Have you choked or burned your wife on purpose in the last twelve months?

How often have you slapped your wife or thrown something at her that could hurt her?

How many times have you ever slapped, pushed or hit your spouse?

How often have you pushed, cornered, or pulled your wife’s hair?

Have you pushed or shoved a partner?

How many times have you ever hit a partner/spouse with a fist or something else that could hurt her?

How many times have you ever hit your spouse with a fist or with something else that could hurt her?

How often have you choked your wife on purpose?

If yes, against whom does he use violence? (Response 01)

If yes, against whom does he use violence? (Response 02)