W8

1

The following are information recorded from the survey from students.

Introduction

The purpose of this study is to find out if childhood maltreatment affects criminal behavior. The questions are geared toward uncovering whether an individual was maltreated emotionally, physically, or sexually. The respondent is encouraged to answer these questions truthfully to help the researchers reach the right conclusions. The participant is encouraged to ask questions in case they need help understanding some questions.

All participants are assured that the information obtained from this questionnaire will be used for research purposes only. Their identity will be concealed when the results are published and analyzed.

Demographics

Please color the circle to indicate the one that applies to you.

1. What is your current age? __________

Answers:

2. What sex do you identify with?

· Female

· Male

· Other (specify)

· Prefer not to say.

Answers:

3. What is your employment status?

· Full-Time

· Part-Time

· Unemployed

· Retired

· Prefer not to say

Answers:

Maltreatment history

The following section follows a scale from 0-4. 0 (Strongly Disagree) 1(Disagree) 2 (Neutral) 3(Agree) 4(Strongly Agree). Please indicate you response by checking the corresponding box next to your answer:

1. As a child my parents/ guardians used to deny me food.

0 (Strongly Disagree)

1 (Disagree)

2 (Neutral)

3 (Agree).

4 (Strongly Agree).

Answers:

2. As a child my parents/guardians used physical discipline

0 (Strongly Disagree)

1 (Disagree)

2 (Neutral)

3 (Agree).

4 (Strongly Agree).

Answers:

3. As a child I never had a stable home.

0 (Strongly Disagree)

1 (Disagree)

2 (Neutral)

3 (Agree).

4 (Strongly Agree).

Answers:

4.As a child I never went to bed hungry.

0 (Strongly Disagree)

1 (Disagree)

2 (Neutral)

3 (Agree).

4 (Strongly Agree).

Answers:

5. As a child I enjoyed my childhood.

0 (Strongly Disagree)

1 (Disagree)

2 (Neutral)

3 (Agree).

4 (Strongly Agree).

Answers:

6. As a child my parents/guardians ignored my feelings and my opinions.

0 (Strongly Disagree)

1 (Disagree)

2 (Neutral)

3 (Agree).

4 (Strongly Agree).

Answers:

7. As a child my parents/guardians showed me a lot of affection.

0 (Strongly Disagree)

1 (Disagree)

2 (Neutral)

3 (Agree).

4 (Strongly Agree).

Answers:

8. As a child my parents hurled insults and shouted at me.

0 (Strongly Disagree)

1 (Disagree)

2 (Neutral)

3 (Agree).

4 (Strongly Agree).

Answers:

Criminal History

1. Have you known someone who has been/is incarcerated?

Yes

No

Answers:

2. Is the person referred to in the above question a childhood friend or relative?

Yes

No

Answers:

3. Do you feel corresponding with criminals makes you a criminal?

Yes

No

Answers:

(optional) Please explain your response to question #3_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________-

We thank you for your time spent tsking this survey.

Your response has been recorded.

1

The following are information recorded from the survey from students.

Introduction

The purpose of this study is to find out if childhood maltreatment affects criminal behavior. The questions are geared toward uncovering whether an individual was maltreated emotionally, physically, or sexually. The respondent is encouraged to answer these questions truthfully to help the researchers reach the right conclusions. The participant is encouraged to ask questions in case they need help understanding some questions.

All participants are assured that the information obtained from this questionnaire will be used for research purposes only. Their identity will be concealed when the results are published and analyzed.

Demographics

Please color the circle to indicate the one that applies to you.

1. What is your current age? __________

Answers:

2. What sex do you identify with?

· Female

· Male

· Other (specify)

· Prefer not to say.

Answers:

3. What is your employment status?

· Full-Time

· Part-Time

· Unemployed

· Retired

· Prefer not to say

Answers:

Maltreatment history

The following section follows a scale from 0-4. 0 (Strongly Disagree) 1(Disagree) 2 (Neutral) 3(Agree) 4(Strongly Agree). Please indicate you response by checking the corresponding box next to your answer:

1. As a child my parents/ guardians used to deny me food.

0 (Strongly Disagree)

1 (Disagree)

2 (Neutral)

3 (Agree).

4 (Strongly Agree).

Answers:

2. As a child my parents/guardians used physical discipline

0 (Strongly Disagree)

1 (Disagree)

2 (Neutral)

3 (Agree).

4 (Strongly Agree).

Answers:

3. As a child I never had a stable home.

0 (Strongly Disagree)

1 (Disagree)

2 (Neutral)

3 (Agree).

4 (Strongly Agree).

Answers:

4.As a child I never went to bed hungry.

0 (Strongly Disagree)

1 (Disagree)

2 (Neutral)

3 (Agree).

4 (Strongly Agree).

Answers:

5. As a child I enjoyed my childhood.

0 (Strongly Disagree)

1 (Disagree)

2 (Neutral)

3 (Agree).

4 (Strongly Agree).

Answers:

6. As a child my parents/guardians ignored my feelings and my opinions.

0 (Strongly Disagree)

1 (Disagree)

2 (Neutral)

3 (Agree).

4 (Strongly Agree).

Answers:

7. As a child my parents/guardians showed me a lot of affection.

0 (Strongly Disagree)

1 (Disagree)

2 (Neutral)

3 (Agree).

4 (Strongly Agree).

Answers:

8. As a child my parents hurled insults and shouted at me.

0 (Strongly Disagree)

1 (Disagree)

2 (Neutral)

3 (Agree).

4 (Strongly Agree).

Answers:

Criminal History

1. Have you known someone who has been/is incarcerated?

Yes

No

Answers:

2. Is the person referred to in the above question a childhood friend or relative?

Yes

No

Answers:

3. Do you feel corresponding with criminals makes you a criminal?

Yes

No

Answers:

(optional) Please explain your response to question #3_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________-

We thank you for your time spent tsking this survey.

Your response has been recorded.