In the past 12 months, have you experienced any of the following forms of violence outside the home? Been threatened with a knife or other weapon (excluding firearms)

In the past 12 months, have you experienced any of the following forms of violence outside the home? Been punched or hit

In the past 12 months, have you experienced any of the following forms of violence outside the home? Been threatened with a gun

How often have you participated in a gang?

My wife/partner cannot use contraceptive without my permission

When my partner wears things to make her look beautiful I think she may be trying to attract other men

Now I will read you some statements about your relationship with your current or most recent spouse, even if you are divorced or widowed: I won’t let my wife/partner wear certain things

Now I will read you some statements about your relationship with your current or last partner, even if you are currently single: When I want sex I expect my partner to agree

I tell my partner who she can spend time with

Now I will read you some statements about your relationship with your current or last partner, even if you are currently single: I want to know where my partner is all of the time