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

Has a male partner ever kicked, dragged, beaten, choked or burned you in the last year?

Have any of your partners kicked, dragged or beaten you in the last year?

[NEVER PARTNERED WOMEN] Have any of your partners kicked, dragged or beaten you in the last year?

Has a male partner kicked, dragged, beaten you in the last twelve months?

Has your husband kicked, dragged, beaten you in the last twelve months?

Has any male partner ever kicked, dragged, hit, tried to hang or burned you in the last year?

Has your current or any other partner ever kicked, dragged, beaten, choked or burned you in the last year?

Has your spouse ever kicked, dragged, beaten, choked or burned you in the last twelve months?

Has a male partner choked or burned you on purpose in the last twelve months?