Appendix C

Dependent Measure

Partner Abuse

WE ARE INTERESTED IN HOW COUPLES DEAL WITH CONFLICT IN RELATIONSHIPS.
THIS INFORMATION IS CONFIDENTIAL AND WE WOULD LIKE TO REMIND YOU THAT
YOUR RESPONSES WILL BE REPORTED IN STATISTICAL FORM ONLY.

THE FOLLOWING QUESTIONS RELATE SPECIFICALLY TO HOW YOU AND YOUR
CURRENT OR MOST RECENT PARTNER RESOLVE CONFLICTS. PLEASE PLACE A TICK
BESIDE THE ANSWER THAT BEST DESCRIBES YOU.

 1. I threw or smashed something (but not at spouse/partner).

Never. . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
Once a year, or less . . . . . . . . . . . . . . . . . .[ ]
Two or three times a year. . . . . . . . . . . . . . . .[ ]
Often, but less than once a month. . . . . . . . . . . .[ ]
About once a month . . . . . . . . . . . . . . . . . . .[ ]
More than once a month . . . . . . . . . . . . . . . . .[ ]

 2. When was the last time this happened?

months ago. . . . . . . . . . . . . . . . . . . . . . . ____
years ago . . . . . . . . . . . . . . . . . . . . . . . ____

 3. How many times did this happen in the past year?

number of times . . . . . . . . . . . . . . . . . . . . ____

 4. During any of these episodes were you drinking alcohol?

Yes. . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
No . . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]

If yes,

 5. How many times were you drinking?

number of times . . . . . . . . . . . . . . . . . . . . ____

 6. In these episodes, were your actions in self-defense?

Yes. . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
No . . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]

If yes,

 7. How many times were your actions in self-defence?

number of times . . . . . . . . . . . . . . . . . . . ._____

 8. I threatened to hit or throw something at my spouse/partner.

Never. . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
Once a year, or less . . . . . . . . . . . . . . . . . .[ ]
Two or three times a year. . . . . . . . . . . . . . . .[ ]
Often, but less than once a month. . . . . . . . . . . .[ ]
About once a month . . . . . . . . . . . . . . . . . . .[ ]
More than once a month . . . . . . . . . . . . . . . . .[ ]

 9. When was the last time this happened?

months ago. . . . . . . . . . . . . . . . . . . . . . . ____
years ago . . . . . . . . . . . . . . . . . . . . . . . ____

10. How many times did this happen in the past year?

number of times . . . . . . . . . . . . . . . . . . . . ____

11. During any of these episodes were you drinking alcohol?

Yes. . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
No . . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]

If yes,

12. How many times were you drinking?

number of times . . . . . . . . . . . . . . . . . . . ._____

13. In these episodes, were your actions ever in self-defense?

Yes. . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
No . . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]

If yes,

14. How many times were your actions in self-defence?

number of times . . . . . . . . .  . . . . . . . . . . ._____

15. I threw something at spouse/partner.

Never. . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
Once a year, or less . . . . . . . . . . . . . . . . . .[ ]
Two or three times a year. . . . . . . . . . . . . . . .[ ]
Often, but less than once a month. . . . . . . . . . . .[ ]
About once a month . . . . . . . . . . . . . . . . . . .[ ]
More than once a month . . . . . . . . . . . . . . . . .[ ]

16. When was the last time this happened?

months ago. . . . . . . . . . . . . . . . . . . . . . . ____
years ago . . . . . . . . . . . . . . . . . . . . . . . ____

17. How many times did this happen in the last year?

number of times . . . . . . . . . . . . . . . . . . . . ____

18. During any of these episodes were you drinking alcohol?

Yes. . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
No . . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]

If yes,

19. How many times were you drinking?

number of times . . . . . . . . . . . . . . . . . . . . ____

20. Did your spouse/partner require medical attention?

Yes. . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
No . . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]

If yes,

21. How many times did your partner require medical attention?

number of times . . . . . . . . . . . . . . . . . . . . ____

22. In these episodes, were your actions in self-defence?

Yes. . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
No . . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]

If yes,

23. How many times were your actions in self-defence?

number of times . . . . . . . . . . . . . . . . . . . . ____

24. I pushed, grabbed or shoved my spouse/partner.

Never. . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
Once a year, or less . . . . . . . . . . . . . . . . . .[ ]
Two or three times a year. . . . . . . . . . . . . . . .[ ]
Often, but less than once a month. . . . . . . . . . . .[ ]
About once a month . . . . . . . . . . . . . . . . . . .[ ]
More than once a month . . . . . . . . . . . . . . . . .[ ]

25. When was the last time this happened?

months ago. . . . . . . . . . . . . . . . . . . . . . . ____
years ago . . . . . . . . . . . . . . . . . . . . . . . ____

26. How many times did this happen in the past year?

number of times . . . . . . . . . . . . . . . . . . . ._____

27. During any of these episodes were you drinking alcohol?

Yes. . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
No . . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]

If yes,

28. How many times were you drinking?

number of times . . . . . . . . . . . . . . . . . . . ._____

29. Did your partner require medical attention?

Yes. . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
No . . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]

If yes,

30. How many times did your partner require medical attention?

number of times . . . . . . . . . . . . . . . . . . . ._____

31. In these episodes, were your actions ever in self-defense?

Yes. . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
No . . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]

32. How many times were your actions in self-defence?

number of times . . . . . . . . . . . . . . . . . . ._______

33. I hit (or tried to hit) my partner but not with anything?

Never. . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
Once a year, or less . . . . . . . . . . . . . . . . . .[ ]
Two or three times a year. . . . . . . . . . . . . . . .[ ]
Often, but less than once a month. . . . . . . . . . . .[ ]
About once a month . . . . . . . . . . . . . . . . . . .[ ]
More than once a month . . . . . . . . . . . . . . . . .[ ]

34. When was the last time this happened?

months ago. . . . . . . . . . . . . . . . . . . . . . . ____
years ago . . . . . . . . . . . . . . . . . . . . . . . ____

35. How many times did this happen in the past year?

number of times . . . . . . . . . . . . . . . . . . . . ____

36. During any of these episodes were you drinking alcohol?

Yes. . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
No . . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]

If yes,

37. How many times were you drinking?

number of times . . . . . . . . . . . . . . . . . . . . ____

38. Did your partner require medical attention?

Yes. . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
No . . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]

If yes,

39. How many times did your partner require medical attention?

number of times . . . . . . . . . . . . . . . . . . . . ____

40. In these episodes, were your actions in self-defense?

Yes. . . . . . . . . .  . .. . . . . . . . . . . . . . .[ ]
No . . . . . . . . . . . .  . .. . . . . . . . . . . . .[ ]

If yes,

41. How many times were your actions in self-defence?

number of times . . . . . . . . . . . . . . . . . . . . ____

42. I hit (or tried to hit) my partner with something hard?

Never . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
Once a year, or less. . . . . . . . . . . . . . . . . . .[ ]
Two or three times a year . . . . . . . . . . . . . . . .[ ]
Often, but less than once a month . . . . . . . . . . . .[ ]
About once a month. . . . . . . . . . . . . . . . . . . .[ ]
More than once a month. . . . . . . . . . . . . . . . . .[ ]

43. When was the last time this happened?

months ago. . . . . . . . . . . . . . . . . . . . . . . ____
years ago . . . . . . . . . . . . . . . . . . . . . . . ____

44. How many times did this happen in the past year?

number of times . . . . . . . . . . . . . . . . . . . . ____

45. During any of these episodes were you drinking alcohol?

Yes. . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
No . . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]

If yes,

46. How many times were you drinking?

number of times . . . . . . . . . . . . . . . . . . . . ____

47. Did your partner require medical attention?

Yes. . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
No . . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]

If yes,

48. How many times did your partner require medical attention?

number of times . . . . . . . . . . . . . . . . . . . ._____

49. In these episodes, were your actions ever in self-defense?

Yes. . . . . . . . . . . . . . . . . . . . . . . . . . .[ ]
No . . . . .  . .. . . . . . . . . . . . . . . . . . . .[ ]

If yes,

50. How many times were your actions in self-defence?

number of times . . . . . . . . . . . . . . . . . . . ._____