1. Does your man gossip about you all the time?
A. Yes
B. Sometimes
C. Yes, but it's rare
D. No
2. Does your man cheats on you and doesn’t care about you finding out?
A. Yes
B. You don't know
C. Sometimes
D. No
3. Does your man take you for granted all the time?
A. Yes
B. Sometimes
C. It's possible
D. No
4. Do you feel like your man doesn’t care about your feelings?
A. Yes
B. It's possible
C. Maybe
D. He has always been concerned for my well being
5. Does your man call you names when he is angry?
A. Yes, all the time
B. Sometimes
C. Yes, but you do the same as well
D. No, never
6. Has your man ever been physically aggressive to you?
A. No
B. Yes
C. He is only vocal about it
D. Yes, but in the past
7. Has your man ever threatened you before?
A. Yes
B. Sometimes
C. You don't remember
D. No
8. Do you feel like your man is putting you down on purpose?
A. Yes
B. It happens but it’s rare
C. Sometimes
D. No
9. Do you feel like your man doesn’t respect you?
A. Yes
B. It's possible
C. Sometimes
D. No
10. Does your man criticize you all the time?
A. Yes
B. Sometimes
C. Yes, but it's rare
D. No
