John Jay Survey Questions
The following three surveys (series of questions) are those that were
used by John Jay College, New York, in conducting the research
on clerical misconduct with minors for the United States Conference
of Catholic Bishops (USCCB).
These surveys were completed by the individual dioceses,
eparchies and religious orders.
The Bishop's conference released a report on this information on the
first Friday in Lent, February 27, 2004. The information was released
in the aggregate (the totals across the country) and not by individual
diocese, eparchy, or religious order. It will be the option of these
entities to release their own specific information if they choose to
do so.
Cleric Survey:
CONFIDENTIAL
Please complete the following information. To ensure confidentiality,
this information will be encrypted for data analysis and this page
will be destroyed.
Cleric's first initial ____
Cleric's last initial ____
Date of Birth __ __/__ __/__ __
Reminder: Do not write in the names of any clerics or victims anywhere
on this survey. If you have any questions and you call the John Jay
college research team hotline at (212) 237-8539, please do not say
your name, the name of your diocese, or the name of any alleged victims
or abusers.
Please fill out this form to the best of your knowledge for every cleric
against whom there are or have been allegations of sexual abuse between
1950 and 2002. Do not fill this out for clerics against whom the only
allegations were known to be false. For the purpose of clarity and
flow, the term "diocese" is used to refer to all diocesan,
eparchial and religious orders, societies and communities. If a question
is not appropriate for your order, please write N/A.
FIRST, WE ARE GOING TO ASK YOU TO PROVIDE SOME BASIC INFORMATION ABOUT
THIS PARTICULAR CLERIC.
1. Year of birth: __ __ __ __
2. At the time of the alleged offense(s), was this
cleric a(n): (check as many answers if necessary if the allegations
against this cleric extended over a period of time)
Diocesan Priest Eparchian Priest
Extern Priest Religious Priest
Transitional Deacon Permanent Deacon
Eparch Bishop
Cardinal Other (specify): __________________________
3. If ordained, year of ordination: __ __ __ __
4. What seminary/seminaries did the cleric attend?
____________________________
5. Was cleric married at time of alleged offense(s)?
Yes No
6. Does the cleric have a history of being a victim
of abuse?
Yes No known abuse (If No, skip to Question 9)
7. If yes, the type of abuse indicated in the record or known to the
diocese is best described as (check all that apply)
Physical abuse Emotional Abuse
Sexual Abuse Verbal Abuse
Physical & Sexual Abuse Neglect
Other (specify): __________________________________________
8. This abuse was allegedly committed by: (check all that apply)
Mother Peer/acquaintance
Father Person in a position of authority (e.g., babysitter,
coach)
Sibling Priest
Other family member Deacon
Teacher Other (please specify):______________________
9. Are there indications in the record that the cleric had problems
with alcohol or substance abuse?
Yes, Alcohol Yes, Drugs Yes, Alcohol & Drugs No (If no, skip to
question 13)
10. If you answered "Yes" to Question 9,
then please indicate what action(s) was taken to address the alcohol
or drug abuse problem? (check all that apply)
Referral for Evaluation Spiritual Counseling Provided
Referral for Treatment Intervention
Spiritual Counseling Recommended No action taken
Other action taken (describe) ___________________________________
11. If treatment was provided, where did it occur?
(if none, skip to question 13)
inpatient substance /alcohol abuse treatment within the diocese
inpatient substance/alcohol abuse treatment outside diocese
outpatient within diocese (specify type of program) _________________________
outpatient outside of diocese (specify type of program)_______________________
12. During treatment for alcohol/drug abuse, did
the cleric admit to sexual abuse(s) of a minor(s)?
Yes No
13. Are there other specific medical or psychological
problems that raised concerns about this cleric's fitness for ministry?
(if no, skip to question 18)
Yes No
14. Please describe the problem to the extent possible__________________________________
__________________________________________________________________________
15. Was the problem recognized before any allegation of abuse?
Yes No
16. What is the approximate date the problem was
recognized? ____________
17. If the cleric has multiple medical or psychological
problems, please specify the year each was recognized (if more than
three, please continue question 16 on the back.)
Year ________ problem ______________________
Year ________ problem ______________________
Year ________ problem ______________________
Check here if continued on back _____________
18. How many dioceses has this cleric served in?
__________
19. How many times has this cleric transferred within
your diocese?
Parishes ________ Congregations ________
20. Does this cleric have allegations of sexual abuse
against him at any of these other dioceses in which he served?
Yes No No information in file
21. If yes, how many victims made allegations of
abuse against this cleric in each diocese, parish and congregation
in which he served?
Dioceses ________ Parishes ________ Congregations________
22. Is it known from the files, or by other means,
that this cleric had behavioral/boundary problems other than allegations
of sexual abuse of minors (e.g., letters of complaint from parishioners)?
Yes (specify) _____________________________________________________
No
NOW WE ARE GOING TO ASK ABOUT THIS CLERIC'S ALLEGED VICTIM(S) FROM
YOUR DIOCESE
23. How many victims made allegations of sexual abuse
against this cleric in your diocese? ________
24. Is there any indication that the cleric has abused
more victims than there are official allegations made (e.g., victims
who made a complaint claim that there are other victims who do not
want to come forward)?
Yes No
25. If yes, please indicate how many other alleged
victims there are who have not officially made a complaint against
this cleric. _____________________
26. How many allegations of abuse of minors does
the cleric have in each of the following age ranges and genders at
your diocese? (give your best approximation of the age range based
on information in the file)
# of victims under 8 years of age ________ # male _______ # female
________
# of victims 8 - 10 years of age ________ # male _______ # female ________
# of victims 11-14 years of age ________ # male _______ # female ________
# of victims 15 - 17 years of age ________ # male _______ # female
________
THE FOLLOWING QUESTIONS HAVE TO DO WITH THE INSTITUTION'S RESPONSE
TO THE SEXUAL ABUSE ALLEGATIONS AGAINST THIS PARTICULAR CLERIC
27. What did the diocese do in response to the allegation(s)
of sexual abuse against this cleric? (check all that apply)
Cleric reprimanded, returned him to duties Cleric
referred for spiritual retreat
Cleric referred for evaluation Cleric referred for
treatment
Cleric given administrative leave Cleric given medical
leave
Cleric resigned or retired Cleric sought laicization
Cleric reinstated Cleric removed from clerical state
Cleric suspended from ministry Other (specify)________________
No action taken
28. If the cleric was reinstated, was it:
Within the diocese, same parish
Within the diocese, different parish
Different diocese
Restricted ministry
29. What year(s) did the diocese take action against the cleric?
Year__________ Action___________________
Year__________ Action___________________
Year__________ Action___________________
30. If the cleric participated in any type of treatment to address
the sexual abuse allegations, what kind of treatment was it? (check
all that apply) If no treatment, skip to question 35.
Specialized sex offender treatment program specifically for clergy
Specialized sex offender treatment program for all sex offenders, not
just for clergy
General treatment program not specifically for sex offenders
One-on-one counseling w/ psychiatrist, psychologist, or other mental
health expert
Psychotherapist
Relapse prevention treatment program
Evaluation by mental health professional or expert, but no indication
of treatment
Spiritual counseling or direction provided by the church
Other (specify):____________________
31. If the cleric participated in treatment, at which facility?
Behavioral Medicine Institute of Atlanta, GA
Servants of the Paraclete, Jemez Springs, NM
Issac Ray Center, Chicago, Il
Servants of the Paraclete, Albuquerque Villa, NM
Johns Hopkins Medical Institutions, Baltimore, MD
St. Louis Consultation Service, St. Louis, MO
Progressive Clinical Services, Cincinnati, OH
Institute of Living, Hartford, CT
St. Luke Institute, Suitland, MD
Menninger Clinic, Topeka, KS
Servants of the Paraclete, St. Louis, MO
New Life Center, Middleburg, VA
Shalom Center, Inc., Splendora, TX
Villa St. John Vianney, Downingtown, PA
Southdown, Aurora, Ontario, CN Other (specify)_________________________
32. How many times did the cleric participate in
a sex offender treatment program? ________
33. Did the cleric complete a treatment program?
Yes No No information in file
34. If cleric received treatment, did he re-offend
after he finished treatment?
Yes No No information in file
35. Provide additional information known or from
the record that would assist in understanding the behavior of this
cleric.
REMEMBER - do not provide any names or other identifying information
Victim Survey:
CONFIDENTIAL
Prepare a separate profile for each victim who issued an allegation
against this particular cleric. If a cleric had multiple allegations,
prepare a separate victim profile for each victim who initiated an
allegation. Please answer each of these questions to the best of
your knowledge and indicate when an answer is approximate rather
than specific. If a question is not appropriate for your order, please
write N/A. Remember to write the matching cleric's number in the
upper right hand corner.
WE ARE NOW GOING TO ASK YOU TO PROVIDE SOME BASIC INFORMATION ABOUT
EACH VICTIM WHO BROUGHT AN ALLEGATION AGAINST THIS PARTICULAR CLERIC.
1. Gender of victim (check one)
Male Female
2. When did the alleged abuse occur? (Be as specific
about the date or range of dates as possible)
Month __ __ Day __ __ Year __ __ __ __ OR range of dates _______________________
3. When was this abuse reported? (Be as specific
as possible)
Month __ __ Day __ __ Year __ __ __ __
4. Who initially made the allegation?
The victim
The victim's parent(s) or guardian(s)
A teacher
A police officer
A cleric
A lay person in the Church
Other (specify)____________________
A doctor
Victim's attorney
5. How was the allegation initially made?
Called the parish
Called the diocese
Sent a signed letter to the parish
Sent a signed letter to the diocese
Sent an anonymous letter to parish
Sent an anonymous letter to diocese
Went to the parish
Went to the diocese
Told trusted priest/deacon who brought complaint to diocese or order
Called the Provincial or Major Superior of the order or congregation
Information obtained through the media
Other (specify): _____________________
Sent signed letter to the Provincial or Major Superior of the order
or congregation
Sent anonymous letter to the Provincial or Major Superior of the order
or congregation
6. Is there a record of the victim or victim's family
following up on the allegation?
No Yes (specify method of follow up):_______________________________
7. If the victim/victim's family did follow up, how
many times? __________________
8. How many times was the victim allegedly abused?
Once More than once (number __________) numerous (unknown number)
9. Did the victim allege abuse by more than one cleric?
(If no, skip to question 12)
Yes No Information not in the file
10. If yes, how many clerics allegedly abused this
victim? _________
11. Did the abuse by the other cleric(s) occur before,
concurrent with or after this cleric? (check all that apply)
Before
Concurrent with
After
12. Age (in years) when alleged abuse began (or occurred,
if only happened once). ___________ years
13. Age (in years) when abuse ended (if occurred
more than once). ____________ years
14. Age (in years) when victim first told someone
about the abuse. ______________ years
15. Number of months/years the victim waited to report
the abuse. _____________
16. Where did the victim first meet the cleric?
Mass
Choir
Boys club/youth recreation
Sunday school teacher
Teacher in preschool, kindergarten, or elementary school (up to grade
6)
At an altar service
In the rectory
Teacher in middle school (grades 7-8)
Work in a hospital
Teacher in high school (grades 9-12)
Seminary faculty
Orphanage
In jail/prison/youth offender residence
Home of victim
Home of cleric
At a vocational inquiry
Seminary administrator
At a social function w/ victim's family
Other (specify)________________
While assigned to the victim's parish (e.g., as an extern priest)
17. What was the cleric's primary duty when he met
the victim? (check all that apply)
Pastor
Associate pastor
Resident priest
Seminary faculty
Boys club/youth recreation
Catechism teacher
Teacher in preschool, kindergarten, or elementary school (up to grade
6)
ChoirChaplain
Teacher in middle school (grades 7-8)
Worked in a hospital
Teacher in high school (grades 9-12)
Saying Mass
Seminary administrator
Bishop, Vicar, Chancellor, Cardinal
Guidance counselor
Coach
Other (specify)________________
18. Did the cleric socialize with the family of the
alleged victim(s)?
Yes
No
Information not in the file
19. If yes, in what way? (check all that apply)
In the church
In church day activities (e.g., picnics)
Spent time with the family in his residence
He spent time with the family in their residence
Vacations
Other (specify):________________________
20. Type of behavior alleged by this victim (check
all that apply):
Verbal (sexual talk)
Photos taken of victim while victim was disrobed
Victim disrobed
Masturbation in front of victim
Cleric disrobed
Mutual masturbation
Sexual touching over clothes of victim
Manual (finger) penetration (of vagina or anus)
Sexual touching over clothes of the cleric
Penetration with foreign object (e.g., sexual aid)
Sexual touching under clothes of victim (no penetration)
Oral/genital contact where offender performed fellatio/cunnilingus
Sexual touching under clothes of cleric (no penetration)
Oral/genital contact where victim performed fellatio/cunnilingus
Victim shown pornographic videos
Victim shown pornographic magazines/photos
Penile penetration (of anus or vagina)
Other _________________________
21. Was the victim threatened by the cleric in any
way?
Yes
No
Information not in the file
22. If yes, what type of threat?
Physical threat, with weapon
Physical threat, no weapon
Verbal threat (of harm to the victim)
Verbal threat (that harm will come to the cleric)
Threatened family of victim
Spiritual manipulation
Threatened public exposure of victim's behavior to family or others
Other (specify):_______________________
23. Where was the abuse reported to have occurred?
(check all that apply)
In the church
In the parish residence
In the home of the victim Cleric's office
In school
In the hospital
In a hotel room
In a car
Retreat house
Vacation house
Other (specify):__________________
24. When did the abuse reportedly occur?
During a retreat
During a social event
During a church service
During reconciliation
During travel
During a sporting event (e.g., swimming)
During counseling session
During other type of travel
Other (specify):_________________
25. Did the victim receive any gifts from the cleric?
Yes
No
Information not in the file
26. If yes, what type of gift(s)? __________________________________________
27. Were there any other enticements given to this
victim?
Yes
No
Information not in the file
28. If yes, what were the enticements? (check all
that apply)
Given money
Allowed to stay up late
Allowed to do special church activities (e.g., solo in the choir)
Given alcohol or drugs
Allowed to drive a car
Taken to sporting matches or other recreational activities
Access to pornography, videos
Allowed to stay overnight with the cleric
Other (specify) ___________
Sports-related enticement (e.g., put in starting position of a team)
29. Who did the victim live with when allegedly abused
(check all that apply)
Mother only
Father only
Both parents
Brother(s)
Sister(s)
Other guardian
Grandparents
Boarding school
Foster parents
Orphanage
With the cleric
Other (specify)____________
In the rectory or church-related residence
30. Were any of victim's siblings also abused by
any cleric?
Yes
No
Information not in the file
31. At the time of the alleged abuse, was the victim
under the influence of alcohol or drugs?
Yes
No
Information not in the file
32. At the time of the alleged abuse, was the cleric
under the influence of alcohol or drugs?
Yes
No Information not in the file
33. Was there a diocesan investigation? (If no, skip
to Question 37)
Yes
No
Information not in the file
34. If there was a diocesan investigation, what was
the result? (check all that apply)
Allegation substantiated
Allegation unsubstantiated
Cleric admitted abuse
Allegation found to be false
Other (specify) ________________
35. What action was taken regarding the cleric?
No action taken
Transferred cleric to another parish w/in the diocese
Cleric suspended w/ treatment ordered
Transferred the cleric to another diocese
Cleric resigned or retired
Cleric was reinstated
Cleric received treatment but continued in ministry
Dismissed from clerical state
Other (specify)________________________
36. Was the victim or their family ever contacted
regarding the results of the investigation?
Yes
No
Information not in the file
37. Did the victim report the incident to the police
or district attorney?
Yes
No
Information not in the file
38. Was there a police investigation?
Yes
No
Information not in the file
39. Was the cleric charged with a criminal offense?
(If no, skip to Question 45)
Yes
No
Information not in the file
40. If yes, what charge was brought?________________________________________
41. Did the charges result in a conviction?
Yes
No
Information not in the file
42. If yes, for what offense? _____________________________________
43. If there was a conviction, what was the sentence?
(check all that apply)
Fine
Jail
Probation
Prison
House arrest
Electronic monitoring
Community service
Other (specify) _________________
44. If there was a conviction, what was the length
of the sentence imposed? __________________
45. Was there any civil action taken against the
cleric or the diocese for damages?
Yes
No
Information not in the file
46. Was there any other form of legal action taken with respect to
this cleric and this victim?
Yes(specify)___________________
No
Information not in the file
NOW WE ARE GOING TO ASK ABOUT FINANCIAL INFORMATION IN REGARD TO THIS
VICTIM. YOU MAY NEED ASSISTANCE FROM THE acting budget/financial officer
or accountant within the diocese TO ANSWER THESE QUESTIONS.
47. Was the victim given any type of compensation to settle
the allegation of abuse?
Yes
No
Pending
Information not in the file
48. What was the approximate total compensation or payment made to
date to this victim from all sources? $ _________
49. How much of this was covered by, or derived from,
insurance? $_______________
50. What was the approximate payment to date for
treatment for this victim? $ ____________
51. How much of this was covered by or derived from
insurance? $______________
52. What was the approximate payment to date for
treatment for this cleric? $_____________
53. How much of this was covered by or derived from
insurance $______________
54. What was the approximate total payment to date
made by the diocese to attorneys to represent the diocese related to
this victim's allegations? $______________
Order Profile:
CONFIDENTIAL
Form #1: Religious Order Profile
Please answer these nine questions to the best of your knowledge. It
should include information between 1950-2002.
1. Is this institution a(n): (Please check one)
Diocese Eparchy Religious Order
2. List the approximate number of active and retired
clerics in the religious order from 1950 (or since the establishment
of the religious order) to 2002:
a. priests in religious order: incardinated ______ extern _______
b. fathers in religious order: incardinated ______ extern _______
c. "Others" in diocese __________________
3. What is the approximate membership of the religious
order at this time?
1 - 10
11 - 20
21 - 30
31 - 40
41 - 75
76 - 110
111 - 150
151 - 305
306 - 540
541 and up
4. What is the approximate number of priests and
fathers who are now members (part of?) the religious order?
1 - 6
7 - 14
15 -21
22 - 35
36 - 57
58 - 80
81 - 110
111 - 176
176 - 399
400 and up
5. Based on your review of the records, indicate
how many clerics have had allegations made against them while in your
diocese.
Number of incardinated __________ number of extern __________
6. How many clerics with allegations have been completely exonerated?
_______________
7. Based on your reviews of the records, please indicate
the total number of victims who have made allegations against clerics
in your religious order. ____________________
8. Based on your reviews of the records, please indicate
the total amount of money paid out by your diocese to alleged victims
of sexual abuse between 1950 and 2002. ___________________
9. For how many of the victims in Question #8 have:
__________ all of their allegations been shown to be known false
(# of victims)
__________ all of their allegations been withdrawn
(# of victims)
