Have you done any of these things [involving emotional intimate partner violence] in the past 12 months?

Have you ever threatened to hurt a wife/partner?

Have you ever hurt people your partner cares about as a way of hurting her, or damaged things of importance to her? If yes, did this happen once, a few times or many times?

Have you ever insulted a partner or deliberately made her feel bad about herself?

Have you ever done things to scare or intimidate a wife/partner on purpose for example by the way you looked at her, by yelling and smashing things?

Have you ever belittled or humiliated a wife/partner in front of other people?

Have you done any of these things [involving economic intimate partner violence] in the past 12 months?

Have you ever taken a wife/partern’s earnings against her will?

Have you ever thrown a partner out of the house?

Have you ever prohibited a partner from getting a job, going to work, trading or earning money?