How many times has your current or any other partner ever threatened to hurt you?

How many times has your spouse ever threatened to hurt you?

Have you hurt people your partner cares about as a way of hurting him, or damaged things of importance to him?

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

How often has your partner refused to speak with you for some time (a few hours, a day or for more than a day), refused to eat the food you have cooked or slept in a different room away from the bedroom you share?

How often has a male partner threatened to hurt you or someone who is important to you?

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

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

How many times has your spouse ever hurt people you care about as a way of hurting you, or damaged things of importance to you?

Have you ever been insulted by a partner or deliberately be made to feel bad about yourself?