Has your partner ever...

  • hit, grabbed, strangled, bitten, burned, slapped or pushed you?
  • used a gun or knife or some kind of weapon against you?
  • hit you with some object like a bat or pan or belt?
  • hit, held or squeezed you so hard that it left a bruise?
  • threatened to hurt or to kill you or your children or your friends?
  • withheld money, food, medicine or transportation from you?
  • called you names, made you feel ashamed of yourself, humiliated you?
  • put you down in front of your children, your friends, your boss?
  • forced you to have sex when you did not want to?
  • forced you to perform sexual acts you did not want to?
  • destroyed or broken your possessions?
  • threatened to harm or kill himself if you do or don't do something?
  • abused or killed pets?