Literal question
1405A) Did your (last) (husband/partner) ever do any of the following things to you:
1405B) IF YES: 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?
b) slap you?
c) twist your arm or pull your hair?
d) punch you with his fist or with something that could hurt you?
e) kick you, drag you, or beat you up?
f) try to choke you or burn you on purpose?
g) threaten you or attack you with a knife, gun, or other type of weapon?
h) physically force you to have sexual intercourse with him even when you did not want to?
i) physically force you to perform other sexual acts you did not want to?
j) force you with threats or in any other way to perform sexual acts you did not want to?
a) PUSH YOU, SHAKE YOU, OR THROW SOMETHING AT YOU?
YES 1 (GO TO NEXT RESPONSE SET)
NO 2 (GO TO 1404A-B)
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
b) SLAP YOU?
YES 1 (GO TO NEXT RESPONSE SET)
NO 2 (GO TO 1404A-C)
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
c) TWIST YOUR ARM OR PULL YOUR HAIR?
YES 1 (GO TO NEXT RESPONSE SET)
NO 2 (GO TO 1404A-D)
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
d) PUNCH YOU WITH HIS FIST OR WITH SOMETHING THAT COULD HURT YOU?
YES 1 (GO TO NEXT RESPONSE SET)
NO 2 (GO TO 1404A-E)
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
e) KICK YOU, DRAG YOU, OR BEAT YOU UP?
YES 1 (GO TO NEXT RESPONSE SET)
NO 2 (GO TO 1404A-F)
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
f) TRY TO CHOKE YOU OR BURN YOU ON PURPOSE?
YES 1 (GO TO NEXT RESPONSE SET)
NO 2 (GO TO 1404A-G)
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
g) THREATEN YOU OR ATTACK YOU WITH A KNIFE, GUN, OR OTHER TYPE OF WEAPON?
YES 1 (GO TO NEXT RESPONSE SET)
NO 2 (GO TO 1404A-H)
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
h) PHYSICALLY FORCE YOU TO HAVE SEXUAL INTERCOURSE WITH HIM EVEN WHEN YOU DID NOT WANT TO?
YES 1 (GO TO NEXT RESPONSE SET)
NO 2 (GO TO 1404A-I)
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
i) PHYSICALLY FORCE YOU TO PERFORM OTHER SEXUAL ACTS YOU DID NOT WANT TO?
YES 1 (GO TO NEXT RESPONSE SET)
NO 2 (GO TO 1404A-J)
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
j) FORCE YOU WITH THREATS OR IN ANY OTHER WAY TO PERFORM SEXUAL ACTS YOU DID NOT WANT TO?
YES 1 (GO TO NEXT RESPONSE SET)
NO 2 (GO TO 1406)
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
