Items:

How often did this happen?

1. I showed my partner I cared even though we disagreed.
2. My partner showed care for me even though we disagreed.
3. I explained my side of a disagreement to my partner.
4. My partner explained his or her side of a disagreement to me.
5. I insulted or swore at my partner.
6. My partner did this to me.
7. I threw something at my partner that could hurt.
8. My partner did this to me.
9. I twisted my partner’s arm or hair.
10. My partner did this to me.
11. I had a sprain, bruise, or small cut because of a fight with my partner.
12. My partner had a sprain, bruise, or small cut because of a fight with me.
13. I showed respect for my partner’s feelings about an issue.
14. My partner showed respect for my feelings about an issue.
15. I made my partner have sex without a condom.
16. My partner did this to me.
17. I pushed or shoved my partner.
18. My partner did this to me.
19. I used force (like hitting, holding down, or using a weapon) to make my partner have oral or anal sex.
20. My partner did this to me.
21. I used a knife or gun on my partner.
22. My partner did this to me.
23. I passed out from being hit on the head by my partner in a fight.
24. My partner passed out from being hit on the head in a fight with me.
25. I called my partner fat or ugly.
26. My partner called me fat or ugly.
27. I punched or hit my partner with something that could hurt.
28. My partner did this to me.
29. I destroyed something belonging to my partner.
30. My partner did this to me.
31. I went to a doctor because of a fight with my partner.
32. My partner went to a doctor because of a fight with me.
33. I choked my partner.
34. My partner did this to me.
35. I shouted or yelled at my partner.
36. My partner did this to me.
37. I slammed my partner against a wall.
38. My partner did this to me.
39. I said I was sure we could work out a problem.
40. My partner was sure we could work it out.
41. I needed to see a doctor because of a fight with my partner, but I didn’t.
42. My partner needed to see a doctor because of a fight with me, but didn’t.
43. I beat up my partner.
44. My partner did this to me 45. I grabbed my partner.
46. My partner did this to me.
47. I used force (like hitting, holding down, or using a weapon) to make my partner have sex.
48. My partner did this to me.
49. I stomped out of the room or house or yard during a disagreement.
50. My partner did this to me.
51. I insisted on sex when my partner did not want to (but did not use physical force).
52. My partner did this to me.
53. I slapped my partner.
54. My partner did this to me.
55. I had a broken bone from a fight with my partner.
56. My partner had a broken bone from a fight with me.
57. I used threats to make my partner have oral or anal sex.
58. My partner did this to me.
59. I suggested a compromise to a disagreement.
60. My partner did this to me.
61. I burned or scalded my partner on purpose.
62. My partner did this to me.
63. I insisted my partner have oral or anal sex (but did not use physical force).
64. My partner did this to me.
65. I accused my partner of being a lousy lover.
66. My partner accused me of this.
67. I did something to spite my partner.
68. My partner did this to me.
69. I threatened to hit or throw something at my partner.
70. My partner did this to me.
71. I felt physical pain that still hurt the next day because of a fight with my partner.
72. My partner still felt physical pain the next day because of a fight we had.
73. I kicked my partner.
74. My partner did this to me.
75. I used threats to make my partner have sex. 76. My partner did this to me.
77. I agreed to try a solution to a disagreement my partner suggested.
78. My partner agreed to try a solution I suggested.

Response Options:
Once in the past year - 1
Twice in the past year - 2
3-5 times in the past year - 3
6-10 times in the past year - 4
11-20 times in the past year - 5
More than 20 times in the past year - 6
Not in the past year, but it did happen before - 7
This has never happened - 0