My partner(s):Has this ever happened to you?IF YES, how often did it happen in the past 12 months?
Blamed me for causing their violent behaviorNoYesNot in the past 12 monthsOnceA few timesMonthlyWeeklyDaily/almost daily
Shook, pushed, grabbed or threw meNoYesNot in the past 12 monthsOnceA few timesMonthlyWeeklyDaily/almost daily
Tried to convince my family, children or friends that I am crazy or tried to turn them against meNoYesNot in the past 12 monthsOnceA few timesMonthlyWeeklyDaily/almost daily
Used or threatened to use a knife or gun or other weapon to harm meNoYesNot in the past 12 monthsOnceA few timesMonthlyWeeklyDaily/almost daily
Made me perform sex acts that I did not want to performNoYesNot in the past 12 monthsOnceA few timesMonthlyWeeklyDaily/almost daily
Followed me or hung around outside my home or workNoYesNot in the past 12 monthsOnceA few timesMonthlyWeeklyDaily/almost daily
Threatened to harm or kill me or someone close to meNoYesNot in the past 12 monthsOnceA few timesMonthlyWeeklyDaily/almost daily
Choked meNoYesNot in the past 12 monthsOnceA few timesMonthlyWeeklyDaily/almost daily
Forced or tried to force me to have sexNoYesNot in the past 12 monthsOnceA few timesMonthlyWeeklyDaily/almost daily
Harassed me by phone, text, email or using social mediaNoYesNot in the past 12 monthsOnceA few timesMonthlyWeeklyDaily/almost daily
Told me I was crazy, stupid or not good enoughNoYesNot in the past 12 monthsOnceA few timesMonthlyWeeklyDaily/almost daily
Hit me with a fist or object, kicked or bit meNoYesNot in the past 12 monthsOnceA few timesMonthlyWeeklyDaily/almost daily
Kept me from seeing or talking to my family or friendsNoYesNot in the past 12 monthsOnceA few timesMonthlyWeeklyDaily/almost daily
Confined or locked me in a room or other spaceNoYesNot in the past 12 monthsOnceA few timesMonthlyWeeklyDaily/almost daily
Kept me from having access to a job, money or financial resourcesNoYesNot in the past 12 monthsOnceA few timesMonthlyWeeklyDaily/almost daily