Have you contributed to any local or national organization (in religious, social, educational, cultural spheres)?

As far as you are aware, are there any of the following initiatives in Georgia for victims/survivors of domestic violence: shelters

Have you organized any meetings/gatherings?

Have you ever signed a petition on any social or political issue?

As far as you are aware, are there any of the following initiatives in Georgia for victims/survivors of domestic violence: hotline

As far as you are aware, are there any of the following initiatives in Georgia for victims/survivors of domestic violence: crisis centres

Have you threatened to hurt your partner or someone who is important to her in the last twelve months?

Have you refused to speak with your partner for some time (a few hours, a day or for more than a day), refused to eat the food they have cooked or slept in a different room away from the bedroom you share in the last twelve months?

Have you insulted your partner or deliberately made her feel bad about herself in the last twelve months?

Did you threaten to hurt any of your children or your partner’s children to get your partner to do what you wanted or to punish her in the last twelve months?