Have any of your partners ever forbidden you to have contact with family members or friends?

Have any of your partners belittled or humiliated you in front of other people in the last year?

Have any of your partners ever insulted you or spoken to you using vulgar or aggressive language?

Have any of your partners ever threatened to hurt you or someone important to you?

Have any of your partners ever done things to scare or intimidate you on purpose, eg look at you a certain way, or yell and destroy things?

Have any of your partners ever belittled or humiliated you in front of other people?

Have any of your partners thrown you out of the house in the last year?

Has your husband prohibited you from getting a job (outside the house), going to work, trading or earning money in the last twelve months?

Has your husband taken your earnings against your will in the last twelve months?

Have any of your partners spent money from income on alcohol, tobacco, etc, when they knew that it would make it hard for you to pay for household expenses in the last year?