Has your spouse kept money from your earnings for personal use when he knew you were finding it hard to afford your personal expenses or needs for the household in the last twelve months?

Has your spouse prohibited you from getting a job, going to work, trading or earning money in the last twelve months?

How many times has your spouse ever taken your earnings against your will?

How many times has your spouse ever thrown you out of the house?

How many times has your spouse ever prohibited you from getting a job, going to work, trading or earning money?

Have you taken your spouse’s earnings against her will in the last twelve months?

Have you done any of these things [involving economic intimate partner violence] in the past 12 months?

How many times has your spouse ever kept money from your earnings for personal use when he knew you were finding it hard to afford your personal expenses or needs for the household?

Have you prohibited a spouse from getting a job, going to work, trading or earning money in the last twelve months?

Have you thrown your spouse out of the house in the last twelve months?