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

Has a male partner done things to scare or intimidate you on purpose for example by the way he looked at you, or by yelling and smashing things in the last twelve months?

How often did a male partner threaten to hurt any of your children to get you to do what he wanted or to punish you?

Have any of your partners ever threatened to hurt one of your children to get you to do something or to punish you?

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

Has a male partner belittled or humiliated you in front of other people in the last twelve months?

Has your current or any other partner belittled or humiliated you in front of other people in the last year?

Has your husband belittled or humiliated you in front of other people in the last twelve months?

How often has your husband threatened to hurt you or someone who is important to you?

Have you ever been threatened by a partner?