1- Does your partner put you down and call you names? |
2- Have you ever been slapped? Hit? Choked? Pushed? Bitten? Burned? |
3- Has your partner used a weapon against you? |
4- Has your partner ever made you do sometime humiliating or degrading? |
5- Does your partner embarrass you in front of others? |
6- Has your partner forced you to have sex against your will? |
7- Have you had bruises from being squeezed, pinched or held? |
8- Has your partner ever threatened you (or threatened to hurt you)
your children or other family members? |
9- Do you feel you are walking on eggshells to avoid upsetting
your partner? |
10- Has your partner ever threatened to kill you? |
11- Does your partner control where you go and who you see? |
12- Does your partner control all the household money and/or make you
ask for an allowance? |
13- Does your partner limit your use of a vehicle? |
14- Is your partner very jealous and suspicious of others or your
other relationships? |
15- Have you ever seen a doctor for an injury inflicted by your partner? |
16- Does your partner monitor all your time? |