Have you ever thrown a partner out of the house?

Have you ever prohibited a partner from getting a job, going to work, trading or earning money?

Have you ever taken a partner’s earnings against her will?

Have you ever kept money from your earnings for alcohol, tobacco or other things for yourself when you knew your partner was finding it hard to afford the household expenses?

Do you own a weapon?

How often have you been involved in a fight with a knife, gun or other weapon?

Have you ever experienced any of the following forms of violence outside your home within the past 3 months: Other (specify)

Have you ever experienced any of the following forms of violence outside your home within the past 3 months: Been threatened with a gun

In the past 12 months, have you experienced any of the following forms of violence outside the home? Been threatened with a knife or other weapon (excluding firearms)

Have you ever experienced any of the following forms of violence outside your home within the past 3 months: Been threatened with a knife or other weapon (excluding firearms)