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Country: Georgia

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

How many times has your spouse ever threatened to use or actually used a gun, knife or other weapon against you?

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

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?

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

Have you ever had slapped a partner or thrown something at her that could hurt her?

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

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