How often has a male partner ever humiliated you, threatened, or would not let you leave the house when you wanted?

Have you ever been scared or intimidated by a partner on purpose for example by the way he looks at you, by yelling and smashing things?

How many times has your current or any other partner ever done things to scare or intimidate you on purpose (for example, by the way he looked at you, or by yelling and smashing things)?

How many times has your spouse ever done things to scare or intimidate you on purpose for example by the way he looked at you, or by yelling and smashing things?

Have you been belittled or humiliated by a partner in front of other people?

How many times has your current or any other partner ever belittled or humiliated you in front of other people?

Have you threated to hurt any of the children (yours or your partner’s) to get any of your partners to do what you wanted or to punish them in the last year?

Have you threatened to hurt your partner or someone who is important to her in the last twelve months?

Have you threatened to hurt your wife or someone who is important to her in the last twelve months?

Have you threatened to hurt any of your partners or someone important to them in the last year?