In the past 12 months, have you experienced any of the following forms of violence outside the home? Been punched or hit

How often have you participated in a gang?

Have you ever been arrested?

Now I will read you some statements about your relationship with your current or last partner, even if you are currently single: When I want sex I expect my partner to agree

Now we want to learn more about your relationship with your current/most recent wife or girlfriend: I always wants to know where my partner is most of the time

Now I will read you some statements about your relationship with your current or most recent wife or partner: I won’t let my partner wear certain things

I like to let her know she isn’t the only partner I could have

I tell my partner who she can spend time with

I have more to say than she does about important decisions that affect us

Before I reached 18, I saw or heard my mother being beaten by her husband or boyfriend