In general, how would you describe your relationship? A lot of tension, some tension, no tension
Do you and your partner work out arguments with...great difficulty, some difficulty, no difficulty
Do arguments ever result in you feeling down or bad about yourself?
Do arguments ever result in hitting, kicking, or pushing?
Do you ever feel frightened by what your partner says or does?
Has your partner ever abused you physically?
Has your partner ever abused you emotionally?
For questions 3-7, respond often, sometimes or never
When a woman discloses abuse, a compassionate response, evaluation of her safety, and the provision of information about community services such as shelters are important. For more information, see the SOGC Intimate Partner Violence Consensus Statement.