中文

Please select how often your partner did each of these things in the past 12 months?

(Number of assessment: 3136 )

 
1: Has your partner ever physically hurt you in the past 12 months?         
 
2: Has your partner ever insulted you in the past 12 months?          
 
3: Has your partner ever threatened to harm you in the past 12 months?         
4: Has your partner ever screamed or cursed at you in the past 12 months?  
5: Has your partner ever forced you to have sexual activities in the past 12 months?  

Source
Chan C.C. Reliability and validity of the “extended – Hurt, Insult, Threaten, and Scream:
(E-HITS) screening tool in detecting intimate partner violence in hospital
emergency departments in Hong Kong. Hong Kong Journal of Emergency Medicine
2010; 17(2):109-11