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Print this checklist and check items that
apply to your current situation.
Physical Violence ___Slap, punch, grab, kick, choke, push, restrain, pull hair, pinch, bite ___Abuse of furniture, home furnishings, pets, destroying her possessions ___Intimidation (standing in the doorway during arguments, angry or threatening gestures, use of size to intimidate, standing over, out shouting, reckless driving ___Unwanted touching ___Threats (verbal or nonverbal, direct or indirect) ___Harassment (uninvited visits or calls, following around, checking up on, embarrassing in public, not leaving when asked) ___Isolation (preventing or making it hard to see/talk to friends, relatives, others) ___Other (please list)
Psychological and Economic Abuses ___Yelling, swearing, being lewd, raising voice, using angry expressions or gestures ___Criticism (name-calling, swearing, mocking, put-downs, ridicule, accusations, blaming, trivializing words or gestures) ___Pressure tactics (rushing to make decisions, using guilt/accusations, sulking, threatening to withhold financial
support and manipulating children.) ___Interrupting, changing topics, not listening, not responding, twisting words, topic stringing ___Economic coercion (withholding money, the car, or other resources; sabotaging attempts to work) ___Claiming "the truth" being the authority, defining behavior, using "logic" ___Lying, withholding information, infidelity ___Using pornography (e.g. magazines, movies, strip shows, home videos, etc.) ___Withholding help on childcare/housework; not doing share or following through on agreements) ___Other forms of manipulation (please list)
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