Items:

Now, I am going to ask you about some situations that can happen between some women and their (husbandmale partner).

Please tell me if these descriptions apply to your relationship with your (last) (husbandmale partner).
 1. He (iswas) jealous or angry if you (talktalked) to other men?
 2. He wrongly (accusesaccused) you of being unfaithful?
 3. He (doesdid) not permit you to meet your female friends?
 4. He (triestried) to limit your contact with your family?
 5. He (insistsinsisted) on knowing where you (arewere) at all times?

Response Options:
Yes
No

 6. How often did this happen during the last 12 months: often, only sometimes, or not at all?

Response Options:
Often
Sometimes
Not in last 12 months

Now I need to ask some more questions about your relationship with your (last) (husbandmale partner).

Did your (last) (husbandmale partner) ever:
 7. Say or do something to humiliate you in front of others?
 8. Threaten to hurt or harm you or someone you care about?
 9. Insult you or make you feel bad about yourself?

Response Options:
Yes
No

 10. How often did this happen during the last 12 months: often, only sometimes, or not at all?

Response Options:
Often
Sometimes
Not in last 12 months