Nanana
Date: sept-07-2012
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How often does your partner:
1.Criticize you for your appearance (weight, dress, hair, etc.)?
2. Embarrass you in front of others by putting you down?
3. Blame you or others for his or her mistakes?
4. Curse at you, shout atyou, say mean things, insult or mock you?
5. Demonstrate uncontrollable anger?
6. Criticize your friends, family, or others who are close to you?
7. Threaten to leave you if you don’t behave ina certain way?
8. Manipulate you to prevent you from spending time with friends or family?
9. Express jealousy, distrust, and anger when you spend time with other people?
10. Make all thesignificant decisions in your relationship?
11. Intimidate or threaten you, making you fearful or anxious?
12. Make threats to harm others you care about?
13. Control your telephone calls,listen in on your messages, or read your e-mail?
14. Punch, hit, or slap you?
15. Gossip about you to turn others against you or make them think bad things
about you?
16. Make you feel guiltyabout something?
17. Use money or possessions to control you?
18. Force you to have sex or perform sexual acts that make you feel
uncomfortable?
19. Threaten to kill himself or herself ifyou leave?
20. Follow you, call to check on you, or demonstrate a constant obsession with what
you are doing?
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How often do you:
1. Drink more than 1 or 2 drinks while out withfriends or at a party?
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2. Leave your drinks unattended while you get up to dance or go to the bathroom?
3. Accept drinks from strangerswhile out at a bar or party?
4. Leave parties with people you barely know or just met?
5. Walk alone in poorly lit or unfamiliar places?
6. Open the door to strangers?
7. Leave your car...
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