Literal question
1105) (Does/did) your (last) husband/partner ever do any of the following things to you:
a) push you, shake you, or throw something at you?
YES 1
NO 2
How often did this happen during the last 12 months: often, only sometimes, or not at all? (CHECK 603 AND ASK ONLY IF RESPONDENT IS NOT A WIDOW)
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
b) slap you?
YES 1
NO 2
How often did this happen during the last 12 months: often, only sometimes, or not at all? (CHECK 603 AND ASK ONLY IF RESPONDENT IS NOT A WIDOW)
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
c) twist your arm or pull your hair?
YES 1
NO 2
How often did this happen during the last 12 months: often, only sometimes, or not at all? (CHECK 603 AND ASK ONLY IF RESPONDENT IS NOT A WIDOW)
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
d) punch you with his first or with something that could hurt you?
YES 1
NO 2
How often did this happen during the last 12 months: often, only sometimes, or not at all? (CHECK 603 AND ASK ONLY IF RESPONDENT IS NOT A WIDOW)
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
e) kick you, drag you or beat you up?
YES 1
NO 2
How often did this happen during the last 12 months: often, only sometimes, or not at all? (CHECK 603 AND ASK ONLY IF RESPONDENT IS NOT A WIDOW)
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
f) try to choke you or burn you on purpose?
YES 1
NO 2
How often did this happen during the last 12 months: often, only sometimes, or not at all? (CHECK 603 AND ASK ONLY IF RESPONDENT IS NOT A WIDOW)
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
g) threaten or attack you with a knife gun, or any other weapon?
YES 1
NO 2
How often did this happen during the last 12 months: often, only sometimes, or not at all? (CHECK 603 AND ASK ONLY IF RESPONDENT IS NOT A WIDOW)
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
h) physically force you to have sexual intercourse with him even when you did not want to?
YES 1
NO 2
How often did this happen during the last 12 months: often, only sometimes, or not at all? (CHECK 603 AND ASK ONLY IF RESPONDENT IS NOT A WIDOW)
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
i) force you to perform any sexual acts you did not want to?
YES 1
NO 2
How often did this happen during the last 12 months: often, only sometimes, or not at all? (CHECK 603 AND ASK ONLY IF RESPONDENT IS NOT A WIDOW)
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
