1107A. Now if you will permit me, I need to ask some more questions about your relationship with you (last) husband. (Does/did) your (last) husband ever: a. Push you, shake you, or throw something at you? YES 1 (GO TO 1107B-a) NO 2 (GO TO 1107A-b) b. Twist your arm or pull your hair? YES 1 (GO TO 1107B-b) NO 2 (GO TO 1107A-c) c. Slap you? YES 1 (GO TO 1107B-c) NO 2 (GO TO 1107A-d) d. Punch you with his fist or with something that could hurt you? YES 1 (GO TO 1107B-d) NO 2 (GO TO 1107A-e) e. Kick you, drag you or beat you up? YES 1 (GO TO 1107B-e) NO 2 (GO TO 1107A-f) f. Try to choke you or burn you on purpose? YES 1 (GO TO 1107B-f) NO 2 (GO TO 1107A-g) g. Threaten to attack you with a knife, gun, or any other weapon? YES 1 (GO TO 1107B-g) NO 2 (GO TO 1107A-h) h. Physically force you to have sexual intercourse with him even when you did not want to? YES 1 (GO TO 1107B-h) NO 2 (GO TO 1107A-i) i. Physically force you to perform any other sexual acts you did not want to? YES 1 (GO TO 1107B-i) NO 2 (GO TO 1107A-j) j. Force you with threats or in any other way to perform sexual acts you did not want to? YES 1 (GO TO 1107B-j) NO 2

1107A. Now if you will permit me, I need to ask some more questions about your relationship with you (last) husband. (Does/did) your (last) husband ever: a. Push you, shake you, or throw something at you? YES 1 (GO TO 1107B-a) NO 2 (GO TO 1107A-b) b. Twist your arm or pull your hair? YES 1 (GO TO 1107B-b) NO 2 (GO TO 1107A-c) c. Slap you? YES 1 (GO TO 1107B-c) NO 2 (GO TO 1107A-d) d. Punch you with his fist or with something that could hurt you? YES 1 (GO TO 1107B-d) NO 2 (GO TO 1107A-e) e. Kick you, drag you or beat you up? YES 1 (GO TO 1107B-e) NO 2 (GO TO 1107A-f) f. Try to choke you or burn you on purpose? YES 1 (GO TO 1107B-f) NO 2 (GO TO 1107A-g) g. Threaten to attack you with a knife, gun, or any other weapon? YES 1 (GO TO 1107B-g) NO 2 (GO TO 1107A-h) h. Physically force you to have sexual intercourse with him even when you did not want to? YES 1 (GO TO 1107B-h) NO 2 (GO TO 1107A-i) i. Physically force you to perform any other sexual acts you did not want to? YES 1 (GO TO 1107B-i) NO 2 (GO TO 1107A-j) j. Force you with threats or in any other way to perform sexual acts you did not want to? YES 1 (GO TO 1107B-j) NO 2

1109. How long after you first got married to your (last) husband did (this/any of these things) first happen? IF LESS THAN ONE YEAR, RECORD '00'. NUMBER OF YEARS __ __ BEFORE MARRIAGE 95

1107A. Now if you will permit me, I need to ask some more questions about your relationship with you (last) husband. (Does/did) your (last) husband ever: a. Push you, shake you, or throw something at you? YES 1 (GO TO 1107B-a) NO 2 (GO TO 1107A-b) b. Twist your arm or pull your hair? YES 1 (GO TO 1107B-b) NO 2 (GO TO 1107A-c) c. Slap you? YES 1 (GO TO 1107B-c) NO 2 (GO TO 1107A-d) d. Punch you with his fist or with something that could hurt you? YES 1 (GO TO 1107B-d) NO 2 (GO TO 1107A-e) e. Kick you, drag you or beat you up? YES 1 (GO TO 1107B-e) NO 2 (GO TO 1107A-f) f. Try to choke you or burn you on purpose? YES 1 (GO TO 1107B-f) NO 2 (GO TO 1107A-g) g. Threaten to attack you with a knife, gun, or any other weapon? YES 1 (GO TO 1107B-g) NO 2 (GO TO 1107A-h) h. Physically force you to have sexual intercourse with him even when you did not want to? YES 1 (GO TO 1107B-h) NO 2 (GO TO 1107A-i) i. Physically force you to perform any other sexual acts you did not want to? YES 1 (GO TO 1107B-i) NO 2 (GO TO 1107A-j) j. Force you with threats or in any other way to perform sexual acts you did not want to? YES 1 (GO TO 1107B-j) NO 2

1107A. Now if you will permit me, I need to ask some more questions about your relationship with you (last) husband. (Does/did) your (last) husband ever: a. Push you, shake you, or throw something at you? YES 1 (GO TO 1107B-a) NO 2 (GO TO 1107A-b) b. Twist your arm or pull your hair? YES 1 (GO TO 1107B-b) NO 2 (GO TO 1107A-c) c. Slap you? YES 1 (GO TO 1107B-c) NO 2 (GO TO 1107A-d) d. Punch you with his fist or with something that could hurt you? YES 1 (GO TO 1107B-d) NO 2 (GO TO 1107A-e) e. Kick you, drag you or beat you up? YES 1 (GO TO 1107B-e) NO 2 (GO TO 1107A-f) f. Try to choke you or burn you on purpose? YES 1 (GO TO 1107B-f) NO 2 (GO TO 1107A-g) g. Threaten to attack you with a knife, gun, or any other weapon? YES 1 (GO TO 1107B-g) NO 2 (GO TO 1107A-h) h. Physically force you to have sexual intercourse with him even when you did not want to? YES 1 (GO TO 1107B-h) NO 2 (GO TO 1107A-i) i. Physically force you to perform any other sexual acts you did not want to? YES 1 (GO TO 1107B-i) NO 2 (GO TO 1107A-j) j. Force you with threats or in any other way to perform sexual acts you did not want to? YES 1 (GO TO 1107B-j) NO 2

1110. Did the following ever happen as a result of what your (last) husband did to you? a. You had cuts, bruises or aches? b. You had severe burns? c. You had eye injuries, sprains, dislocations, or minor burns? d. You had deep wounds, broken bones, broken teeth, or any other serious injury? CUTS/BRUISES YES 1 NO 2 SEVERE BURNS YES 1 NO 2 EYE INJURIES, SPRAINS, DISLOCATIONS, ETC. YES 1 NO 2 OTHER SERIOUS INJURY YES 1 NO 2

1110. Did the following ever happen as a result of what your (last) husband did to you? a. You had cuts, bruises or aches? b. You had severe burns? c. You had eye injuries, sprains, dislocations, or minor burns? d. You had deep wounds, broken bones, broken teeth, or any other serious injury? CUTS/BRUISES YES 1 NO 2 SEVERE BURNS YES 1 NO 2 EYE INJURIES, SPRAINS, DISLOCATIONS, ETC. YES 1 NO 2 OTHER SERIOUS INJURY YES 1 NO 2

1110. Did the following ever happen as a result of what your (last) husband did to you? a. You had cuts, bruises or aches? b. You had severe burns? c. You had eye injuries, sprains, dislocations, or minor burns? d. You had deep wounds, broken bones, broken teeth, or any other serious injury? CUTS/BRUISES YES 1 NO 2 SEVERE BURNS YES 1 NO 2 EYE INJURIES, SPRAINS, DISLOCATIONS, ETC. YES 1 NO 2 OTHER SERIOUS INJURY YES 1 NO 2

1110. Did the following ever happen as a result of what your (last) husband did to you? a. You had cuts, bruises or aches? b. You had severe burns? c. You had eye injuries, sprains, dislocations, or minor burns? d. You had deep wounds, broken bones, broken teeth, or any other serious injury? CUTS/BRUISES YES 1 NO 2 SEVERE BURNS YES 1 NO 2 EYE INJURIES, SPRAINS, DISLOCATIONS, ETC. YES 1 NO 2 OTHER SERIOUS INJURY YES 1 NO 2

1110. Did the following ever happen as a result of what your (last) husband did to you? a. You had cuts, bruises or aches? b. You had severe burns? c. You had eye injuries, sprains, dislocations, or minor burns? d. You had deep wounds, broken bones, broken teeth, or any other serious injury? CUTS/BRUISES YES 1 NO 2 SEVERE BURNS YES 1 NO 2 EYE INJURIES, SPRAINS, DISLOCATIONS, ETC. YES 1 NO 2 OTHER SERIOUS INJURY YES 1 NO 2

1107A. Now if you will permit me, I need to ask some more questions about your relationship with you (last) husband. (Does/did) your (last) husband ever: a. Push you, shake you, or throw something at you? YES 1 (GO TO 1107B-a) NO 2 (GO TO 1107A-b) b. Twist your arm or pull your hair? YES 1 (GO TO 1107B-b) NO 2 (GO TO 1107A-c) c. Slap you? YES 1 (GO TO 1107B-c) NO 2 (GO TO 1107A-d) d. Punch you with his fist or with something that could hurt you? YES 1 (GO TO 1107B-d) NO 2 (GO TO 1107A-e) e. Kick you, drag you or beat you up? YES 1 (GO TO 1107B-e) NO 2 (GO TO 1107A-f) f. Try to choke you or burn you on purpose? YES 1 (GO TO 1107B-f) NO 2 (GO TO 1107A-g) g. Threaten to attack you with a knife, gun, or any other weapon? YES 1 (GO TO 1107B-g) NO 2 (GO TO 1107A-h) h. Physically force you to have sexual intercourse with him even when you did not want to? YES 1 (GO TO 1107B-h) NO 2 (GO TO 1107A-i) i. Physically force you to perform any other sexual acts you did not want to? YES 1 (GO TO 1107B-i) NO 2 (GO TO 1107A-j) j. Force you with threats or in any other way to perform sexual acts you did not want to? YES 1 (GO TO 1107B-j) NO 2

1107A. Now if you will permit me, I need to ask some more questions about your relationship with you (last) husband. (Does/did) your (last) husband ever: a. Push you, shake you, or throw something at you? YES 1 (GO TO 1107B-a) NO 2 (GO TO 1107A-b) b. Twist your arm or pull your hair? YES 1 (GO TO 1107B-b) NO 2 (GO TO 1107A-c) c. Slap you? YES 1 (GO TO 1107B-c) NO 2 (GO TO 1107A-d) d. Punch you with his fist or with something that could hurt you? YES 1 (GO TO 1107B-d) NO 2 (GO TO 1107A-e) e. Kick you, drag you or beat you up? YES 1 (GO TO 1107B-e) NO 2 (GO TO 1107A-f) f. Try to choke you or burn you on purpose? YES 1 (GO TO 1107B-f) NO 2 (GO TO 1107A-g) g. Threaten to attack you with a knife, gun, or any other weapon? YES 1 (GO TO 1107B-g) NO 2 (GO TO 1107A-h) h. Physically force you to have sexual intercourse with him even when you did not want to? YES 1 (GO TO 1107B-h) NO 2 (GO TO 1107A-i) i. Physically force you to perform any other sexual acts you did not want to? YES 1 (GO TO 1107B-i) NO 2 (GO TO 1107A-j) j. Force you with threats or in any other way to perform sexual acts you did not want to? YES 1 (GO TO 1107B-j) NO 2

1107A. Now if you will permit me, I need to ask some more questions about your relationship with you (last) husband. (Does/did) your (last) husband ever: a. Push you, shake you, or throw something at you? YES 1 (GO TO 1107B-a) NO 2 (GO TO 1107A-b) b. Twist your arm or pull your hair? YES 1 (GO TO 1107B-b) NO 2 (GO TO 1107A-c) c. Slap you? YES 1 (GO TO 1107B-c) NO 2 (GO TO 1107A-d) d. Punch you with his fist or with something that could hurt you? YES 1 (GO TO 1107B-d) NO 2 (GO TO 1107A-e) e. Kick you, drag you or beat you up? YES 1 (GO TO 1107B-e) NO 2 (GO TO 1107A-f) f. Try to choke you or burn you on purpose? YES 1 (GO TO 1107B-f) NO 2 (GO TO 1107A-g) g. Threaten to attack you with a knife, gun, or any other weapon? YES 1 (GO TO 1107B-g) NO 2 (GO TO 1107A-h) h. Physically force you to have sexual intercourse with him even when you did not want to? YES 1 (GO TO 1107B-h) NO 2 (GO TO 1107A-i) i. Physically force you to perform any other sexual acts you did not want to? YES 1 (GO TO 1107B-i) NO 2 (GO TO 1107A-j) j. Force you with threats or in any other way to perform sexual acts you did not want to? YES 1 (GO TO 1107B-j) NO 2

1107A. Now if you will permit me, I need to ask some more questions about your relationship with you (last) husband. (Does/did) your (last) husband ever: a. Push you, shake you, or throw something at you? YES 1 (GO TO 1107B-a) NO 2 (GO TO 1107A-b) b. Twist your arm or pull your hair? YES 1 (GO TO 1107B-b) NO 2 (GO TO 1107A-c) c. Slap you? YES 1 (GO TO 1107B-c) NO 2 (GO TO 1107A-d) d. Punch you with his fist or with something that could hurt you? YES 1 (GO TO 1107B-d) NO 2 (GO TO 1107A-e) e. Kick you, drag you or beat you up? YES 1 (GO TO 1107B-e) NO 2 (GO TO 1107A-f) f. Try to choke you or burn you on purpose? YES 1 (GO TO 1107B-f) NO 2 (GO TO 1107A-g) g. Threaten to attack you with a knife, gun, or any other weapon? YES 1 (GO TO 1107B-g) NO 2 (GO TO 1107A-h) h. Physically force you to have sexual intercourse with him even when you did not want to? YES 1 (GO TO 1107B-h) NO 2 (GO TO 1107A-i) i. Physically force you to perform any other sexual acts you did not want to? YES 1 (GO TO 1107B-i) NO 2 (GO TO 1107A-j) j. Force you with threats or in any other way to perform sexual acts you did not want to? YES 1 (GO TO 1107B-j) NO 2

1107A. Now if you will permit me, I need to ask some more questions about your relationship with you (last) husband. (Does/did) your (last) husband ever: a. Push you, shake you, or throw something at you? YES 1 (GO TO 1107B-a) NO 2 (GO TO 1107A-b) b. Twist your arm or pull your hair? YES 1 (GO TO 1107B-b) NO 2 (GO TO 1107A-c) c. Slap you? YES 1 (GO TO 1107B-c) NO 2 (GO TO 1107A-d) d. Punch you with his fist or with something that could hurt you? YES 1 (GO TO 1107B-d) NO 2 (GO TO 1107A-e) e. Kick you, drag you or beat you up? YES 1 (GO TO 1107B-e) NO 2 (GO TO 1107A-f) f. Try to choke you or burn you on purpose? YES 1 (GO TO 1107B-f) NO 2 (GO TO 1107A-g) g. Threaten to attack you with a knife, gun, or any other weapon? YES 1 (GO TO 1107B-g) NO 2 (GO TO 1107A-h) h. Physically force you to have sexual intercourse with him even when you did not want to? YES 1 (GO TO 1107B-h) NO 2 (GO TO 1107A-i) i. Physically force you to perform any other sexual acts you did not want to? YES 1 (GO TO 1107B-i) NO 2 (GO TO 1107A-j) j. Force you with threats or in any other way to perform sexual acts you did not want to? YES 1 (GO TO 1107B-j) NO 2