Has your spouse threatened to use or actually used a gun, knife or other weapon against you in the last twelve months?
Has your spouse slapped you or thrown something at you that could hurt you in the last twelve months?
Has your spouse hit you with a fist or with something else that could hurt you in the last twelve months?
How many times has your spouse ever kicked, dragged, beaten, choked or burned you in the last twelve months?
How many times has your spouse ever threatened to use or actually used a gun, knife or other weapon against you?