How many times have you slapped a girlfriend, wife or partner or thrown something at her which could hurt her? |
Never; Once; More than once |
How many times have you pushed or shoved a girlfriend, wife or partner? |
Never; Once; More than once |
How many times have you hit a girlfriend, wife or partner with a fist or with something else which could hurt her? |
Never; Once; More than once |
How many times have you kicked, dragged, beaten, choked or burnt a girlfriend, wife or partner? |
Never; Once; More than once |
How many times have you threatened to use or actually used a gun, knife or other weapon against a girlfriend, wife or partner? |
Never; Once; More than once |
Have you done any of these things in the last 12 months? [Only asked to those responding positively to one or more of the above items] |
No; Yes |
Items for sexual IPV experience (women) |
Responses |
Has a current or previous husband or boyfriend ever physically forced you to have sex when you did not want to? |
Never; Once; More than once |
Have you ever had sex with a current or previous husband or boyfriend when you did not want to because you were afraid of what he might do? |
Never; Once; More than once |
Has your current or previous husband or boyfriend ever forced you to watch pornography when you didn’t want to? |
Never; Once; More than once |
Has a current or previous husband or boyfriend ever forced you to do something else sexual that did not want to do? |
Never; Once; More than once |
Has any of these things happened in the past 12 months? [Only asked to those responding positively to one or more of the above items] |
No; Yes |
Items for non-partner sexual violence (men only) |
Responses |
Have you ever forced a woman or girl who was not your girlfriend or wife at the time to have sex with you? |
Never; Once; More than once |
Have you ever had sex with a woman or girl when who was not your girlfriend or wife when she was too drunk or drugged to say whether she wanted it or not? |
Never; Once; More than once |
Have you and other men ever had sex with a woman or girl who was not your girlfriend or wife at the same time when she didn’t agree to sex or you forced her? |
Never; Once; More than once |
Have you and other men ever had sex with a woman or girl who was not your girlfriend or wife at the same time when she was too drunk or drugged to stop you? |
Never; Once; More than once |
Have you done any of these things (forced a woman or girl who was not your girlfriend or wife into sex) in the past 12 months? [Only asked to those responding positively to one or more of the above items] |
No; Yes |