How many times has your spouse ever pushed or shoved you?

How many times has your spouse ever kicked, dragged, beaten, choked or burned you?

How many times has your spouse ever hit you with a fist or with something else that could hurt you?

Have you slapped, pushed or hit your spouse in the last twelve months?

Have you slapped your spouse or thrown something at her that could hurt her in the last twelve months?

How many times have you ever kicked, dragged, beaten, choked or burned your spouse in the last twelve months?

Have you pushed or shoved your spouse in the last twelve months?

Have you hit your spouse with a fist or with something else that could hurt her in the last twelve months?

How many times have you ever slapped your spouse or thrown something at her that could hurt her?

How many times have you ever slapped, pushed or hit your spouse?