Have you ever had any of the following acts done to you by a husband or a boyfriend?

• Slapping
• Shaking
• Punching
• Beating
• Biting
• Pulling Hair
• Pushing
• Pinching
• Kicking
• Stabbing
• Tickling Excessively
• Restraining
• Forcing unwanted sexual acts
• Locking her out of the house
• Destroying property
• Hurting Pets
• Physical Assault of any kind