Has your current or any other partner ever kicked, dragged, beaten, choked or burned you in the last year?

Has your spouse ever kicked, dragged, beaten, choked or burned 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 a male partner ever kicked, dragged, beaten, choked or burned you in the last year?

Have any of your partners kicked, dragged or beaten you in the last year?

Has a man kicked, dragged, beaten you in the last year?

If I may ask: who physically assaulted you? Ex-partner (one or several) when you were together

If I may ask: who physically assaulted you? Ex-partner (one or several) when the relationship was over

If I may ask: who physically assaulted you? Other