Domestic Violence

This survey is designed to provide a quick assessment of whether you might be in an abusive relationship. However, no test is 100% accurate. No matter what your score is, you should seek help from a health professional if you have any concerns about yourself or your loved ones.

 

This questionnaire is the 4-item HITS (Hurt, Insulted, Threatened, Screamed) screening tool, developed by Dr. Kevin Sherin. 

1. How often does your partner physically scream or curse at you?
(1.0) (2.0) (3.0) (4.0) (5.0)
2. How often does your partner insult or talk down to you?
(1.0) (2.0) (3.0) (4.0) (5.0)
3. How often does your partner threaten you with harm?
(1.0) (2.0) (3.0) (4.0) (5.0)
4. How often does your partner physically hurt you?
(1.0) (2.0) (3.0) (4.0) (5.0)