Has your husband choked or burned you on purpose in the last twelve months?

Have any of your partners choked or burned you on purpose in the last year?

Has your husband choked you on purpose in the last twelve months?

Has your current husband or partner hit you with a fist 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

If I may ask: who physically assaulted you? No response

How often has your husband threatened to use or actually used a gun, knife or other weapon against you?