Have you ever taken a partner’s earnings against her will?

Have you ever kept money from your earnings for alcohol, tobacco or other things for yourself when you knew your partner was finding it hard to afford the household expenses?

Do you own a weapon?

How often have you been involved in a fight with a knife or other weapon?

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?

Have you ever been sent to prison?

How many times have you been arrested?