Legend Blue= interview instructions (not to be read aloud) Gray= rules and gating Green= lifetime version DUI Module CKPT.DI0 0 SC34_1a=NO AND SC34_1b=NO [Did not screen into DUI portion of module] GO TO CKPT.DI65 1 SC34_1a=YES OR SC34_1b=YES [screened into DUI portion of module] GO TO GRID SCREEN 1 [Grid Screen 1] You reported earlier that you DIFILL0. Please indicate how many you have engaged in the following behaviors or had the following experiences in your lifetime. If SC34_1a=YES AND SC34_1b=YES DIFILL0= have driven while intoxicated or under the influence of drugs and have been pulled over for driving under the influence IF SC34_1a=YES AND SC34_1b!= YES DIFILL0= have driven while intoxicated or under the influence of drugs If SC34_1a!=YES AND SC34_1b=YES DIFILL0= have been pulled over or arrested for driving under the influence If more than DI1a. Driven after drinking any alcohol DI1b. Driven while intoxicated than 5 5, How many? DI1c. Driven while under the influence of an illicit substance DI1d. Ridden with an intoxicated or impaired driver CKPT.DI1_1 1 DI1a =0/DK/RF AND DI1b =0/DK/RF AND DI1c =0/DK/RF [ driven after drinking alcohol or drugging] GO TO CKPT.DI65 2 DI1a > 0 OR DI1b > 0 OR DI1c > 0 [Driven after drinking alcohol or drugging] GO TO DI1e 1 June 19th, 2017
[Grid Screen 2] (Please indicate how many you have engaged in the following behaviors or had the following experiences in your lifetime.) DI1e. Driven while intoxicated or impaired with passengers in the car DI1f. Driven while intoxicated or impaired with minors in the car 5, How many? [Grid Screen 3] (Please indicate how many you have engaged in the following behaviors or had the following experiences in your lifetime) DI3a. Been pulled over for driving under the influence DI3b. Been asked to take a breathalyzer test after being pulled over for DUI DI3c. Taken a breathalyzer test after being pulled over for DUI DI3d. Been arrested for driving under the influence (even if not found guilty) DI3e. Been convicted of driving under the influence 5, How many? [Grid Screen 4] (Please indicate how many you have engaged in the following behaviors or had the following experiences in your lifetime) DI3f. Gotten into an accident while driving after drinking any alcohol DI3g. Gotten into an accident while driving intoxicated or under the influence of an illicit substance DI3h. Attempted to avoid a sobriety checkpoint 5, How many? 2
CKPT.DI3_1 1 DI3a=0/DK/RF AND DI3d=0/DK/RF AND DI3=0/DK/RF [ pulled over or arrested or convicted after drinking alcohol or drugging] GO TO DI4 2 DI3a > 0 OR DI3d > 0 OR DI3e > 0 [Pulled over or arrested for drinking alcohol or drugging] GO TO DI3i [Grid Screen 5] (Please indicate how many you have engaged in the following behaviors or had the following experiences in your lifetime) DI3i. Had your license revoked or suspended due to DUI DI3j. Driven while your license was suspended or revoked due to DUI DI3k. Had an ignition interlock on your car due to DUI DI3l. Had your car impounded due to DUI 5, How many? CKPT.DI3_2 1 DI3k=0/DK/RF [ had an ignition interlock for drinking alcohol or drugging] GO TO DI4 2 DI3k > 0 [Had an ignition interlock for drinking alcohol or drugging] GO TO DI3m [Grid Screen 6] (Please indicate how many you have engaged in the following behaviors or had the following experiences in your lifetime) DI3m. Used a friend or other method to fool an ignition interlock on your car and allow you to drive after drinking DI3n. Illegally removed an ignition interlock from your car 5, How many? 3
DI4. Think of the very first time in your life you drove after drinking. How old were you? [INTERVIEWER: Age should not be greater than participant s current age] (If unsure, prompt About how old were you? If still unsure, prompt: Was it before your teens? If yes, enter 12 ; if no, prompt Was it before your twenties? If yes, enter 19 if no, enter 20 ) (IF VOL NEVER CODE 997) years old CKPT. DI5. 1 DI1b=0/DK/RF AND DI1c=0/DK/RF [ driven while intoxicated] GO TO CKPT.DI11 2 DI1b>0 or DI1c > 0 [Driven while intoxicated] GO TO DI6 DI6. Think of the very first time in your life you drove while intoxicated or while under the influence of an illicit substance. How old were you? [INTERVIEWER: Age should not be greater than participant s current age] (If unsure, prompt About how old were you? If still unsure, prompt: Was it before your teens? If yes, enter 12 ; if no, prompt Was it before your twenties? If yes, enter 19 if no, enter 20 ) (IF VOL NEVER CODE 997) years old CKPT. DI11. 1. DI3d = 0/DK/RF [ arrested for DUI] GO TO CKPT.DI13 2. DI3d > 0 [Arrested for DUI] GO TO DI12a DI12a. Think of the very first time in your life you were arrested for driving under the influence. How old were you? [INTERVIEWER: Age should not be greater than participant s current age] (If unsure, prompt About how old were you? If still unsure, prompt: Was it before your teens? If yes, enter 12 ; if no, prompt Was it before your twenties? If yes, enter 19 if no, enter 20 ) (IF VOL NEVER CODE 997) years old 4
DI12b. Please briefly describe the circumstances of the arrest the very first time in your life you were arrested for driving under the influence (e.g., accident, pulled over for speeding, etc.) CKPT. DI13. 1 DI3c = 0/DK/RF [ took breathalyzer for DUI] GO TO CKPT.DI15 2 DI3c > 0 [Took breathalyzer for DUI] GO TO DI14 DI14. You indicated that you have taken a breathalyzer after being pulled over for driving under the influence. What is the highest BAC you have ever recorded after being pulled over for DUI? Less than 0.08 0.08 to 0.99 0.10-0.19 0.20 or greater CKPT. DI15. 1 CKPT.DI1_1=1 OR DI3d = 0/DK/RF [ arrested for DUI] GO TO CKPT.DI26 2 DI3d = 1 [Arrested for DUI once] GO TO DI16d 3 DI3d > 1 [Arrested for DUI more than once] GO TO DI16a DI16a. When was the last time you were arrested for driving under the influence in the past 30 days, two to six months ago, seven to twelve months ago, or more than twelve months ago? Within the past 30 days Between 2 and 6 months ago Between 7 and 12 months ago than 12 months ago DI16c. Please briefly describe the circumstances of the arrest the last time you were arrested for driving under the influence (e.g., accident, pulled over for speeding, etc.) 5
DI16e. specifically, why did you drink on that day? (Answer briefly, in one sentence or less) DI16f. And why did you choose to drive after drinking on that day? (Answer briefly, in one sentence or less) DI17a. Was your license suspended after your most recent DUI arrest? Yes IF DK/RF GO TO DI17b GO TO DI19_2 DI17b. Is your license currently suspended? Yes CKPT.DI19_2. 1 DI3k = 0 [never had ignition interlock] GO TO DI23 2 DI3k!= 0 [ignition interlock] GO TO DI20 DI20. Was an ignition interlock placed on your vehicle after your most recent DUI arrest? Yes IF DK/RF GO TO DI20_1 GO TO CKPT.DI21 GO TO DI20_1 DI20_1. Are you expecting to have an ignition interlock placed on your vehicle? Yes 6
CKPT.DI21 1 DI20!= YES [ ignition interlock] GO TO CKPT.DI26 2 DI20= YES [Ignition interlock] GO TO DI22 DI22. Do you still have an ignition interlock on your vehicle? Yes CKPT.DI26 1 CKPT.DI1_1 = 1 [ driven after drinking alcohol or drugging] GO TO DI42 2 CKPT.DI1_1 = 2 [Driven after drinking alcohol or drugging] GO TO DI27 [Grid Screen 7] DI27. How many have you driven after drinking any alcohol in the past 30 days? ne? CKPT.DI28 1 CKPT.DI11 = 1 [ arrested for DUI] GO TO CKPT.DI30 2 CKPT.DI11 =2 [Arrested for DUI] GO TO DI29 DI29. How many have you driven after drinking any alcohol since your most recent DUI arrest? ne? CKPT. DI30. 1 CKPT.DI5 = 1 OR DI27=0/DK/RF [ driven while intoxicated or haven t driven after drinking in past 30 days] GO TO CKPT.DI32 2 CKPT.DI5 = 2 or 3 AND DI27>0 [Driven while intoxicated & Driven after drinking in past 30days] GO TO DI31 [Grid Screen 8] 7
DI31. How many have you driven while intoxicated or while under the influence of an illicit substance in the past 30 days? ne? CKPT.DI32 1 CKPT.DI11 = 1 [ arrested for DUI] GO TO CKPT.DI38 2 CKPT.DI11 = 2 [Arrested for DUI] GO TO DI33 DI33. How many have you driven while intoxicated or while under the influence of an illicit substance since your most recent DUI arrest? ne? CKPT.DI38 1 CKPT.DI21 = 1 OR EMPTY OR DI3m= 0 [ ignition interlock (or never tried to fool ignition interlock] GO TO CKPT.DI40 2 CKPT.DI21 = 2 AND DI3m!= 0 [Ignition interlock] GO TO Grid Screen 10 [Grid Screen 10] DI39a. How many have you used a friend or other method to fool an ignition interlock on your car and allow you to drive after drinking since your most recent DUI arrest? DI39b. How many have you used a friend or other method to fool an ignition interlock on your car and allow you to drive after drinking in the past 30 days? ne? 8
CKPT.DI40. 1 DI17a!= YES [License not suspended after most recent DUI arrest] GO TO DI42 2 DI17a= YES [License suspended after most recent DUI arrest] GO TO DI41a [Grid Screen 11] DI41a. How many have you driven with a suspended license since your most recent DUI arrest? DI41b. How many have you driven with a suspended license in the past 30 days? ne? [Grid Screen 12] DI42. How many have you been stopped by police, while driving, in the past 30 days? ne? CKPT.DI43 1 CKPT.DI11 = 1 [ arrested for DUI] GO TO CKPT.DI45 2 CKPT.DI11 = 2 [Arrested for DUI] GO TO DI44 DI44. How many have you been stopped by police, while driving, since your most recent DUI arrest? ne? CKPT.DI45 1 DI42 = 0/DK/RF or EMPTY AND DI44 = 0/DK/RF or EMPTY [t stopped by police in past 30 days or since DUI arrest] 2 DI42 > 0 OR DI44 > 0 [Stopped by police in past 30 days or since DUI arrest] GO TO CKPT.DI47 GO TO DI46a_1 9
DI46a_1. On DIFILL1 DIFILL2 that you were stopped by police, while driving DIFILL3, were you ever issued a warning or a citation or arrested? (INTERVIEWER: If stopped more than once, select the most severe option) If DI44 > DI42 DIFILL3= since your most recent DUI arrest IF DI44= 0 or 1 or dk/rf DIFILL1= that DIFILL2= occasion If DI44= 2, 3, 4, 5 or 6 DIFILL1= those DIFILL2= occasions IF DI42!= 0 AND DI42 >= DI44 DIFILL3= in the past 30 days IF DI42= 0 or 1 or dk/rf DIFILL1= that DIFILL2= occasion If DI42= 2, 3, 4, 5 or 6 DIFILL1= those DIFILL2= occasions Issued a warning Issued a citation Arrested Other _ (DI46a_2) DI46b. The DIFILL4 you were stopped by police while driving DIFILL5, had you been drinking? IF DI44= 0 or 1 DIFILL4= time If DI44= 2, 3, 4, 5 or 6 DIFILL4= If DI44 > DI42a DIFILL5= since your most recent DUI arrest IF DI42a!=0 AND DI42 >= DI44 DIFILL5= in the past 30 days Yes every time Yes some of the CKPT.DI47 1 DI42 = 0/DK/RF or EMPTY AND DI44 = 0/DK/RF or EMPTY [t stopped by police in past 30days or since DUI arrest] 2 DI42 > 0 OR DI44 > 0 [Stopped by police in past 30 days or since DUI arrest] GO TO CKPT.DI49 GO TO DI48 10
[Grid Screen 13] DI48. How many have you been stopped by police for driving under the influence in the past 30 days? ne? CKPT.DI49 1 CKPT.DI11 = 1 [ arrested for DUI] GO TO CKPT.DI58_2 2 CKPT.DI11 =2 [Arrested for DUI] GO TO DI50 DI50. How many have you been stopped by police for driving under the influence since your most recent DUI arrest? ne? DI51. Think about the month prior to your latest DUI arrest. In that month, how often did you usually have at least one drink - - nearly every day, three to four days a week, one to two days a week, one to three days a month, or less than once a month? Nearly every day 3-4 days per week 1-2 days per week 1-3 days per month Less than once a month Did not drink CKPT.DI52 1 DI51 = Did not drink/dk/rf [Did not drink in month prior to latest DUI arrest] GO TO DI54 2 DI51 > 0 [Drank in month prior to latest DUI arrest] GO TO DI53 DI53. On the days you drank in that month prior to your last DUI arrest, about how many drinks did you usually have per day? drinks per drinking day 11
DI54. Did you stop drinking after your last DUI arrest? (INTERVIEWER: If yes, ask for a while, or through today? ) Yes (through today) GO TO DI58_1 For a while N/A (did not drink before last DUI arrest) DI55. Think about the month immediately after your latest DUI arrest. In that month, how often did you usually have at least one drink - - nearly every day, three to four days a week, one to two days a week, one to three days a month, less than once a month, or never? Nearly every day 3-4 days per week 1-2 days per week 1-3 days per month Less than once a month CKPT.DI56 1 DI55 = /DK/RF [Did not drink in month after latest DUI arrest] GO TO DI58_1 2 DI55 > 0 [Drank in month after latest DUI arrest] GO TO DI57 DI57. On the days you drank in the month immediately after your last DUI arrest, about how many drinks did you usually have per day? drinks per drinking day DI58_1. When was your last drink? (Was that before or after your last DUI arrest?) (Enter most recent option for answer given) Prior to last DUI arrest than 6 months ago, but after last DUI arrest 4-6 months ago, but after last DUI arrest 1-3 months ago, but after last DUI arrest Within the last week Yesterday Today CKPT. DI58_2 1. DI58_1 = NOT EMPTY [arrested for DUI already answered last drink Q] 2. CKPT.DI49 = 1 [not arrested for DUI] GO TO DI59 GO TO DI58_3 12
DI58_3. When was your last drink? (Enter most recent option for answer given) than 12 months ago than 6 months ago 4-6 months ago 1-3 months ago Within the last week Yesterday Today CKPT. DI58_4 1. CKPT.DI58_2 =2 [ arrested for DUI] 2. CKPT.DI58_2=1 [Arrested for DUI] GO TO CKPT.DI65 GO TO DI59 DI59. What type of DUI program are you currently attending? First offender program (e.g., Driver Alcohol Education) Second / repeat offender program inpatient (e.g., Middlesex DUIL) Second/multiple offender program outpatient or aftercare DUI Court (with corresponding DUI program, if applicable) Other ne [GRID SCREEN 14] w I need to know any and all types of treatment you ve had for DUI DIFILL6. IF DI59 > none DIFILL6= including the current program IF DI59= 0/998/999 DIFILL6= BLANK (If Yes) DI62a. DUI first offender program (e.g., Driver Alcohol Education) DI62b. DUI second / repeat offender program inpatient (e.g., Middlesex DUIL) DI62c. DUI second/multiple offender program outpatient or aftercare Yes How many have you entered? How many have you completed? In what year did you first attend? (e.g., 1992) DI62d. DUI Court DI62e. Other DUI program 13
CKPT.DI63 1 DI62e = YES GO TO DI64 2 DI62e!= YES GO TO CKPT.DI65 DI64. What other types of DUI offender programs have you attended? CKPT.DI65 0 SC34_1c=YES OR SC34_1d=YES [arrested/incarcerated for anything] GO TO GRID SCREEN 15 1 SC34_1c!=YES AND SC34_1d!=YES [not arrested/incarcerated for anything] GO TO GRID SCREEN 18 [Grid Screen 15] Please indicate how often you have engaged in the following behaviors or had the following experiences often, some, rarely, or never? DI65a. Gotten angry Often Some Rarely DI65c. Told a lie [Grid Screen 16] Please indicate how many you have engaged in the following behaviors or had the following experiences in your lifetime DI66a. Been arrested for something other than DUI DI66b. Been incarcerated DI66c. Been on parole DI66d. Been on probation DI66e. Violated your parole or probation DI66f. Had a restraining order against you? CKPT.DI67 1 DI66a = 0/DK/RF [ arrests other than DUI] GO TO CKPT.DI79 2 DI66a > 0 [1+ arrests other than DUI] GO TO DI68a 14
[GRID SCREEN 17] You indicated that you had been arrested for something other than DUI in your lifetime. Please indicate how many you have been arrested for the following types of offenses in your lifetime DI68a. Been arrested for a property offense (e.g., B&E, theft, vandalism) DI68b. Been arrested for a non- sex person offense (e.g., assault, manslaughter) DI68c. Been arrested for a sex offense DI68d. Been arrested for an alcohol- related offense (not DUI) DI68e. Been arrested for a drug- related offense (not DUI) DI68f. Been arrested for a motor vehicle related offense (not DUI) DI68g. Been arrested for another type of offense? DI69. Think of the very first time in your life you were arrested for anything other than DUI. How old were you? [INTERVIEWER: Age should not be greater than participant s current age] (If unsure, prompt About how old were you? If still unsure, prompt: Was it before your teens? If yes, enter 12 ; if no, prompt Was it before your twenties? If yes, enter 19 if no, enter 20 ) (IF VOL NEVER CODE 997) years old DI70. When was the last time you were arrested for something other than driving under the influence in the past 30 days, two to six months ago, seven to twelve months ago, or more than twelve months ago? Within the past 30 days Between 2 and 6 months ago Between 7 and 12 months ago than 12 months ago 15
CKPT.DI79 1 DI66c = 0/DK/RF [ on parole] GO TO CKPT.DI81 2 DI66c >0 [1+ paroles] GO TO DI80 DI80. Are you currently on parole? Yes CKPT.DI81 1 DI66d = 0/DK/RF [ on probation] GO TO CKPT.DI83 2 DI66d >0 [1+ probations] GO TO DI82 DI82. Are you currently on probation? Yes CKPT.DI83 1 DI66f = 0/DK/RF [ had a restraining order] GO TO GRID SCREEN 18 2 DI66f >0 [1+ restraining orders] GO TO DI84 DI84. Do you currently have a restraining order against you? Yes [Grid Screen 18] Please indicate how many you have engaged in the following behaviors or had the following experiences while driving in your lifetime: DI85a. Gotten into a verbal altercation with someone in another car while driving or as the immediate result of a driving incident DI85b. Gotten into a physical altercation with someone in another car while driving or as the immediate result of a driving incident DI85c. Been involved in an accident DI85d. Been pulled over by police than 5 If more, How many? 16
[Grid Screen 19] Please indicate how often you engage in the following behaviors or have the following experiences when you drive often, some, rarely, or never? (IF NEC: If no longer driving, think back to a time when you drove more frequently) DI86a. Drive more than 10 mph over the speed limit Often Some Rarely DI86b. Drive through a red light DI86c. Verbally insult or make rude gestures at other drivers DI86d. Weave in and out of slower traffic DI86e. Tailgate other drivers [Grid Screen 20] (Please indicate how often you engage in the following behaviors or have the following experiences when you drive often, some, rarely, or never?) DI86f. Illegally pass a vehicle if it is moving too slowly Often Some Rarely DI86g. Lose your temper while driving DI86h. Text while driving DI86i. Drive when you are overly tired DI86j. Find yourself crossing lane lines or swerving because you were distracted or tired [Grid Screen 23] Thinking of all the you drink, how often do you drink for each of the following reasons often, some, rarely, or never? (IF NEC: If no longer drinking, think back to a time when you drank more frequently) DI87a. To forget your worries Often Some Rarely DI87b. Because your friends pressure you to drink DI87c. Because it helps you when you feel depressed or nervous DI87d. To cheer you up when you are in a bad mood 17
[Grid Screen 25] (Thinking of all the you drink, how often do you drink for each of the following reasons often, some, rarely, or never? (IF NEC: If no longer drinking, think back to a time when you drank more frequently) DI87k. To fit in with a group you like Often Some Rarely DI87l. To forget about your problems DI87m. To be liked DI87n. So you won t feel left out [Grid Screen 27] Thinking of all the you drink, how often do you drink in each of the following settings often, some, rarely, or never? (IF NEC: If no longer drinking, think back to a time when you drank more frequently) DI88a. At home Often Some Rarely DI88b. At parties DI88c. At restaurants DI88d. At bars DI88e. In other public locations (e.g, outside, in parks, at schools, on public transportation) DI88f. At work DI88g. In your car 18
[Grid Screen 28] (Thinking of all the you drink, how often do you drink with each of the following people often, some, rarely, or never? (IF NEC: If no longer drinking, think back to a time when you drank more frequently) DI88h. Alone Often Some Rarely DI88i. With people you don t know well DI88j. With work colleagues DI88k. With close friends DI88l. With family [Grid Screen 29] Thinking of all the you drink at places other than your home, how often do you use the following methods to get home often, some, rarely, or never? INTERVIEWER: If does not drink anywhere but home select N/A (IF NEC: If no longer drinking, think back to a time when you drank more frequently) DI89a. Drive yourself home Often Some Rarely n/a (997) DI89b. Get a ride from someone who has also been drinking DI89c. Get a ride from someone who is sober or call a taxi DI89d. Ride public transportation DI89e. Stay at the place where you were drinking until you sober up [Grid Screen 30] Think of the friends, family, and acquaintances you interact with most often. How many of them: DI90a. Get drunk often 100% (All) 75% 50% (Half) 25% 0% (ne) DI90b. Drink with you on a regular basis DI90c. Are abstinent D90d. Do drugs other than alcohol DI90e. Have been in trouble with the law 19
[Grid Screen 33] (Using the 0 to 10 scale below, where 0 means no prepared to change and 10 means already changing, how ready are you to change the following behaviors?) t prepared to change Somewhere in the middle Already changing DI93a. Your alcohol use 0 1 2 3 4 5 6 7 8 9 10 DI93b. Your DUI behavior GO TO NEXT MODULE 20