to have sexual intercourse of any kind regardless of whether you did or did not fight back? 1 [1] -> F917WRITE NUMBER IF 2 TIMES OR MORE: __ -> F902DON'T KNOW/DECLINED [99] -> F917 0 0 SV3A - Forced sex - recent - age SV3A: PHYSICALLY FORCED SEX – MOST RECENTNow think about the most recent time anyone physically forced you to have sexual intercourse of any kind without your permission. NO, ONE PERSON ONLY [2] -> F906DON’T' KNOW/DECLINED [99] -> F906 0 0 SV3A - Forced sex - recent - more than 1 person F903. This most recent time, did more than one person physically force you to have sexual intercourse of any kind without your permission? 0 0 SV3A - Forced sex - recent - number of persons F904. This most recent time, how many people physically forced you to have sexual intercourse of any kind without your permission? 0 0 SV3A - Forced sex - recent - relationship to person Of these people who physically forced you to have sex of any kind without your permission this most recent time, think of the person you know best for the following questions:F906. What was your relationship to the person who did this to you? 0 0 SV3A - Forced sex - recent - relationship to person, other F906. Other (Specify) 0 0 SV3A - Forced sex - recent - relative age of person F907. Was the person older than you, younger than you, or about the same age? YOUNGER [2] -> F909ABOUT SAME AGE [3] -> F909DON’T KNOW/DECLINED [99] -> F909 0 0 SV3A - Forced sex - recent - estimated age of person F908. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 SV3A - Forced sex - recent - used weapon F909. Did the person who did this to you this most recent time use a weapon such as a gun, knife or machete? 0 0 SV3A - Forced sex - recent - place F910. Where were you when this happened to you? ON A ROAD/STREET [4] -> F913MARKET/SHOP [5] -> F913SCHOOL [6] -> F913 0 0 SV3A - Forced sex - recent - place, other F910. Other (Specify) 0 0 SV3A - Forced sex - recent - anyone else at home F911. Was anyone else at home at the time? NO [2] -> F913DON'T KNOW/DECLINED [99] -> F913 0 0 SV3A - Forced sex - recent - who else at home F912. Who else was at home at the time? Circle all mentioned 0 0 SV3A - Forced sex - recent - at home - parent F912A. PARENT 0 0 SV3A - Forced sex - recent - at home - parent F912B. SIBLING 0 0 SV3A - Forced sex - recent - at home - sibling F912C. OTHER RELATIVE 0 0 SV3A - Forced sex - recent - at home - other relative F912D. FRIEND 0 0 SV3A - Forced sex - recent - at home - friend F912X. OTHER 0 0 SV3A - Forced sex - recent - at home - other F912Z. DON'T KNOW/DECLINED 0 0 SV3A - Forced sex - recent - at home - don't know/declined F912X. Other (Specify) 0 0 SV3A - Forced sex - recent - time of incident F913. About what time of day did this happen? 0 0 SV3A - Forced sex - recent - got pregnant F914. This most recent time, do you think that you got pregnant as a result of being physically forced to have sex? NO [2] -> F916DON'T KNOW [99] -> F916 0 0 SV3A - Forced sex - recent - deliver baby F915. Did you deliver the baby? 0 0 SV3A - Forced sex - recent - happened in last 12 months F916. Did this most recent experience of being physically forced to have sex of any kind happen to you within the past 12 months? 0 0 SV3B - Forced sex - first time - age SV3B: PHYSICALLY FORCED SEX – FIRST TIMENow think about the first time anyone physically forced you to have sexual intercourse of any kind without your permission. DON'T KNOW/DECLINED [99] -> Section based on F1000 0 0 SV3B - Forced sex - first time - more than 1 person F918. This first time, did more than one person physically force you to have sexual intercourse of any kind without your permission? NO, ONE PERSON ONLY [2] -> F921DON’T' KNOW/DECLINED [99] -> F921 0 0 SV3B - Forced sex - first time - number of persons F919. This first time, how many people physically forced you to have sexual intercourse of any kind without your permission? 0 0 SV3B - Forced sex - first time - relationship to person Of these people who physically forced you to have sex of any kind without your permission the first time, think of the person you know best for the following questions:F921. What was your relationship to the person who did this to you? This could be a boyfriend, husband, parent or other relative, neighbor, teacher, police, other security personnel, or anyone else. 0 0 SV3B - Forced sex - first time - relationship to person, other F921. Other (Specify) 0 0 SV3B - Forced sex - first time - relative age of person F922. Did the person who did this to you the first time use a weapon such as a gun, knife or machete? 0 0 SV3B - Forced sex - first time - estimated age of person F923. Was the person older than you, younger than you, or about the same age? YOUNGER [2] -> F925ABOUT SAME AGE [3] -> F925DON’T KNOW/DECLINED [99] -> F925 0 0 SV3B - Forced sex - first time - used weapon F924. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 SV3B - Forced sex - first time - place F925. Where were you when this happened to you? ON A ROAD/STREET [4] -> F928MARKET/SHOP [5] -> F928SCHOOL [6] -> F928 0 0 SV3B - Forced sex - first time - place, other F925. Other (Specify) 0 0 SV3B - Forced sex - first time - anyone else at home F926. Was anyone else at home at the time? NO [2] -> F928DON'T KNOW/DECLINED [99] -> F928 0 0 SV3B - Forced sex - first time - who else at home F926. Who else was at home at the time? Circle all mentioned 0 0 SV3B - Forced sex - first time - at home - parent F927A. PARENT 0 0 SV3B - Forced sex - first time - at home - parent F927B. SIBLING 0 0 SV3B - Forced sex - first time - at home - sibling F927C. OTHER RELATIVE 0 0 SV3B - Forced sex - first time - at home - other relative F927D. FRIEND 0 0 SV3B - Forced sex - first time - at home - friend F927X. OTHER 0 0 SV3B - Forced sex - first time - at home - other F927Z. DON'T KNOW/DECLINED 0 0 SV3B - Forced sex - first time - at home - don't know/declined F927X. Other (Specify) 0 0 SV3B - Forced sex - first time - time of incident F928. About what time of day did this happen? 0 0 SV3B - Forced sex - first time - got pregnant F929. After this first experience, do you think that you got pregnant as a result of being physically forced to have sex? 0 0 SV3B - Forced sex - first time - deliver baby F930. Did you deliver the baby? 0 0 SV3B - Forced sex - first time - happened in last 12 months F931. Did this first experience when someone physically forced you to have sexual intercourse of any kind happen to you within the past 12 months? REFER TO F1000 FOR ROUTING TO NEXT SECTIONIF F1000=1 MOVE TO F1001IF F1000 =2/99 MOVE TO SVCS F1100 0 0 SV4 - Pressured sex - number of times SV4: PRESSURED SEX- LIFETIMEF1001. How many times in your life has someone pressured you in a nonphysical way, to have sexual intercourse of any kind when you did not want to and sex happened? 1 [1] -> F1016WRITE NUMBER IF 2 TIMES OR MORE: __ -> F1002DON'T KNOW/DECLINED [99] -> F1016 0 0 SV4A - Forced sex - recent - age SV4A: PRESSURED INTO SEX – MOST RECENTNow think about the most recent time anyone pressured you, in a nonphysical way, to have sexual intercourse of any kind when you did not want to, and sex happened. 0 0 SV4A - Forced sex - recent - more than 1 person F1003. This most recent time, did more than one person pressure you, in a nonphysical way, to have sexual intercourse of any kind when you did not want to? NO, ONE PERSON ONLY [2] -> F1006DON’T' KNOW/DECLINED [99] -> F1006 0 0 SV4A - Forced sex - recent - number of persons F1004. This most recent time, how many people pressured you in a nonphysical way to have sexual intercourse of any kind, when you did not want to? 0 0 SV4A - Forced sex - recent - relationship to person Of the people who pressured in a nonphysical way to have sexual intercourse of any kind when you did not want to this most recent time, think of the person you know the best for the following questions:F1006. What was your relationship to the person who did this to you? 0 0 SV4A - Forced sex - recent - relationship to person, other F1006. Other (Specify) 0 0 SV4A - Forced sex - recent - relative age of person F1007. Was the person older than you, younger than you, or about the same age? YOUNGER [2] -> F1009ABOUT SAME AGE [3] -> F1009DON’T KNOW/DECLINED [99] -> F1009 0 0 SV4A - Forced sex - recent - estimated age of person F1008. Would you say this person was more than 10 years older than you, 5-10 years older, or less than 5 years older? 0 0 SV4A - Forced sex - recent - place F1009. Where were you when this happened to you? ON A ROAD/STREET [4] -> F1012MARKET/SHOP [5] -> F1012SCHOOL [6] -> F1012 0 0 SV4A - Forced sex - recent - place, other F1009. Other (Specify) 0 0 SV4A - Forced sex - recent - anyone else at home F1010. Was anyone else at home at the time? NO [2] -> F1012DON'T KNOW/DECLINED [99] -> F1012 0 0 SV4A - Forced sex - recent - who else at home F1011. Who else was at home at the time? Circle all mentioned 0 0 SV4A - Forced sex - recent - at home - parent F1011A. PARENT 0 0 F1011B. SIBLING 0 0 F1011C. OTHER RELATIVE 0 0 F1011D. FRIEND 0 0 F1011X. OTHER 0 0 F1011Z. DON'T KNOW/DECLINED 0 0 F1011X. Other (Specify) 0 0 SV4A - Forced sex - recent - time of incident F1012. About what time of day did this happen? 0 0 SV4A - Forced sex - recent - got pregnant F1013. After this most recent experience, do you think that yu got pregnant as a result? NO [2] -> F1015DON'T KNOW/DECLINED [99] -> F1015 0 0 SV4A - Forced sex - recent - deliver baby F1014. Did you deliver the baby? 0 0 SV4A - Forced sex - recent - happened in last 12 months F1015. Did this most recent experience of being pressured in a nonphysical way to have sex of any kind happen to you within the past 12 months? 0 0 SV4B - Forced sex - first time - age SV4B: PRESSURED INTO SEX – FIRST TIMENow think about the first time anyone pressured you, in a nonphysical way, to have sex of any kind when you did not want to, and sex happened. DON'T KNOW/DECLINED [99] -> F1100 0 0 SV4B - Forced sex - first time - more than 1 person F1017. This first time, did more than one person pressure you, in a nonphysical way, to have sex of any kind when you did not want to? NO, ONE PERSON ONLY [2] -> F1020DON’T' KNOW/DECLINED [99] -> F1020 0 0 SV4B - Forced sex - first time - number of persons F1018. This first time, how many people pressured you in a nonphysical way to have sex of any kind, when you did not want to? 0 0 SV4B - Forced sex - first time - relationship to person Of these people who pressured you in a nonphysical way to have sex of any kind without your permission this first time, think of the person you know the best for the following questions:F1020. What was your relationship to the person who did this to you? 0 0 SV4B - Forced sex - first time - relationship to person, other F1020. Other (Specify) 0 0 SV4B - Forced sex - first time - relative age of person F1021. Was the person older than you, younger than you, or about the same age? YOUNGER [2] -> F1023ABOUT SAME AGE [3] -> F1023DON’T KNOW/DECLINED [99] -> F1023 0 0 SV4B - Forced sex - first time - estimated age of person F1022. Would you say this person was more than 10 years older than you, 5-10 years older or less than 5 years older? 0 0 SV4B - Forced sex - first time - place F1023. Where were you when this happened to you? ON A ROAD/STREET [4] -> F1026MARKET/SHOP [5] -> F1026SCHOOL [6] -> F1026 0 0 SV4B - Forced sex - first time - place, other F1023. Other (Specify) 0 0 SV4B - Forced sex - first time - anyone else at home F1024. Was anyone else at home at the time? NO [2] -> F1026DON'T KNOW/DECLINED [99] -> F1026 0 0 SV4B - Forced sex - first time - who else at home F1025. Who else was at home at the time? Circle all mentioned 0 0 SV4B - Forced sex - first time - at home - parent F1025A. PARENT 0 0 SV4B - Forced sex - first time - at home - sibling F1025B. SIBLING 0 0 F1025C. OTHER RELATIVE 0 0 F1025D. FRIEND 0 0 F1025X. OTHER 0 0 F1025Z. DON'T KNOW/DECLINED 0 0 F1025X. Other (Specify) 0 0 SV4B - Forced sex - first time - time of incident F1026. About what time of day did this happen? 0 0 SV4B - Forced sex - first time - got pregnant F1027. After this most recent experience, do you think that you got pregnant as a result? 0 0 SV4B - Forced sex - first time - deliver baby F1028. Did you deliver the baby? 0 0 SV4B - Forced sex - first time - happened in last 12 months F1029. Did this first experience of being pressured in a nonphysical way to have sex of any kind happen to you within the past 12 months? 0 0 SV - Thought of seeking help SV SERVICESF1100. Thinking about all of the sexual experiences that happened without your permission, have you ever sought help for these experiences? NO [2] -> F1102DON'T KNOW/DECLINED [99] -> F1102 0 0 SV - Sought help F1101. From whom have you sought help? Anyone else? RECORD ALL MENTIONED 0 0 SV - Sought help - own family F1101A. OWN FAMILY -> F1200 (PERPETRATION) 0 0 SV - Sought help - husband's family F1101B. HUSBAND’S/PARTNER’S FAMILY -> F1200 (PERPETRATION) 0 0 SV - Sought help - current husband F1101C. CURRENT/FORMER HUSBAND/PARTNER -> F1200 (PERPETRATION) 0 0 SV - Sought help - current partner F1101D. CURRENT/FORMER BOYFRIEND -> F1200 (PERPETRATION) 0 0 SV - Sought help - friend F1101E. FRIEND -> F1200 (PERPETRATION) 0 0 SV - Sought help - neighbor F1101F. NEIGHBOR -> F1200 (PERPETRATION) 0 0 SV - Sought help - religious leader F1101G. RELIGIOUS LEADER -> F1200 (PERPETRATION) 0 0 SV - Sought help - doctor F1101H. DOCTOR/MEDICAL PERSONNEL -> F1200 (PERPETRATION) 0 0 SV - Sought help - police F1101I. POLICE -> F1200 (PERPETRATION) 0 0 SV - Sought help - lawyer F1101J. LAWYER -> F1200 (PERPETRATION) 0 0 SV - Sought help - social service organization F1101K. SOCIAL SERVICE ORGANIZATION -> F1200 (PERPETRATION) 0 0 SV - Sought help - other F1101X. OTHER -> F1200 (PERPETRATION) 0 0 SV - Sought help - don't know F1101Z. DON’T KNOW/DECLINED -> F1200 (PERPETRATION) 0 0 SV - Sought help - other F1101. Other (Specify) 0 0 SV - Reason why not seek help F1102. What was the main reason you did not seek help? 0 0 SV - Reason why not seek help - other F1102. Other (Specify) 0 0 SV - Told anyone F1103. Have you ever told anyone about these experiences? NO [2] -> F1200DON'T KNOW/DECLINED [99] -> F1200 0 0 SV - Spoken with someone F1104. Who else did you speak to regarding any of these sexual experiences that happened without your permission? RECORD ALL MENTIONED 0 0 SV - Spoke to - own family F1104A. OWN FAMILY 0 0 SV - Spoke to - husband's family F1104B. HUSBAND’S/PARTNER’S FAMILY 0 0 SV - Spoke to - current husband F1104C. CURRENT/FORMER HUSBAND/PARTNER 0 0 SV - Spoke to - current partnet F1104D. CURRENT/FORMER BOYFRIEND 0 0 SV - Spoke to - friend F1104E. FRIEND 0 0 SV - Spoke to - neighbor F1104F. NEIGHBOR 0 0 SV - Spoke to - religious leader F1104G. RELIGIOUS LEADER 0 0 SV - Spoke to - doctor F1104H. DOCTOR/MEDICAL PERSONNEL 0 0 SV - Spoke to - police F1104I. POLICE 0 0 SV - Spoke to - lawyer F1104J. LAWYER 0 0 SV - Spoke to - social service organization F1104K. SOCIAL SERVICE ORGANIZATION 0 0 SV - Spoke to - other F1104X. OTHER 0 0 SV - Spoke to - don't know F1104Z. DON’T KNOW/DECLINED 0 0 SV - Spoke to - other F1104. Other (Specify) 0 0 Perpetration - Ever slapped husband 0 0 Perpetration - Ever punched husband 0 0 Perpetration - Ever choked husband F1202. Have you choked, smothered, tried to drown, or intentionally burned or scalded a current or previous partner/husband: never, once, a few times, many times? 0 0 Perpetration - Ever threatened husband with use of knife F1203. Have you used or threatened to use a knife or other weapon against a current or previous partner/husband: never, once, a few times, many times? 0 0 Perpetration - Ever forced sex with husband F1204. Have you forced a current or previous partner/husband to have sexual intercourse or perform any other sex acts with you when they did not want to: never, once, a few times, many times? 0 0 Perpetration - Ever had sex with someone not husband F1205. Have you ever had sexual intercourse with someone who is not your husband ? NO [2] -> F1300DON'T KNOW/DECLINED [99] -> F1300 0 0 Perpetration - Forced someone/ was forced by someone to have sex F1206. Did you force them or did they force you? 0 0 Substance abuse - Used drugs - past 30 days SUBSTANCE ABUSE: F1300. In the past 30 days, have you used drugs such as marijuana, pills, ecstasy, yama or sniffed any chemical such as petrol or glue? 0 0 Substance abuse - Days drunk alcohol - past 30 days F1301. In the past 30 days, on how many days did you drink alcohol to the point that you became drunk? 0 0 Substance abuse - Smoke cigarettes freq - past 30 days F1302. During the past 30 days, did you smoke cigarettes daily, occasionally, or not at all? 0 0 Mental health - nervous - past 30 days During the past 30 days, how often did you feel the following ways: (Read categories below)F1303A. All the time, most of the time, some of the time, a little of the time, or none of the time NERVOUS? 0 0 Mental health - hopeless - past 30 days F1303B. All the time, most of the time, some of the time, a little of the time, or none of the time HOPELESS? 0 0 Mental health - restless - past 30 days F1303C. All the time, most of the time, some of the time, a little of the time, or none of the time RESTLESS? 0 0 Mental health - depressed - past 30 days F1303D. All the time, most of the time, some of the time, a little of the time, or none of the time SO DEPRESSED THAT NOTHING COULD CHEER YOU UP? 0 0 Mental health - everything an effort - past 30 days F1303E. All the time, most of the time, some of the time, a little of the time, or none of the time THAT EVERYTHING WAS AN EFFORT? 0 0 Mental health - worthless - past 30 days F1303F. All the time, most of the time, some of the time, a little of the time, or none of the time WORTHLESS? 0 0 Mental health - intentionally hurt self F1304. Have you ever intentionally hurt yourself in any way? 0 0 Mental health - thought of killing self F1305. Have you ever thought about killing yourself? NO [2] -> F1307DON'T KNOW/DECLINED [99] -> F1307 0 0 Mental health - tried killing self F1306. Have you ever tried to kill yourself? 0 0 HIV - HIV aware HIV/AIDS - STIs: The next few questions ask you to think about HIV/AIDS. Remember that everything you say will be confidential, and you can skip any questions that you don’t feel comfortable answering. 0 0 HIV - know place for HIV test F1308. Do you know any place where people could go for HIV testing? 0 0 HIV - ever been tested for HIV F1309. Have you ever been tested for HIV? YES [1] -> F1311DON'T KNOW/DECLINED [99] -> F1313 0 0 HIV - reason never been tested F1310. What is the main reason you have never been tested? -> F1313 0 0 HIV - reason never been tested, other F1310. Other (Specify) 0 0 HIV - HIV test - recent F1311. When was the most recent time you were tested for HIV: less than 12 months ago, 1-2 years ago, or more than 2 years ago? 0 0 HIV - HIV test - recent - got results F1312. This most recent time you were tested for HIV, did you get the results of your test? 0 0 HIV - unusual discharge from vagina F1313. Sometimes boys and men experience an abnormal discharge from their penis. Have you ever had an abnormal discharge from your penis? 0 0 HIV - ever had genital sore F1314. Sometimes men have a sore or ulcer near their penis. Have you ever had a sore or ulcer near your penis? 0 0 Time to answer questions worthwhile RESPONSES TO SENSITVE QUESTIONSF1400. Do you feel that the time you took to answer these questions was worthwhile for you? 0 0 Afraid someone might hear F1401. At any point during the interview, were you afraid that someone might hear your answers and hurt you in any way because of what they heard? 0 0 Questions on violence upsetting due to memory of past experience F1402. Did my asking you any of these questions about violence make you feel upset because the violence reminded you of a past experience? 0 0 Upsetting to answer questions F1403. Did you find it upsetting or stressful to answer any of these questions? NO [2] -> F1406DON'T KNOW/DECLINED [99] -> F1406 0 0 Upset questions F1404. Which questions did you find upsetting or stressful to answer? The questions on physical violence, emotional violence, sexual violence, or other questions? RECORD ALL MENTIONED 0 0 Upset questions - physical violence F1404A. PARENT 0 0 Upset questions - emotional violence F1404B. SIBLING 0 0 Upset questions - sexual violence F1404C. OTHER RELATIVE 0 0 Upset questions - other F1404X. OTHER 0 0 Upset questions - don't know F1404Z. DON'T KNOW/DECLINED 0 0 Upset questions - specify F1404. Other (Specify) 0 0 Reason why questions are upsetting F1405. Why did you find it upsetting or stressful to answer these questions? 0 0 Feelings towards talking about difficult things F1406. I have asked you about many difficult things. How has talking about these things made you feel? 0 0 Comments F1407. We have now finished the interview. Do you have any comments, or is there anything else you would like to add? 0 0 Time of interview - end - hour TIME INTERVIEW ENDED -HOUR 0 0 Time of interview - end - min TIME INTERVIEW ENDED -MINUTE 0 0 Respondent disclosed violence in the past Did respondent tell you about/disclose any violence in the past? 0 0 Respondent showed signs of being upset Did the respondent show any signs of being upset at any point during the interview e.g. being tearful, angry, sad, shaking body, difficulty in breathing, etc.? 0 0 Respondent felt unsafe in current situation Did the respondent tell you about feeling unsafe in current living situation or asks for help with current or past experiences of violence at any point during the interview? 0 0 FO1 - Have questions Do you have any questions you would like to ask me? 0 0 FO2 - Would like to talk to social worker Do you think that you would like to talk to one of our social workers/arrange for a social worker from a local NGO to speak with you? 0 0 FO2 - Have questions Do you have any questions you would like to ask me? 0 0 Interviewer QC initials Interviewer QC initials 0 0 Supervisor team code Supervisor team code 0 0 Urban/Rural Urban/Rural 0 0 Cluster number Cluster number 0 0 Cluster number(1) Cluster number(1) 0 0 Province code Province code 0 0 Province name Province name 0 0 District code District code 0 0 District name District name 0 0 Commune code Commune code 0 0 Commune name Commune name 0 0 Village name Village name 0 0 Expected hits Expected hits 0 0 EA gender EA gender 0 0 Primary sampling unit Primary sampling unit 0 0 Final weight Final weight 0 0