How often has your current husband or partner hit you with an object?

Have you threatened to use or actually used a gun, knife or other weapon against your spouse in the last twelve months?

Have you used a firearm, knife or other weapon against a partner in the last year?

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

Have you pushed or shoved a partner in the last year?

Have you hit a partner with a fist or with something else that could hurt her in the past year?

How many times have you ever threatened to use or actually use a gun, knife or other weapon against a partner/spouse?

How many times have you ever pushed or shoved a partner/spouse?

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

Have you hit a partner with a fist or with something else that could hurt her?