Survey Text

Afghanistan 2015 Ghana 2008 Mali 2012 Senegal 2017
Angola 2015 India 2005 Mali 2018 South Africa 2016
Benin 2017 India 2015 Mozambique 2011 Tanzania 2010
Burkina Faso 2010 Jordan 2007 Myanmar 2015 Tanzania 2015
Burundi 2016 Jordan 2012 Namibia 2013 Uganda 2006
Cameroon 2004 Jordan 2017 Nepal 2011 Uganda 2011
Cameroon 2011 Kenya 2003 Nepal 2016 Uganda 2016
Chad 2014 Kenya 2008 Nigeria 2008 Zambia 2007
Congo (Democratic Republic) 2007 Kenya 2014 Nigeria 2013 Zambia 2013
Congo (Democratic Republic) 2013 Liberia 2007 Nigeria 2018 Zambia 2018
Cote d'Ivoire 2011 Malawi 2004 Pakistan 2012 Zimbabwe 2005
Egypt 2005 Malawi 2010 Pakistan 2017 Zimbabwe 2010
Egypt 2014 Malawi 2016 Rwanda 2005 Zimbabwe 2015
Ethiopia 2016 Mali 2006 Rwanda 2014
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Afghanistan 2015
Survey form view entire document:  text 
1304. Now I need to ask some more questions about your relationship with your (last) husband.

1304A. Did your (last) husband ever:

a) say or do something to humiliate you in front of others?
YES 1 (FOLLOW UP WITH 1304B)
NO 2
b) threaten to hurt or harm you or someone you care about?
YES 1 (FOLLOW UP WITH 1304B)
NO 2
c) insult you or make you feel bad about yourself?
YES 1 (FOLLOW UP WITH 1304B)
NO 2

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Angola 2015
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1305) Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner.

A. Does (did) your (last) husband/partner ever:

A) Say or do something to humiliate you in front of others?
B) Threaten to hurt or harm you or someone close to you?
C) Insult you or make you feel bad about yourself?

A) HUMILIATE
AT ANY TIME
YES 1 (GO TO PART B)
NO 2 (GO TO NEXT QUESTION)
B) THREATEN/HARM
AT ANY TIME
YES 1 (GO TO PART B)
NO 2 (GO TO NEXT QUESTION)
C) INSULT
AT ANY TIME
YES 1 (GO TO PART B)
NO 2 (GO TO NEXT QUESTION)

B) How often did this happen during the last 12 months: often, only sometimes, or never?

A) HUMILIATE
OFTEN 1
SOMETIMES 2
NEVER 3
B) THREATEN/HARM
OFTEN 1
SOMETIMES 2
NEVER 3
C) INSULT
OFTEN 1
SOMETIMES 2
NEVER 3

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Benin 2017
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1504) Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner.
a) (Does/did) your (last) (husband/partner) ever:
b) How often did this happen during the last 12 months: often, only sometimes, or not in the last 12 months?

a) Ever say or do something to humiliate you in front of others?
Yes 1
No 2
Often 1
Sometimes 2
Not in the last 12 months 3
b) Ever threaten to hurt or harm you or someone you care about?
Yes 1
No 2
Often 1
Sometimes 2
Not in the last 12 months 3
c) Ever insult you or make you feel bad about yourself?
Yes 1
No 2
Often 1
Sometimes 2
Not in the last 12 months 3

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Burkina Faso 2010
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1305. Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner:

1305A. (Does/did) your last husband/partner ever:

a) Say or do something to humiliate you in front of others?

YES 1 (GO TO 1305B-a)
NO 2 (GO TO 1305A-b)

b) Threaten to hurt or harm you or someone you care about?

YES 1 (GO TO 1305B-b)
NO 2 (GO TO 1306)

1305B. How many times did this happen during the last 12 months?

a) Say or do something to humiliate you in front of others?

NUMBER OF TIMES ___ (RETURN TO 1305A-b)
WIDOWED, DIVORCED, OR SEPARATED 95 (RETURN TO 1305A-b)

b) Threaten to hurt or harm you or someone you care about?

NUMBER OF TIMES ____ (GO TO 1306)
WIDOWED, DIVORCED, OR SEPARATED 95 (GO TO 1306)

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Burundi 2016
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1505) Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner.

A. (Does/did) your last husband/partner ever:
B. How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?
A.
YES 1
NO 2
B.
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
b) Threaten to hurt or harm you or someone you care about?
A.
YES 1
NO 2
B.
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
c) insult you or make you feel bad about yourself?
A.
YES 1
NO 2
B.
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3

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Cameroon 2004
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1105) Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner.

5A. (Does/did) your (last) husband/partner ever:

a) Say or do something to humiliate you in front of others?
YES 1 (GO TO 5B)
NO 2
b) Threaten you or someone close to you with harm?
YES 1 (GO TO 5B)
NO 2

5B. How many times did this happen during the last 12 months?

a) TIMES IN THE LAST 12 MONTHS: ___
IF WIDOWED, DIVORCED OR SEPARATED 95

b) TIMES IN THE LAST 12 MONTHS: ___
IF WIDOWED, DIVORCED OR SEPARATED 95

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Cameroon 2011
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1104) Now, if you will allow me, I need to ask you some other questions about your (last) husband/partner.

A. Has he ever:

a) Said or done something to humiliate you in front of other people?

YES 1 (GO TO B FOR SAME QUESTION)
NO 2 (GO TO NEXT QUESTION)

b) Threatened to harm you or someone close to you?

YES 1 (GO TO B FOR SAME QUESTION)
NO 2 (GO TO NEXT QUESTION)

c) Insulted or belittled you?

YES 1 (GO TO B FOR SAME QUESTION)
NO 2 (GO TO NEXT QUESTION)

CHECK 403: DO NOT ASK IF THE RESPONDENT IS A WIDOW.

B: In the last 12 months, has this happened often, sometimes, or never?

FOR DIVORCED/SEPARATED, ASK? In the last 12 months, has this happened often, sometimes, or never?

a) Said or done something to humiliate you in front of other people?

OFTEN 1
SOMETIMES 2
NEVER 3

b) Threatened to harm you or someone close to you?

OFTEN 1
SOMETIMES 2
NEVER 3

c) Insulted or belittled you?

OFTEN 1
SOMETIMES 2
NEVER 3

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Chad 2014
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1104) Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner.
a) (Does/did) your last husband/partner ever:
b) How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?

EVER
YES 1
NO 2
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3

b) Threaten to hurt or harm you or someone you care about?

EVER
YES 1
NO 2
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3

c) insult you or make you feel bad about yourself?

EVER
YES 1
NO 2
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3

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Congo (Democratic Republic) 2007
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1004) Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner.

4A) (Does/did) your last husband/partner ever:

a) say or do something to humiliate you in front of others?
YES 1
NO 2 (GO TO B)
b) threaten you or someone close to you with harm?
YES 1
NO 2 (GO TO 1005)

4B) How many times did this happen during the last 12 months?

a) say or do something to humiliate you in front of others?
NUMBER OF TIMES ___
IF WIDOWED, DIVORCED OR SEPARATED 95
b) threaten you or someone close to you with harm?
NUMBER OF TIMES ___
IF WIDOWED, DIVORCED OR SEPARATED 95

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Congo (Democratic Republic) 2013
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1304) Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner.
A) (Does/did) your last husband/partner ever:

a) Say or do something to humiliate you in front of others?
YES 1 (GO TO B)
NO 2
b) Threaten to hurt or harm you or someone you care about?
YES 1 (GO TO B)
NO 2
c) Insult you or make you feel bad about yourself?
YES 1 (GO TO B)
NO 2

B) How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) Say or do something to humiliate you in front of others?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
b) Threaten to hurt or harm you or someone you care about?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
c) Insult you or make you feel bad about yourself?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3

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Cote d'Ivoire 2011
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1205) Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner.

1205a) Did your (last) (husband/partner) ever do any of the following things to you:
1205b) How many times did this happen during the last 12 months?

a) say or do something to humiliate you in front of others?

YES 1
NO 2
a) NUMBER OF TIMES_______
IF WIDOW, DIVORCED, OR SEPARATED 95

b) Threaten to hurt or harm you or someone you care about?

YES 1
NO 2
a) NUMBER OF TIMES________
IF WIDOW, DIVORCED, OR SEPARATED 95

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Egypt 2005
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904) Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband.

904A) (Does/did) your (last) husband ever:

1) say or do something to humiliate you in front of others?
YES 1
NO 2
2) threaten you or someone close to you with harm?
YES 1
NO 2

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Egypt 2014
Survey form view entire document:  text 
1104. Now I need to ask some more questions about your relationship with your (last) husband.

1104A. Did your (last) husband ever:

a) say or do something to humiliate you in front of others?
YES 1 (TO 1104B)
NO 2
b) threaten to hurt or harm you or someone you care about?
YES 1 (TO 1104B)
NO 2
c) insult you or make you feel bad about yourself?
YES 1 (TO 1104B)
NO 2

1104B. How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
b) threaten to hurt or harm you or someone you care about?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
c) insult you or make you feel bad about yourself?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3

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Ethiopia 2016
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1404. Now I need to ask some more questions about your relationship with your (last) (husband/partner).

A. Did your (last) (husband/partner) ever.

a. Say or do something to humiliate you in front of others?
YES 1 (GO TO 1404B)
NO 2 (GO TO b)
b. Threaten to hurt or harm you or someone you care about?
YES 1 (GO TO 1404B)
NO 2 (GO TO c)
c. Insult you or make you feel bad about yourself?
YES 1 (GO TO 1404B)
NO 2 (GO TO 1405)

B. How often did this happen during the last 13 months: often, only sometimes, or not at all?

a. Say or do something to humiliate you in front of others?
OFTEN 1
SOMETIMES 2
NOT IN LAST 13 MONTHS 3
b. Threaten to hurt or harm you or someone you care about?
OFTEN 1
SOMETIMES 2
NOT IN LAST 13 MONTHS 3
c. Insult you or make you feel bad about yourself?
OFTEN 1
SOMETIMES 2
NOT IN LAST 13 MONTHS 3

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Ghana 2008
Survey form view entire document:  text 
1104. Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner. If we should come to any question that you do not want to answer, just let me know and we will go on to the next question.

1104A (Does/did) your (last) husband/partner ever:

a) say or do something to humiliate you in front of others?
YES 1 (TO B)
NO 2
b) threaten to hurt or harm you or someone close to you?
YES 1 (TO B)
NO 2
c) insult you or make you feel bad about yourself?
YES 1 (TO B)
NO 2

1104B How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
b) threaten to hurt or harm you or someone close to you?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
c) insult you or make you feel bad about yourself?

OFTEN 1
SOMETIMES 2
NOT AT ALL 3

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India 2005
Survey form view entire document:  text 
Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband.

1004A. (Does/did) your (last) husband ever:

a. Say or do something to humiliate you in front of others?
YES 1 (GO TO 1004B)
NO 2
b. Threaten to hurt or harm you or someone close to you?
YES 1 (GO TO 1004B)
NO 2
c. Insult you or make you feel bad about yourself?
YES 1 (GO TO 1004B)
NO 2

CHECK 301: ASK ONLY IF RESPONDENT IS NOT A WIDOW:

1004B. How often did this happen during the last 12 months: often, only sometimes, or not at all?

a. Say or do something to humiliate you in front of others?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
b. Threaten to hurt or harm you or someone close to you?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
c. Insult you or make you feel bad about yourself?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3

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India 2015
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1106A. Now if you will permit me, I need to ask some more questions about your relationship with you (last) husband. (Does/did) your (last) husband ever:

a. Say or do something to humiliate you in front of others?
YES 1 (GO TO 1106B-a)
NO 2 (GO TO 1106A-b)
b. Threaten to hurt or harm you or someone close to you?
YES 1 (GO TO 1106B-b)
NO 2 (GO TO 1106A-c)
c. Insult you or make you feel bad about yourself?
YES 1 (GO TO 1106B-c)
NO 2

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Jordan 2007
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1104) Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband. If we should come to any question that you do not want to answer, just let me know and we will go on to the next question.

(Does/ did) your (last) husband ever:

a) say or do something to humility you in front of others?
YES 1
NO 2 (GO TO 1104b)
How often did this happen during the last 12 months: often, only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
NOT APPLICABLE 4
b) threaten to hurt or harm you or someone close to you?
YES 1
NO 2 (GO TO 1105)
How often did this happen during the last 12 months: often, only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
NOT APPLICABLE 4

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Jordan 2012
Survey form view entire document:  text 
1204. Now I need to ask some more questions about your relationship with your last husband.
A. Did your husband ever:
B. How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?
YES 1
NO 2
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
b) threaten to hurt or harm you or someone you care about?
YES 1
NO 2
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
c) insult you or make you feel bad about yourself?
YES 1
NO 2
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3

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Jordan 2017
Survey form view entire document:  text 
1304) Now I need to ask some more questions about your relationship with your (last) husband.

A. Did your (last) husband ever:

a) say or do something to humiliate you in front of others?
YES 1 (SKIP TO 1304Ba)
NO 2 (CONTINUE TO 1304Ab)
b) threaten to hurt or harm you or someone you care about?
YES 1 (SKIP TO 1304Bb)
NO 2 (CONTINUE TO 1304Ac)
c) insult you or make you feel bad about yourself?
YES 1 (SKIP TO 1304Bc)
NO 2 (CONTINUE TO 1305)

B. How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
b) threaten to hurt or harm you or someone you care about?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
c) insult you or make you feel bad about yourself?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3

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Kenya 2003
Survey form view entire document:  text 
1005. Now I need to ask some more questions about your relationship with your (last) husband/partner.

5A (Does/did) your (last) husband/partner ever:

a) Say or do something to humiliate you in front of others?
YES 1
NO 2
b) Threaten you or someone close to you with harm?
YES 1
NO 2

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Kenya 2008
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1204. Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner.

If we should come to any question that you do not want to answer, just let me know and we will go on to the next question.

A - (Does/did) your (last) husband/partner ever:

a) say or do something to humiliate you in front of others?
YES 1 (GO TO B)
NO 2
b) threaten to hurt or harm you or someone close to you?
YES 1 (GO TO B)
NO 2
c) insult you or make you feel bad about yourself?
YES 1 (GO TO B)
NO 2

B - How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
b) threaten to hurt or harm you or someone close to you?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
c) insult you or make you feel bad about yourself?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3

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Kenya 2014
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1404A) Now I need to ask some more questions about your relationship with your (last) (husband/partner). Did you (last) (husband/partner) ever:

a) say or do something to humiliate you in front of others?
b) threaten to hurt or harm you or someone you care about?
c) insult you or make you feel bad about yourself?

a)SAY OR DO SOMETHING TO HUMILIATE YOU IN FRONT OF OTHERS
YES 1 (GO TO 1404B-a)
NO 2 (GO TO 1404A-b)
b) THREATEN TO HURT OR HARM YOU OR SOMEONE YOU CARE ABOUT
YES 1 (GO TO 1404B-b)
NO 2 (GO TO 1404A-c)
c) INSULT YOU OR MAKE YOU FEEL BAD ABOUT YOURSELF
YES 1 (GO TO 1404B-c)
NO 2 (GO TO 1405)

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Liberia 2007
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1004A) (Does/did) your (last) husband/partner ever:

a) say or do something to humiliate you in front of others?
YES 1
NO 2
b) threaten to hurt or harm you or someone close to you?
YES 1
NO 2
c) insult you or make you feel bad about yourself?
YES 1
NO 2

1004B) CHECK 604: ASK ONLY IF RESPONDENT IS NOT A WIDOW

How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
b) threaten to hurt or harm you or someone close to you?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
c) insult you or make you feel bad about yourself?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3

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Malawi 2004
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DV05. Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/ partner.

5A. (Does/did) your (last) husband/partner ever:

a) Say or do something to humiliate you in front of others?
YES 1
NO 2
b) Threaten you or someone close to you with harm?
YES 1
NO 2

5B. How many times did this happen during the last 12 months?

a) Say or do something to humiliate you in front of others?
TIMES IN LAST 12 MONTHS _____
b) Threaten you or someone close to you with harm?
TIMES IN THE LAST 12 MONTHS _____

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Malawi 2010
Survey form view entire document:  text 
1204. Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner. If we should come to any question that you do not want to answer, just let me know and we will go on to the next question.

A. (Does/did) your (last) husband/partner ever:

a) Say or do something to humiliate you in front of others?
YES 1
NO 2
b) Threaten to hurt or harm you or someone close to you?
YES 1
NO 2
c) Insult you or make you feel bad about yourself?
YES 1
NO 2

1204B. How many times did this happen during the last 12 months?

a) Say or do something to humiliate you in front of others?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
b) Threaten to hurt or harm you or someone close to you?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
c) Insult you or make you feel bad about yourself?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3

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Malawi 2016
Survey form view entire document:  text 
1304A. Now I need to ask some more questions about your relationship with your (last) (husband/partner):

Did your (last) (husband/partner) ever:

a. Say or do something to humiliate you in front of others?
YES 1 (GO TO1304 B)
NO 2 (GO TO b)
b. Threaten to hurt or harm you or someone you care about?
YES 1 (GO TO 1304B)
NO 2 (GO TO c)
c. Insult you or make you feel bad about yourself?
YES 1 (GO TO 1304B)
NO 2 (GO TO 1305)

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Mali 2006
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1005. Now, if you allow it, I would like to ask you some questions about your relationship with your (last) husband.

5A. Has you (last) husband/partner ever:

A) told you or did something to you to humiliate you in front of other people?
YES 1 (GO TO 5B)
NO 2
B) threatened you or someone close to you?
YES 1 (GO TO 5B)
NO 2 (GO TO 1006)

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Mali 2012
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1404A) Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner. (Does/did) your last husband/partner ever:

1404B) IF YES: How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?
b) Threaten to hurt or harm you or someone you care about?
c) insult you or make you feel bad about yourself?

a) SAY OR DO SOMETHING TO HUMILIATE YOU IN FRONT OF OTHERS
YES 1 (GO TO NEXT RESPONSE SET)
NO 2 (GO TO 1404A-B)
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
b) THREATEN TO HURT OR HARM YOU OR SOMEONE YOU CARE ABOUT?
YES 1 (GO TO NEXT RESPONSE SET)
NO 2 (GO TO 1404A-C)
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
c) INSULT OR MAKE YOU FEEL BAD ABOUT YOURSELF?
YES 1 (GO TO NEXT RESPONSE SET)
NO 2 (GO TO 1405)
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3

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Mali 2018
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1504) Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner.
a) (Does/did) your (last) (HUSBAND/PARTNER) ever:
b) How often did this happen during the last 12 months: often, only sometimes, or not in the last 12 months?

A) SAY OR DO SOMETHING TO HUMILIATE YOU IN FRONT OF OTHERS?
YES 1
NO 2
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
B) THREATEN TO HURT OR HARM YOU OR SOMEONE YOU CARE ABOUT?
YES 1
NO 2
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
C) INSULT YOU OR MAKE YOU FEEL BAD ABOUT YOURSELF?
YES 1
NO 2
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3

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Mozambique 2011
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1204. Now if you will permit me, I would like to ask some more questions about your relationship with your (last) husband/partner. If we come to a question that you do not want to answer, tell me and we will go to the next question.

A. (Does/did) your (last) husband/partner ever:

a) Say or do something to humiliate you in front of others?
YES 1
NO 2
b) Threaten to hurt or harm you or someone close to you?
YES 1
NO 2
c) Insult you or make you feel bad about yourself?
YES 1
NO 2

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Myanmar 2015
Survey form view entire document:  text 
1204) Now I need to ask some more questions about your relationship with your (last) husband.
Did your last husband ever:

a) say or do something to humiliate you in front of others?
YES 1
NO 2 (GO TO 1204b)
How often did this happen during the last 12 months: often, only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
b) threaten to hurt or harm you or someone you care about?
YES 1
NO 2 (GO TO 1204c)
How often did this happen during the last 12 months: often, only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
c) insult you or make you feel bad about yourself?
YES 1
NO 2 (GO TO 1205a)
How often did this happen during the last 12 months: often, only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3

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Namibia 2013
Survey form view entire document:  text 
1204) Now I need to ask you some questions about your relationship with your (last) (husband/partner) ever:

A) Did your (last) (husband/partner) ever:

a) say or do something to humiliate you in front of others?
YES 1
NO 2
b) threaten to hurt or harm you or someone you care about?
YES 1
NO 2
c) insult you or make you feel bad about yourself?
YES 1
NO 2

B) How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
b) threaten to hurt or harm you or someone you care about?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
c) insult you or make you feel bad about yourself?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3

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Nepal 2011
Survey form view entire document:  text 
1105) Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner.

A) (Does/did) your (last) husband/partner ever:
B) How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?
YES 1
NO 2
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
b) threaten to hurt or harm you or someone close to you?
YES 1
NO 2
OFTEN 1
SOMETIMES 2
NOT AT ALL 3

c) insult you or make you feel bad about yourself?

YES 1
NO 2
OFTEN 1
SOMETIMES 2
NOT AT ALL 3

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Nepal 2016
Survey form view entire document:  text 
1304A. Now I need to ask some more questions about your relationship with your (last)(husband/partner).
Did your (last)(husband/partner) ever:

a. say or do something to humiliate you in front of others?
YES 1 (GO TO 1304B)
NO 2
B) threaten to hurt or harm you or someone you care about?
YES 1 (GO TO 1304B)
NO 2
c) insult you or make you feel bad about yourself?
YES 1 (GO TO 1304B)
NO 2

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Nigeria 2008
Survey form view entire document:  text 
1305A. Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband.

A (Does/did) your (last) husband/partner ever:

a) say or do something to humiliate you in front of others?
YES 1 (GO TO 1305B a)
NO 2
b) threaten to hurt or harm you or someone close to you?
YES 1 (GO TO 1305B b)
NO 2
c) insult you or make you feel bad about yourself?
YES 1 (GO TO 1305B c)
NO 2

1305B. CHECK 603:
ASK ONLY IF RESPONDENT IS NOT A WIDOW.

How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
b) threaten to hurt or harm you or someone close to you?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
c) insult you or make you feel bad about yourself?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3

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Nigeria 2013
Survey form view entire document:  text 
1304) Now I need to ask some more questions about your relationship with your (last) (husband/partner)

1304A) Did your (last) (husband/partner) ever:

a) say or do something to humiliate you in front of others?
YES 1
NO 2
b) threaten to hurt you or harm you or someone you care about?
YES 1
NO 2
c) insult you or make you feel bad about yourself?
YES 1
NO 2

1304B) How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
b) threaten to hurt you or harm you or someone you care about?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
c) insult you or make you feel bad about yourself?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3

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Nigeria 2018
Survey form view entire document:  text 
1504. Now I need to ask you some questions about your relationship with your (last) (husband/partner).

A. Did your (last) (husband/partner) ever:
B. How often did this happen in the last 12 months; often, only sometimes, or not at all?

a) say or do anything to humiliate you in front of others?

EVER
YES 1
NO 2
OFTEN
YES 1
NO 2
SOMETIMES
YES 1
NO 2
NOT IN THE LAST 12 MONTHS
YES 1
NO 2

b) threaten to hurt or harm you or someone you care about?

EVER
YES 1
NO 2
OFTEN
YES 1
NO 2
SOMETIMES
YES 1
NO 2
NOT IN THE LAST 12 MONTHS
YES 1
NO 2

c) insult you or make you feel bad about yourself?

EVER
YES 1
NO 2
OFTEN
YES 1
NO 2
SOMETIMES
YES 1
NO 2
NOT IN THE LAST 12 MONTHS
YES 1
NO 2

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Pakistan 2012
Survey form view entire document:  text 
1005) Now I need to ask some more questions about your relationship with your (last) husband.
A. Did your (last) husband ever:
B. How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?

YES 1
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
NO 2

b) threaten to hurt or harm you or someone you care about?

YES 1
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
NO 2

c) insult you or make you feel bad about yourself?

YES 1
OFTEN 1
SOMETIMES 2
NOT IN THE LAST 12 MONTHS 3
NO 2

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Pakistan 2017
Survey form view entire document:  text 
1204) Now I need to ask some more questions about your relationship with your (last) husband.

Did your (last) husband ever:

a) Say or do something to humiliate you in front of others?
YES 1
NO 2 (GO TO b)
How often did this happen during the last 12 months: often, only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
b) Threaten to hurt or harm you or someone you care about?
YES 1
NO 2 (GO TO c)
How often did this happen during the last 12 months: often, only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
c) Insult you or make you feel bad about yourself?
YES 1
NO 2 (GO TO 1205)
How often did this happen during the last 12 months: often, only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3

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Rwanda 2005
Survey form view entire document:  text 
1005. Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner.

5A. (Does/did) your (last) husband/partner ever:

Say or do something to humiliate you in front of others?
YES 1 (GO TO 5B)
NO 2 (GO TO NEXT)
Threaten you or someone close to you with harm?
YES 1 (GO TO 5B)
NO 2

5B. How many times did this happen during the last 12 months?

Say or do something to humiliate you in front of others?
TIMES IN LAST 12 MONTHS ____
IF DIV OR SEPARATED 95
Threaten you or someone close to you with harm?
TIMES IN LAST 12 MONTHS ____
IF DIV OR SEPARATED 95

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Rwanda 2014
Survey form view entire document:  text 
DV15-A) So far we have been talking about the behavior of your (current/last) (husband/partner). Now I want to ask you about the behavior of any previous (husband/partner).

a) Did any previous (husband/partner) ever hit, slap, kick, or do anything else to hurt you physically?
YES 1 (GO TO DV15-Ba)
NO 2 (GO TO DV15-Ab)
b) Did any previous husband/partner) physically force you to have intercourse or perform any other sexual acts against your will?
YES 1 (GO TO DV15-Bb)
NO 2

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Senegal 2017
Survey form view entire document:  text 
1506) Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner.
a) (Does/did) your (last) (husband/partner) ever:
b) How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?
YES 1
NO 2
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
b) Threaten to hurt or harm you or someone you care about?
YES 1
NO 2
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
c) insult you or make you feel bad about yourself?
YES 1
NO 2
OFTEN 1
SOMETIMES 2
NOT AT ALL 3

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South Africa 2016
Survey form view entire document:  text 
1504) Now I need to ask some more questions about your relationship with your most recent partner.

A) Did your (last) partner ever:

a) say or do something to humiliate you in front of others?
b) threaten to hurt or harm you or someone you care about?
c) insult you or make you feel bad about yourself?
d) refuse to give you enough money for household expenses or contribute towards household expenses when he has the money to do so?

A) HUMILIATE
YES 1 (GO TO PART B)
NO 2
B) THREATEN
YES 1 (GO TO PART B)
NO 2
C) INSULT
YES 1 (GO TO PART B)
NO 2
D) REFUSE MONEY
YES 1 (GO TO PART B)
NO 2

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Tanzania 2010
Survey form view entire document:  text 
1005. Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner. If we should come to any question that you do not want to answer, just let me know and we will go on to the next question.

A. (Does/did) your (last) husband/partner ever:

a) say or do something to humiliate you in front of others?
YES 1
NO 2
b) threaten to hurt or harm you or someone close to you?
YES 1
NO 2
c) insult you or make you feel bad about yourself?
YES 1
NO 2

B. How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
b) threaten to hurt or harm you or someone close to you?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
c) insult you or make you feel bad about yourself?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3

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Tanzania 2015
Survey form view entire document:  text 
1404) Now I need to ask some more questions about your relationship with your (last) (husband/partner).

A. Did your (last) (husband/partner) ever:

a) say or do something to humiliate you in front of others?
YES 1 (GO TO Ba)
NO 2 (GO TO Ab)
b) threaten to hurt or harm you or someone you care about?
YES 1 (GO TO Bb)
NO 2 (GO TO Ac)
c) insult you or make you feel bad about yourself?
YES 1 (GO TO Bc)
NO 2 (GO TO 1405)

B. How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
b) threaten to hurt or harm you or someone you care about?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
c) insult you or make you feel bad about yourself?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3

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Uganda 2006
Survey form view entire document:  text 
1104) Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband/partner. If we should come to any question that you do not want to answer, just let me know and we will go on to the next question.

a) say or do something to humiliate you in front of others?
YES 1 (GO TO 1104a IN PART B)
NO 2 (GO TO 1104b IN PART A)
How often did this happen during the last 12 months: often, only sometimes, or not at all? (CHECK 603 AND ASK ONLY IF RESPONDENT IS NOT A WIDOW)
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
b) threaten to hurt or harm you or someone close to you?
YES 1 (GO TO 1104b IN PART B)
NO 2 (GO TO 1104c IN PART A)
How often did this happen during the last 12 months: often, only sometimes, or not at all? (CHECK 603 AND ASK ONLY IF RESPONDENT IS NOT A WIDOW)
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
c) insult you or make you feel bad about yourself?
YES 1 (GO TO 1104 c IN PART B)
NO 2 (GO TO 1105)
How often did this happen during the last 12 months: often, only sometimes, or not at all? (CHECK 603 AND ASK ONLY IF RESPONDENT IS NOT A WIDOW)
OFTEN 1
SOMETIMES 2
NOT AT ALL 3

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Uganda 2011
Survey form view entire document:  text 
1104) Now I need to ask some more questions about your relationship with your (last) husband/partner.

A) Did your (last) husband/partner ever:

a) say or do something to humiliate you in front of others?
YES 1
B) How often did this happen during the last 12 months: often, only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
NO 2
b) threaten to hurt or harm you or someone you care about?
YES 1
B) How often did this happen during the last 12 months: often, only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
NO 2
c) insult you or make you feel bad about yourself?
YES 1
B) How often did this happen during the last 12 months: often, only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
NO 2

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Uganda 2016
Survey form view entire document:  text 
DV04) Now I need to ask some more questions about your relationship with your (last)(husband/partner).

A. Did your (last)(husband/partner) ever:

a) say or do something to humiliate you in front of other?
YES 1
NO 2
b) threaten to hurt or harm you or someone you care about?
YES 1
NO 2
c) insult you or make you feel bad about yourself?
YES 1
NO 2

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Zambia 2007
Survey form view entire document:  text 
1205A. Now if you will permit me, I need to ask some more questions about your relationship with your (last) husband. (Does/did) your (last) husband/partner ever:
a) say or do something to humiliate you in front of others?

YES 1
NO 2

b) threaten to hurt or harm you or someone close to you?

YES 1
NO 2

c) insult you or make you feel bad about yourself?

YES 1
NO 2

1205B. CHECK 603: ASK ONLY IF RESPONDENT IS NOT A WIDOW.
How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) say or do something to humiliate you in front of others?

OFTEN 1
SOMETIMES 2
NOT AT ALL 3

b) threaten to hurt or harm you or someone close to you?

OFTEN 1
SOMETIMES 2
NOT AT ALL 3

c) insult you or make you feel bad about yourself?

OFTEN 1
SOMETIMES 2
NOT AT ALL 3

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Zambia 2013
Survey form view entire document:  text 
1205) Now I need to ask some more questions about your relationship with your (last) (husband/partner).

1205A) Did your (last) (husband/partner) ever:

a) Say or do something to humiliate you in front of others?
YES 1
NO 2 (GO TO 1205A-b)
b) Threaten to hurt or harm you or someone you care about?
YES 1
NO (GO TO 1205A-c)
c) Insult you or make you feel bad about yourself?
YES 1
NO 2 (GO TO 1206)

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Zambia 2018
Survey form view entire document:  text 
(1404) Now I need to ask some more questions about your relationship with your (last) (husband/partner).

A. Did your (last) (husband/partner) ever:

a) say or do something to humiliate you in front of others?
YES 1 (SKIP TO (B))
NO 2

b) threaten to hurt or harm you or someone you care about?

YES 1 (SKIP TO (B))
NO 2

c) insult you or make you feel bad about yourself?

YES 1 (SKIP TO (B))
NO 2

B. How often did this happen during the last 12 months: often, only sometimes, or not at all?

OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS

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Zimbabwe 2005
Survey form view entire document:  text 
1105A) (Does/did) your (last) husband/partner ever:

a. Say or do something to humiliate you in front of others?
YES 1
NO 2
b. Threaten to hurt or harm you or someone else close to you?
YES 1
NO 2
c. Insult you or make you feel bad about yourself?
YES 1
NO 2

1105B) CHECK 601: ASK ONLY IF RESPONDENT IS CURRENTLY MARRIED/LIVING WITH A MAN, SEPARATED, OR DIVORCED. EXCLUDE WIDOWED WOMEN.

How often did this happen during the last 12 months: often, only sometimes, or not at all?

a. Say or do something to humiliate you in front of others?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
b. Threaten to hurt or harm you or someone close to you?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
c. Insult you or make you feel bad about yourself?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3

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Zimbabwe 2010
Survey form view entire document:  text 
1205) Now if you will permit me, I need to ask some more questions about your relationship with your (last) (husband/partner). If we should come to any question that you do not want to answer, just let me know and we will go on to the next question.

(Does/did) your (last) (husband/partner) ever:

a) Say or do something to humiliate you in front of other?
YES 1
NO 2 (GO TO 1205b)
How often did this happen during the last 12 months: often, only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
b) Threaten to hurt or harm you or someone close to you?
YES 1
NO 2 (GO TO 1205c)
How often did this happen during the last 12 months: often, only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3
c) Insult you or make you feel bad about yourself?
YES 1
NO 2 (GO TO 1206)
How often did this happen during the last 12 months: often, only sometimes, or not at all?
OFTEN 1
SOMETIMES 2
NOT AT ALL 3

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Zimbabwe 2015
Survey form view entire document:  text 
1304. Now I need to ask some more questions about your relationship with your (last) (husband/partner).

A. Did your (last) (husband/partner) ever:

a. say or do something to humiliate you in front of others?
YES 1 (GO TO 1304B)
NO 2 (GO TO b)
b. threaten to hurt or harm you or someone you care about?
YES 1 (GO TO 1304B)
NO 2 (GO TO c)
c. insult you or make you feel bad about yourself?
YES 1 (GO TO 1304B)
NO 2 (GO TO 1305)

B. How often did this happen during the last 12 months: often, only sometimes, or not at all?

a. say or do something to humiliate you in front of others?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
b. threaten to hurt or harm you or someone you care about?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3
c. insult you or make you feel bad about yourself?
OFTEN 1
SOMETIMES 2
NOT IN LAST 12 MONTHS 3