Literal question
1005) 5A) (Does/did) your (last) husband/partner ever:
a) Push you, shake you, or throw something at you?
YES 1
NO 2 (GO TO B)
b) slap you or twist your arm?
YES 1
NO 2 (GO TO C)
c) punch you with his fist or with something that could hurt you?
YES 1
NO 2 (GO TO D)
d) kick you or drag you?
YES 1
NO 2 (GO TO E)
e) try to strangle you or burn you?
YES 1
NO 2 (GO TO F)
f) threaten you with a knife, gun, or other type of weapon?
YES 1
NO 2 (GO TO G)
g) attack you with a knife, gun, or other type of weapon?
YES 1
NO 2 (GO TO H)
h) physically force you to have sexual intercourse with him even when you did not want to?
YES 1
NO 2 (GO TO I)
i) force you to perform other sexual acts you did not want to?
YES 1
NO 2 (GO TO 1006)
5B) How many times did this happen during the last 12 months?
a) Push you, shake you, or throw something at you?
NUMBER OF TIMES ___
IF WIDOWED, DIVORCED OR SEPARATED 95
b) slap you or twist your arm?
NUMBER OF TIMES ___
IF WIDOWED, DIVORCED OR SEPARATED 95
c) punch you with his fist or with something that could hurt you?
NUMBER OF TIMES ___
IF WIDOWED, DIVORCED OR SEPARATED 95
d) kick you or drag you?
NUMBER OF TIMES ___
IF WIDOWED, DIVORCED OR SEPARATED 95
e) try to strangle you or burn you?
NUMBER OF TIMES ___
IF WIDOWED, DIVORCED OR SEPARATED 95
f) threaten you with a knife, gun, or other type of weapon?
NUMBER OF TIMES ___
IF WIDOWED, DIVORCED OR SEPARATED 95
g) attack you with a knife, gun, or other type of weapon?
NUMBER OF TIMES ___
IF WIDOWED, DIVORCED OR SEPARATED 95
h) physically force you to have sexual intercourse with him even when you did not want to?
NUMBER OF TIMES ___
IF WIDOWED, DIVORCED OR SEPARATED 95
i) force you to perform other sexual acts you did not want to?
NUMBER OF TIMES ___
IF WIDOWED, DIVORCED OR SEPARATED 95
