Literal question
1105)
(Does/ did) your (last) husband ever do any of the following to you:
1) push you, shake you, or throw something at you?
YES 1
NO 2 (GO TO 1105(2))
How often did this happen during the last 12 months: often only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
NOT APPLICABLE 4
2) slap you or twist your arm?
YES 1
NO 2 (GO TO 1105(3))
How often did this happen during the last 12 months: often only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
NOT APPLICABLE 4
3) punch you with his fist or with something that could hurt you?
YES 1
NO 2 (GO TO 1105(4))
How often did this happen during the last 12 months: often only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
NOT APPLICABLE 4
4) kick you, drag you, or beat you up?
YES 1
NO 2 (GO TO 1105(5))
How often did this happen during the last 12 months: often only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
NOT APPLICABLE 4
5) try to choke you or burn you on purpose?
YES 1
NO 2 (GO TO 1105(6))
How often did this happen during the last 12 months: often only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
NOT APPLICABLE 4
6) threaten you with a knife, gun, or any other weapon?
YES 1
NO 2 (GO TO 1105(7))
How often did this happen during the last 12 months: often only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
NOT APPLICABLE 4
7) attack you with a knife, gun, or any other weapon?
YES 1
NO 2 (GO TO 1105(8))
How often did this happen during the last 12 months: often only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
NOT APPLICABLE 4
8) physically force you to have sexual intercourse with him even when you did not want to?
YES 1
NO 2 (GO TO 1106)
How often did this happen during the last 12 months: often only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
NOT APPLICABLE 4
