Has any male partner ever slapped or threw something in your direction that could hurt you?

Has any male partner ever pushed you?

Has any male partner ever kicked, dragged, hit, tried to hang or burned you?

Have you been pushed or shoved by a partner?

How often has a male partner ever hit you with anything that could hurt you?

How often has your current husband or partner hit you with a fist?

How often has your current husband or partner hit you with an object?

Have you threatened to use or actually used a gun, knife or other weapon against your spouse in the last twelve months?

Have you used a firearm, knife or other weapon against a partner in the last year?

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