Has your partner ever hit you with a fist or with something else that could hurt you in the past year?

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

Have you been kicked, dragged, beaten, choked or burned by a partner in the past year?

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

Has any male partner ever threatened to use or used a firearm, knife or other weapon against you?

Has a partner threatened to use or actually use a gun, knife or other weapon against you?

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

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

Have you been slapped by a partner or has he even ever thrown something at you that could hurt you?

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