Have you done any of these things [involving sexual intimate partner violence] in the past 12 months?

How often have you forced your current or previous partner to have sex with you when she didn’t want to?

Have you ever forced your current or previous wife or partner to watch pornography when she did not want to?

Have you ever had sex with your current or previous wife or girlfriend when you knew she didn’t want it but you believed she should agree because she was your wife/partner?

Have you ever forced your current or previous wife or partner to do something sexual that she did not want to do?

Have you ever forced your current or previous wife or partner to have sex with you when she did not want to?

Have you done any of these things [involving physical intimate partner violence] in the past 12 months?

Have you ever threatened to use or actually used a gun, knife or other weapon against a partner?

Have you ever slapped a partner or thrown something at her that could hurt her?

Have you ever pushed or shoved a wife/partner in anger?