How often have you threatened to use or actually used a gun, knife or other weapon against your partner?

How often have you pushed, cornered, or pulled your partner’s hair?

How often have you slapped a woman or thrown something at her that could hurt her?

How often have you slapped your partner or thrown something at her that could hurt her?

How often have you pushed, cornered, or pulled a woman’s hair?

How often have you kicked, dragged, beaten your partner?

How often have you hit your partner with a fist or with something else that could hurt her?

How often have you hit a woman with a fist or with something else that could hurt her?

How often have you choked or burned your partner on purpose?

How often have you kicked, dragged, beaten a woman?