|
Do you or have you
|
Yes
|
No
|
|
Bossed your partner around
|
|
|
|
Pouted or denied affection (i.e.,
silent treatment) to your partner
|
|
|
|
Checked up on them (listened to phone
calls, called them often at work, followed them)
|
|
|
|
Stormed out in the middle of an
argument
|
|
|
|
Insulted your partner
|
|
|
|
Often interrupted partner while
talking
|
|
|
|
Accused your partner of flirting or
cheating on you
|
|
|
|
Acted jealous or suspicious of your
partner’s friends
|
|
|
|
Blamed your partner for your problems
|
|
|
|
Made negative comments on how your
partner dresses
|
|
|
|
Made negative comments about your
partner’s body
|
|
|
|
Kept or attempted to keep your partner
from leaving
|
|
|
|
Yelled or screamed at your partner
|
|
|
|
Treated your partner like a personal
servant
|
|
|
|
Spit at, or pulled your partner’s
hair
|
|
|
|
Slapped your partner
|
|
|
|
Made it difficult for your partner to
socialize with friends
|
|
|
|
Told your partner she/he was crazy
|
|
|
|
Pushed, grabbed, shoved or threw your
partner
|
|
|
|
Hit your partner with something
|
|
|
|
Pulled or tore off your partner’s
clothes
|
|
|
|
Drove fast to scare your partner
|
|
|
|
Threw, hit or destroyed property
|
|
|
|
Bit or scratched your partner
|
|
|
|
Forced your partner to do something
she or he didn’t want to do
|
|
|
|
Punched your partner with your fist
|
|
|
|
Kicked your partner
|
|
|
|
Choked or strangled your partner
|
|
|
|
Used or threatened your partner with a
weapon
|
|
|
|
Physically forced your partner to have
sex
|
|
|
|
Begged partner for sex and wouldn’t
stop until partner agreed
|
|
|
|
Physically harmed pets
|
|
|
|
Threatened to hit your partner or
throw something at him or her
|
|
|
|
Said things to scare him or her
(something “bad” would happen, threatened to commit suicide)
|
|
|
|
Anything that hasn’t been mentioned
|
|
|
Program Components
