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Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

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.


Name
Label/Question

3G. THINKING ABOUT YOUR MALE/FEMALE PEERS, HAVE YOU EVER THREATENED THEM WITH A KNIFE OR GUN?

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


Name
Label/Question

3G. IF YES TO 'THINKING ABOUT YOUR MALE/FEMALE PEERS, HAVE YOU EVER THREATENED THEM WITH A KNIFE OR GUN?' 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.


Name
Label/Question

4A. THINKING ABOUT GIRLS OR BOYS YOU HAVE DATED, 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.


Name
Label/Question

4A. IF YES TO 'THINKING ABOUT GIRLS OR BOYS YOU HAVE DATED, 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.


Name
Label/Question

4B. THINKING ABOUT GIRLS OR BOYS YOU HAVE DATED, 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.


Name
Label/Question

4B. IF YES TO 'THINKING ABOUT GIRLS OR BOYS YOU HAVE DATED, HAVE YOU EVER PHYSICALLY TWISTED THEIR ARM OR BENT BACK THEIR FINGERS?' HOW MANY TIMES DID YOU DO THIS TO THEM I

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


Name
Label/Question

4C. THINKING ABOUT GIRLS OR BOYS YOU HAVE DATED, 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.


Name
Label/Question

4C. IF YES TO 'THINKING ABOUT GIRLS OR BOYS YOU HAVE DATED, 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.

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