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Name
Label/Question
1.

IDENTIFICATION NUMBER ASSIGNED TO STUDENT COMPLETING QUESTIONNAIRE - [REASSIGNED]

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

2.

ID_SCHOOL - [REASSIGNED]

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

3.

ID_CLASS - [REASSIGNED]

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

4.

ID_SCHOOLCLASS - [REASSIGNED]

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

5.

GRADE

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

6.

TREATMENT

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

7.

THE MONTH DURING WHICH THE QUESTIONNAIRE WAS COMPLETED

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

8.

THE DAY DURING WHICH THE QUESTIONNAIRE WAS COMPLETED

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

9.

THE YEAR DURING WHICH THE QUESTIONNAIRE WAS COMPLETED

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

10.

1A. HAVE YOUR MALE/FEMALE PEERS EVER SLAPPED OR SCRATCHED YOU?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

11.

1A. IF YES TO 'HAVE YOUR MALE/FEMALE PEERS EVER SLAPPED OR SCRATCHED YOU?' HOW MANY TIMES DID THEY DO THIS TO YOU IN THE PAST 6 MONTHS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

12.

1B. HAVE YOUR MALE/FEMALE PEERS EVER PHYSICALLY TWISTED YOUR ARM OR BENT BACK YOUR FINGERS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

13.

1B. IF YES TO 'HAVE YOUR MALE/FEMALE PEERS EVER PHYSICALLY TWISTED YOUR ARM OR BENT BACK YOUR FINGERS?' HOW MANY TIMES DID THEY DO THIS TO YOU IN THE PAST 6 MONTHS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

14.

1C. HAVE YOUR MALE/FEMALE PEERS EVER PUSHED, GRABBED, SHOVED, OR KICKED YOU SOMEWHERE ON YOUR BODY OTHER THAN IN YOUR PRIVATE PARTS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

15.

1C. IF YES TO 'HAVE YOUR MALE/FEMALE PEERS EVER PUSHED, GRABBED, SHOVED, OR KICKED YOU SOMEWHERE ON YOUR BODY OTHER THAN IN YOUR PRIVATE PARTS?' HOW MANY TIMES DID THEY DO T

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

16.

1D. HAVE YOUR MALE/FEMALE PEERS EVER PUSHED, GRABBED, SHOVED, OR KICKED YOU IN YOUR PRIVATE PARTS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

17.

1D. IF YES TO 'HAVE YOUR MALE/FEMALE PEERS EVER PUSHED, GRABBED, SHOVED, OR KICKED YOU IN YOUR PRIVATE PARTS?' HOW MANY TIMES DID THEY DO THIS TO YOU IN THE PAST 6 MONTHS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

18.

1E. HAVE YOUR MALE/FEMALE PEERS EVER HIT YOU WITH A FIST OR WITH SOMETHING HARD BESIDES A FIST?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

19.

1E. IF YES TO 'HAVE YOUR MALE/FEMALE PEERS EVER HIT YOU WITH A FIST OR WITH SOMETHING HARD BESIDES A FIST?' HOW MANY TIMES DID THEY DO THIS TO YOU IN THE PAST 6 MONTHS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

20.

1F. HAVE YOUR MALE/FEMALE PEERS EVER MADE YOU TOUCH THEIR PRIVATE PARTS OR TOUCHED YOURS WHEN YOU DID NOT WANT THEM TO?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

21.

1F. IF YES TO 'HAVE YOUR MALE/FEMALE PEERS EVER MADE YOU TOUCH THEIR PRIVATE PARTS OR TOUCHED YOURS WHEN YOU DID NOT WANT THEM TO?' HOW MANY TIMES DID THEY DO THIS TO YOU IN

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

22.

1G. HAVE YOUR MALE/FEMALE PEERS EVER THREATENED YOU WITH A KNIFE OR GUN?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

23.

1G. IF YES TO 'HAVE YOUR MALE/FEMALE PEERS EVER THREATENED YOU WITH A KNIFE OR GUN?' HOW MANY TIMES DID THEY DO THIS TO YOU IN THE PAST 6 MONTHS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

24.

2.1. HAVE YOU EVER DATED SOMEONE, INCLUDING, FOR EXAMPLE, SOMEONE YOU 'WENT WITH','WENT STEADY WITH' OR 'WENT OUT WITH'?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

25.

2.2A. HAS A GIRL OR BOY YOU HAVE DATED EVER SLAPPED OR SCRATCHED YOU?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

26.

2.2A. IF YES TO 'HAS A GIRL OR BOY YOU HAVE DATED EVER SLAPPED OR SCRATCHED YOU?' HOW MANY TIMES DID THEY DO THIS TO YOU IN THE PAST 6 MONTHS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

27.

2.2B. HAS A GIRL OR BOY YOU HAVE DATED EVER PHYSICALLY TWISTED YOUR ARM OR BENT BACK YOUR FINGERS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

28.

2.2B. IF YES TO 'HAS A GIRL OR BOY YOU HAVE DATED EVER PHYSICALLY TWISTED YOUR ARM OR BENT BACK YOUR FINGERS?' HOW MANY TIMES DID THEY DO THIS TO YOU IN THE PAST 6 MONTHS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

29.

2.2C. HAS A GIRL OR BOY YOU HAVE DATED EVER PUSHED, GRABBED, SHOVED, OR KICKED YOU SOMEWHERE ON YOUR BODY OTHER THAN IN YOUR PRIVATE PARTS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

30.

2.2C. IF YES TO 'HAS A GIRL OR BOY YOU HAVE DATED EVER PUSHED, GRABBED, SHOVED, OR KICKED YOU SOMEWHERE ON YOUR BODY OTHER THAN IN YOUR PRIVATE PARTS?' HOW MANY TIME DID THE

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

31.

2.2D. HAS A GIRL OR BOY YOU HAVE DATED EVER PUSHED, GRABBED, SHOVED, OR KICKED YOU IN YOUR PRIVATE PARTS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

32.

2.2D. IF YES TO 'HAS A GIRL OR BOY YOU HAVE DATED EVER PUSHED, GRABBED, SHOVED, OR KICKED YOU IN YOUR PRIVATE PARTS?' HOW MANY TIMES DID THEY DO THIS TO YOU IN THE PAST 6 M

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

33.

2.2E. HAS A GIRL OR BOY YOU HAVE DATED EVER HIT YOU WITH A FIST OR WITH SOMETHING HARD BESIDES A FIST?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

34.

2.2E. IF YES TO 'HAS A GIRL OR BOY YOU HAVE DATED EVER HIT YOU WITH A FIST OR WITH SOMETHING HARD BESIDES A FIST?' HOW MANY TIMES DID THEY DO THIS TO YOU IN THE PAST 6 MONTH

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

35.

2.2F. HAS A GIRL OR BOY YOU HAVE DATED EVER MADE YOU TOUCH THEIR PRIVATE PARTS OR TOUCHED YOURS WHEN YOU DID NOT WANT THEM TO?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

36.

2.2F. IF YES TO 'HAS A GIRL OR BOY YOU HAVE DATED EVER MADE YOU TOUCH THEIR PRIVATE PARTS OR TOUCHED YOURS WHEN YOU DID NOT WANT THEM TO?' HOW MANY TIMES DID THEY DO THIS TO

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

37.

2.2G. HAS A GIRL OR BOY YOU HAVE DATED EVER THREATENED YOU WITH A KNIFE OR GUN?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

38.

2.2G. IF YES TO 'HAS A GIRL OR BOY YOU HAVE DATED EVER THREATENED YOU WITH A KNIFE OR GUN?' HOW MANY TIMES DID THEY DO THIS TO YOU IN THE PAST 6 MONTHS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

39.

3A. THINKING ABOUT YOUR MALE/FEMALE PEERS, HAVE YOU EVER SLAPPED OR SCRATCHED THEM?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

40.

3A. IF YES TO 'THINKING ABOUT YOUR MALE/FEMALE PEERS, HAVE YOU EVER SLAPPED OR SCRATCHED THEM?' HOW MANY TIMES DID YOU DO THIS TO THEM IN THE PAST 6 MONTHS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

41.

3B. THINKING ABOUT YOUR MALE/FEMALE PEERS, HAVE YOU EVER PHYSICALLY TWISTED THEIR ARM OR BENT BACK THEIR FINGERS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

42.

3B. IF YES TO 'THINKING ABOUT YOUR MALE/FEMALE PEERS, HAVE YOU EVER PHYSICALLY TWISTED THEIR ARM OR BENT BACK THEIR FINGERS?' HOW MANY TIMES DID YOU DO THIS TO THEM IN THE

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

43.

3C. THINKING ABOUT YOUR MALE/FEMALE PEERS, HAVE YOU EVER PUSHED, GRABBED, SHOVED, OR KICKED THEM SOMEWHERE ON THEIR BODY OTHER THAN IN THEIR PRIVATE PARTS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

44.

3C. IF YES TO 'THINKING ABOUT YOUR MALE/FEMALE PEERS, HAVE YOU EVER PUSHED, GRABBED, SHOVED, OR KICKED THEM SOMEWHERE ON THEIR BODY OTHER THAN IN THEIR PRIVATE PARTS?' HOW

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

45.

3D. THINKING ABOUT YOUR MALE/FEMALE PEERS, HAVE YOU EVER PUSHED, SHOVED, OR KICKED THEM IN THEIR PRIVATE PARTS?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

46.

3D. IF YES TO 'THINKING ABOUT YOUR MALE/FEMALE PEERS, HAVE YOU EVER PUSHED, SHOVED, OR KICKED THEM IN THEIR PRIVATE PARTS?' HOW MANY TIMES DID YOU DO THIS TO THEM IN THE PA

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

47.

3E. THINKING ABOUT YOUR MALE/FEMALE PEERS, HAVE YOU EVER HIT THEM WITH A FIST OR SOMETHING HARD BESIDES A FIST?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

48.

3E. IF YES TO 'THINKING ABOUT YOUR MALE/FEMALE PEERS, HAVE YOU EVER HIT THEM WITH A FIST OR SOMETHING HARD BESIDES A FIST?' HOW MANY TIMES DID YOU DO THIS TO THEM IN THE PA

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

49.

3F. THINKING ABOUT YOUR MALE/FEMALE PEERS, HAVE YOU EVER MADE THEM TOUCH YOUR PRIVATE PARTS OR TOUCHED THEIRS WHEN THEY DID NOT WANT YOU TO?

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

50.

3F. IF YES TO 'THINKING ABOUT YOUR MALE/FEMALE PEERS, HAVE YOU EVER MADE THEM TOUCH YOUR PRIVATE PARTS OR TOUCHED THEIRS WHEN THEY DID NOT WANT YOU TO?' HOW MANY TIMES DID

Taken from: Experimental Evaluation of a Youth Dating Violence Prevention Program in New York City Middle Schools, 2009-2010.

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