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Appendix 1

The Partner Abuse Interview

Many people, at one time or another, get physical with their partner
when they're angry. For example, some people threaten to hurt their
partners, some push or shove, and some slap or hit. I'm going to ask
you about a variety of common behaviors, and I'd like you to tell me
if YOUR PARTNER did these during the past year.

* For each behavior answered NO, put a "zero" in the appropriate box
and ask if patient was bruised or injured in any other way.
* If answer is yes, code "1" for no injury, "2" for possible injury,
"3" for injury.

Has your partner... Yes/No Injury Codes

1. Thrown something at you	( )	1	2	3
2. Pushed, grabbed, or shoved you	( )	1	2	3
3. Slapped you	( )	1	2	3
4. Kicked, bit, hit you with a fist	( )	1	2	3
5. Hit or tried to hit you with an object	( )	1	2	3
6. Beat you up	( )	1	2	3
7. Threatened you with a gun or knife	( )	1	2	3
8. Used a gun or knife	( )	1	2	3
9. Forced you to have sex when you didn't want to	( )	1	2	3
10. Other	( )	1	2	3

Ask the following question if the answer to any of the above
questions is anything other than "zero."-

11. Some people are afraid that their partners will physically
hurt them if they argue with their partners or do something
their partners don't like. How much would you say you are afraid
of this happening to you?"

( ) Not at all 1
( ) A little 2
( ) Quite a bit/Very afraid 3