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

1113. (Does/did) your (last) husband drink alcohol? YES 1 NO 2 (GO TO 1115)

1114. How often (does/did) he get drunk? OFTEN 1 SOMETIMES 2 NEVER 3

1111. Have you ever hit, slapped, kicked, or done anything else to physically hurt your (last) husband at times when he was not already beating or physically hurting you? YES 1 NO 2 (GO TO 1113)

1112. In the last 12 months, how often have you done this to your (last) husband: often, only sometimes, or not at all? OFTEN 1 SOMETIMES 2 NOT AT ALL 3

1138. DID YOU HAVE TO INTERRUPT THIS SECTION OF THE INTERVIEW BECAUSE SOME ADULT WAS TRYING TO LISTEN, OR CAME INTO THE ROOM, OR INTERFERED IN ANY OTHER WAY? HUSBAND YES ONCE 1 YES, MORE THAN ONCE 2 NO 3 OTHER MALE ADULT YES ONCE 1 YES, MORE THAN ONCE 2 NO 3 FEMALE ADULT YES ONCE 1 YES, MORE THAN ONCE 2 NO 3

1138. DID YOU HAVE TO INTERRUPT THIS SECTION OF THE INTERVIEW BECAUSE SOME ADULT WAS TRYING TO LISTEN, OR CAME INTO THE ROOM, OR INTERFERED IN ANY OTHER WAY? HUSBAND YES ONCE 1 YES, MORE THAN ONCE 2 NO 3 OTHER MALE ADULT YES ONCE 1 YES, MORE THAN ONCE 2 NO 3 FEMALE ADULT YES ONCE 1 YES, MORE THAN ONCE 2 NO 3

1138. DID YOU HAVE TO INTERRUPT THIS SECTION OF THE INTERVIEW BECAUSE SOME ADULT WAS TRYING TO LISTEN, OR CAME INTO THE ROOM, OR INTERFERED IN ANY OTHER WAY? HUSBAND YES ONCE 1 YES, MORE THAN ONCE 2 NO 3 OTHER MALE ADULT YES ONCE 1 YES, MORE THAN ONCE 2 NO 3 FEMALE ADULT YES ONCE 1 YES, MORE THAN ONCE 2 NO 3

1127. Who was the person who was forcing you the very first time this happened? CURRENT HUSBAND 01 FORMER HUSBAND 02 CURRENT/FORMER BOYFRIEND 03 FATHER/STEP-FATHER 04 BROTHER/STEP-BROTHER 05 OTHER RELATIVE 06 IN-LAW 07 OWN FRIEND/ACQUAINTANCE 08 FAMILY FRIEND 09 TEACHER 10 EMPLOYER/SOMEONE AT WORK 11 POLICE/SOLDIER 12 PRIEST/RELIGIOUS LEADER 13 STRANGER 14 OTHER (SPECIFY)___________96

1130. CHECK 301: EVER MARRIED. How old were you the first time you were forced to have sexual intercourse or perform any other sexual acts by anyone, including (your/any) husband?) NEVER MARRIED OR MARRIED, GAUNA NOT PERFORMED. How old were you the first time you were forced to have sexual intercourse or perform any other sexual acts? AGE IN COMPLETED YEARS __ __ DON'T REMEMBER 98

1125. Now I want to ask you about things that may have been done to you by someone other than (your/any) husband. At any time in your life, as a child or as an adult, has anyone ever forced you in any way to have sexual intercourse or perform any other sexual acts when you did not want to? YES 1 (GO TO 1127) NO 2 (GO TO 1129) REFUSED TO ANSWER/NO ANSWER (GO TO 1129)

1125. Now I want to ask you about things that may have been done to you by someone other than (your/any) husband. At any time in your life, as a child or as an adult, has anyone ever forced you in any way to have sexual intercourse or perform any other sexual acts when you did not want to? YES 1 (GO TO 1127) NO 2 (GO TO 1129) REFUSED TO ANSWER/NO ANSWER (GO TO 1129)

1117A. So far we have been talking about the behavior of your (current/last) husband. Now I want to ask you about the behavior of any previous husband. a. Did any previous husband ever hit, slap, kick, or do anything else to hurt you physically? YES 1 ( GO TO 1117B) NO 2

1117A. So far we have been talking about the behavior of your (current/last) husband. Now I want to ask you about the behavior of any previous husband. a. Did any previous husband ever hit, slap, kick, or do anything else to hurt you physically? YES 1 ( GO TO 1117B) NO 2