Have you experienced any of the following forms of violence outside the home in the last 3 months: Threatened with a gun

Have you experienced any of the following forms of violence outside the home in the last 3 months: Threatened with a knife, broken bottle, or other weapon (excluding guns)

Have you experienced any of the following forms of violence outside the home in the last 3 months: Robbed

Have you experienced any of the following forms of violence outside the home in the last 3 months: Punched or Hit

Has your partner ever taken something that belongs to someone else?

Has your partner ever participated in a gang or cult activities?

Has your partner ever been involved in a fight with a weapon?

Has he ever been sent to prison?

How many times has he been arrested?

Have you ever been sent to prison?