Literal question
1105(A). Did your (last) husband ever do any of the following things to you:
a) push you, shake you, or throw something at you?
YES 1 (GO TO 1105B)
NO 2
b) slap you?
YES 1 (GO TO 1105B)
NO 2
c) twist your arm or pull your hair?
YES 1 (GO TO 1105B)
NO 2
d) punch you with his fist or with something that could hurt you?
YES 1 (GO TO 1105B)
NO 2
e) kick you, drag you, or beat you up?
YES 1 (GO TO 1105B)
NO 2
f) try to choke you or burn you on purpose?
YES 1 (GO TO 1105B)
NO 2
g) threaten to attack you with a knife, gun, or other weapon?
YES 1 (GO TO 1105B)
NO 2
h) physically force you to have sexual intercourse with him when you did not want to?
YES 1 (GO TO 1105B)
NO 2
i) physically force you to perform any other sexual acts did you not want to?
YES 1 (GO TO 1105B)
NO 2
j) force you with threats or in any other way to perform sexual acts you did not want to?
YES 1 (GO TO 1105B)
NO 2
1105B. How often did this happen during the last 12 months: often, only sometimes, or not at all?
a) push you, shake you, or throw something at you?
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
b) slap you?
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
c) twist your arm or pull your hair?
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
d) punch you with his fist or with something that could hurt you?
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
e) kick you, drag you, or beat you up?
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
f) try to choke you or burn you on purpose?
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
g) threaten to attack you with a knife, gun, or other weapon?
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
h) physically force you to have sexual intercourse with him when you did not want to?
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
i) physically force you to perform any other sexual acts did you not want to?
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
j) force you with threats or in any other way to perform sexual acts you did not want to?
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
