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. 2013 Sep 10;13:821. doi: 10.1186/1471-2458-13-821

Table 1.

Dating violence questions (Has any partner you’ve been involved with between ages 13 and 19 ever …)

Physical/sexual  
 
…hit, slapped, or physically hurt you on purpose?
 
… pressured you to participate in sexual activities by begging or arguing with you, or by threatening to end your relationship?
 
… pressured you to participate in sexual activities by threatening you with physical force (i.e., twisting your arm or holding you down)?
Non-physical
 
 
…threatened to hit or slap you, to spread rumors about you, to destroy something belonging to you, or to harm you in some other way?
 
…tried to control your behavior by always checking up on you, telling you who your friends could be, or telling you what you could do and when?
 
…called you names, put down your looks, or said things to hurt your feelings on purpose?
 
…shouted, yelled, insulted, or sworn at you?
  …made unwanted phone calls, send unwanted text messages, emails, or gifts, or showed up in person and waited for you when you didn’t want them to?