Have you slapped your spouse or thrown something at her that could hurt her in the last twelve months?

How many times have you ever kicked, dragged, beaten, choked or burned your spouse in the last twelve months?

Have you pushed or shoved your spouse in the last twelve months?

Have you hit your spouse with a fist or with something else that could hurt her in the last twelve months?

How many times have you ever threatened to use or actually use a gun, knife or other weapon against a partner/spouse?

How many times have you ever threatened to use or actually used a gun, knife or other weapon against your spouse?

Have you ever threatened to use or actually used a gun, knife or other weapon against a partner?

How many times have you ever slapped a partner/spouse or thrown something at her that could hurt her?

How many times have you ever slapped your spouse or thrown something at her that could hurt her?

Have you ever slapped a partner or thrown something at her that could hurt her?