Has your spouse insulted you or deliberately made you feel bad about yourself in the last twelve months?
Has your spouse hurt people you care about as a way of hurting you, or damaged things of importance to you in the last twelve months?
Has your spouse done things to scare or intimidate you on purpose for example by the way he looked at you, or by yelling and smashing things in the last twelve months?
How many times has your spouse ever hurt people you care about as a way of hurting you, or damaged things of importance to you?
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 done any of these things [involving emotional intimate partner violence] in the past 12 months?