Survey Text

Afghanistan 2015 Ghana 2008 Mali 2018 South Africa 1998
Angola 2015 India 2005 Mozambique 2011 South Africa 2016
Benin 2017 India 2015 Myanmar 2015 Tanzania 2010
Burkina Faso 2010 Jordan 2007 Namibia 2013 Tanzania 2015
Burundi 2016 Jordan 2012 Nepal 2011 Togo 2013
Cameroon 2004 Jordan 2017 Nepal 2016 Uganda 2006
Cameroon 2011 Kenya 2003 Nigeria 2008 Uganda 2016
Cameroon 2018 Kenya 2008 Nigeria 2018 Zambia 2001
Chad 2014 Kenya 2014 Pakistan 2012 Zambia 2007
Congo (Democratic Republic) 2007 Liberia 2007 Pakistan 2017 Zambia 2018
Congo (Democratic Republic) 2013 Malawi 2004 Rwanda 2005 Zimbabwe 2005
Cote d'Ivoire 2011 Malawi 2010 Rwanda 2010 Zimbabwe 2010
Egypt 2005 Malawi 2016 Rwanda 2014 Zimbabwe 2015
Ethiopia 2016 Mali 2006 Senegal 2017
top
Afghanistan 2015
Survey form view entire document:  text 
1315A. So far we have been talking about the behavior of your (current/last) husband. Now I want to talk about the behavior of any previous husband.

a) Did any previous husband ever hit, slap, kick, or do anything esle to hurt you physically?
YES 1 (FOLLOW UP WITH 1315B)
NO 2
b) Did any previous husband physically force you to have intercourse or perform any other sexual acts against your will?
YES 1 (FOLLOW UP WITH 1315B)
NO 2

top
Angola 2015
Survey form view entire document:  text 
1318) Until now, we have spoke about the behavior of your (last/current) husband/partner. Now I would like to ask you some questions about your previous husband(s)/partner(s).
Did any previous (husband/partner) hit, slap, kick, or hurt you in any other way?
AT ANY TIME

YES 1 (GO TO PART B)
NO 2 (GO TO QUESTION b)

B) How long ago did this occur?

0 TO 11 MONTHS 1
12 OR MORE MONTHS 2
DOES NOT REMEMBER 3

b) Did any previous (husband/partner) physically force you to have sexual intercourse or any other sexual act against your will?
AT ANY TIME

YES 1 (GO TO PART B)
NO 2 (GO TO QUESTION 1319)

B) How long ago did this occur?

0 TO 11 MONTHS 1
12 OR MORE MONTHS 2
DOES NOT REMEMBER 3

top
Benin 2017
Survey form view entire document:  text 
1515) 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).

b) How long ago did this last happen?

a) Did any previous (husband/partner) ever hit, slap, kick or do anything else to hurt you physically?

Ever
Yes 1
No 2
0-11 months ago
Yes 1
No 2
12 or more months ago
Yes 1
No 2
Don't remember
Yes 1
No 2

top
Burkina Faso 2010
Survey form view entire document:  text 
1315. Who has hurt you in this way? Anyone else?
RECORD ALL MENTIONED.

MOTHER A
FATHER B
STEP-MOTHER C
STEP-FATHER/MOTHER'S PARTNER D
SISTER E
BROTHER F
DAUGHTER G
SON H
EX-HUSBAND/EX-PARTNER I
FRIEND/CURRENT SEX PARTNER J
EX-FRIEND/FORMER SEX PARTNER K
MOTHER-IN-LAW L
FATHER-IN-LAW M
OTHER FEMALE IN-LAW N
OTHER MALE IN-LAW O
FEMALE FRIEND/ACQUAINTANCE P
MALE FRIEND/ACQUAINTANCE Q
TEACHER R
EMPLOYER S
STRANGER T
OTHER (SPECIFY) _____ X

top
Burundi 2016
Survey form view entire document:  text 
1515)

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).

B. How long ago did this last happen?

a) Did any previous (husband/partner) ever hit, slap, kick or do anything else to hurt you physically?
A.
YES 1
NO 2
B.
0-11 MONTHS AGO 1
12 OR MORE MONTHS AGO 2
DON'T REMEMBER 3
b) Did any previous (husband/partner) physically force you to have intercourse or perform any other sexual acts against your will?
A.
YES 1
NO 2
B.
0-11 MONTHS AGO 1
12 OR MORE MONTHS AGO 2
DON'T REMEMBER 3

top
Cameroon 2004
Survey form view entire document:  text 
1114) CHECK 1102:

MARRIED/LIVING WITH A MAN/SEPARATED/DIVORCE:
From the time you were 15 years old has anyone other than your (current/last) husband/partner hit, slapped, kicked, or done anything else to hurt you physically?

WIDOWED/NEVER MARRIED/NEVER LIVED WITH A MAN:
From the time you were 15 years old has anyone ever hit, slapped, kicked, or done anything else to hurt you physically?

YES 1
NO 2 (GO TO 1119)
NO RESPONSE 6 (GO TO 1119)

1115) Who has physically hurt you in this way?

Anyone else?

RECORD ALL MENTIONED.

MOTHER A
FATHER B
STEP-MOTHER C
STEP-FATHER D
SISTER E
BROTHER F
DAUGHTER G
SON H
LATE/EX-HUSBAND/EX-PARTNER I
CURRENT BOYFRIEND J
FORMER BOYFRIEND K
MOTHER-IN-LAW L
FATHER-IN-LAW M
OTHER FEMALE RELATIVE/IN-LAW N
OTHER MALE RELATIVE/IN-LAW O
FEMALE FRIEND/ACQUAINTANCE P
MALE FRIEND/ACQUAINTANCE Q
TEACHER R
EMPLOYER S
STRANGER T
OTHER (SPECIFY): ___ X

top
Cameroon 2011
Survey form view entire document:  text 
1115) Who physically harmed you in this way?

Anyone else?

RECORD ALL MENTIONED.

MOTHER A
FATHER B
FATHER'S NEW WIFE C
MOTHER'S NEW HUSBAND D
SISTER/BROTHER E
SON/DAUGHTER F
OTHER RELATIVE G
EX-HUSBAND/EX-PARTNER H
CURRENT BOYFRIEND I
EX-BOYFRIEND J
MOTHER-IN-LAW K
FATHER-IN-LAW L
OTHER RELATIVE BY MARRIAGE M
TEACHER N
HEALTH PROFESSIONAL O
EMPLOYER/SOMEONE AT WORK P
POLICE/SOLIDER/OFFICER Q
PRIEST/RELIGIOUS LEADER R
STRANGER S
NEIGHBOR T
RELATION/ADMIRER U
OTHER (SPECIFY): ___ X

top
Cameroon 2018
Survey form view entire document:  text 
1515.

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 B)
NO 2 (GO TO 1516)
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 B)
NO 2 (GO TO 1516)
c) Did any previous (husband / partner) humiliate you in front of others, threaten to hurt you or someone you care about, or insult you or make you feel bad about yourself?
YES 1 (GO TO B)
NO 2 (GO TO 1516)
B. How long ago did this last happen?
0-11 MONTHS AGO 1
12+ MONTHS AGO 2
DON'T REMEMBER 3

top
Chad 2014
Survey form view entire document:  text 
1115) 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).

B) How long ago did this last happen?

a) Did any previous (husband/partner) ever hit, slap, kick or do anything else to hurt you physically?
B) How long ago did this last happen?\

EVER
YES 1
NO 2
0-11 Months Ago
YES 1
NO 2
12 Or More Months Ago
YES 1
NO 2
DON'T REMEMBER
YES 1
NO 2

b) Did any previous (husband/partner) physically force you to have intercourse or perform any other sexual acts against your will?
B) How long ago did this last happen?

EVER
YES 1
NO 2
0-11 Months Ago
YES 1
NO 2
12 Or More Months Ago
YES 1
NO 2
DON'T REMEMBER
YES 1
NO 2

top
Congo (Democratic Republic) 2007
Survey form view entire document:  text 
1008) CHECK 1003:

MARRIED/LIVING WITH A MAN/SEPARATED/DIVORCED/WIDOWED: From the time you were 15 years old has anyone other than your (current/last) husband/partner hit, slapped, kicked, or done anything else to hurt you physically?

NEVER MARRIED/NEVER LIVED WITH A MAN: From the time you were 15 years old has anyone ever hit, slapped, kicked, or done anything else to hurt you physically?

YES 1
NO 2 (GO TO 1011)
NO ANSWER 3 (GO TO 1011)

1008A) Who has physically hurt you in this way?
PROBE: Anyone else?
RECORD ALL MENTIONED.

MOTHER A
FATHER B
STEP-MOTHER C
STEP-FATHER/MOTHER'S PARTNER D
SISTER E
BROTHER F
DAUGHTER G
SON H
EX-HUSBAND/EX-PARTNER I
FRIEND/CURRENT SEXUAL PARTNER J
EX-FRIEND/EX-SEXUAL PARTNER K
MOTHER-IN-LAW (HUSBAND'S MOTHER) L
FATHER-IN-LAW (HUSBAND'S FATHER) M
OTHER FEMALE IN-LAWS N
OTHER MALE IN-LAWS O
FEMALE FRIEND/ACQUAINTANCE P
MALE FRIEND/ACQUAINTANCE Q
TEACHER R
EMPLOYER S
STRANGER T
POLICE/SOLDIER U
OTHER (SPECIFY) _____ X

top
Congo (Democratic Republic) 2013
Survey form view entire document:  text 
1315) 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 B)
NO 2
b) Did any previous (husband/partner) physically force you to have intercourse or perform any other sexual acts against your will?
YES 1
NO 2

B) How long ago did this last happen?

a) Did any previous (husband/partner) ever hit, slap, kick or do anything else to hurt you physically?
0-11 MONTHS AGO
12 OR MORE MONTHS AGO
DON'T REMEMBER
b) Did any previous (husband/partner) physically force you to have intercourse or perform any other sexual acts against your will?
0-11 MONTHS AGO
12 OR MORE MONTHS AGO
DON'T REMEMBER

top
Cote d'Ivoire 2011
Survey form view entire document:  text 
1215) Who has hurt you in this way?
Anyone else?
RECORD ALL MENTIONED

MOTHER A
FATHER B
STEP-MOTHER C
STEP-FATHER/MOTHER'S PARTNER D
SISTER E
BROTHER F
DAUGHTER G
SON H
EX-HUSBAND/EX-PARTNER I
FRIEND/CURRENT SEX PARTNER J
EX-FRIEND/FORMER SEX PARTNER K
MOTHER-IN-LAW L
FATHER-IN-LAW M
OTHER FEMALE IN-LAW N
OTHER MALE IN-LAW O
FEMALE FRIEND/ACQUAINTANCE P
MALE FRIEND/ACQUAINTANCE Q
TEACHER R
EMPLOYER S
STRANGER T
OTHER________ (SPECIFY) X

top
Egypt 2005
Survey form view entire document:  text 
911) Who has physically hurt you in this way?

Anyone else?
RECORD ALL MENTIONED.

MOTHER A
FATHER B
STEP-MOTHER C
STEP-FATHER D
SISTER E
BROTHER F
DAUGHTER G
SON H
EX-HUSBAND I
MOTHER-IN-LAW J
FATHER-IN-LAW K
OTHER FEMALE RELATIVE/IN-LAW L
OTHER MALE RELATIVE/ IN-LAW M
FEMALE FRIEND/ACQUAINTANCE N
MALE FRIEND/ACQUAINTANCE O
FEMALE TEACHER P
MALE TEACHER Q
FEMALE EMPLOYER R
MALE EMPLOYER S
STRANGER (FEMALE) T
STRANGER (MALE) U
OTHER (SPECIFY) ___________ X

top
Ethiopia 2016
Survey form view entire document:  text 
1415A. 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 1415B)
NO 2 (GO TO b)
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 1415B)
NO 2 (GO TO 1416)

top
Ghana 2008
Survey form view entire document:  text 
1115. Who has hurt you in this way? Anyone else?
RECORD ALL MENTIONED.

MOTHER/STEP-MOTHER A
FATHER/STEP-FATHER B
SISTER/BROTHER C
DAUGHTER/SON D
OTHER RELATIVE E
FORMER HUSBAND/PARTNER F
CURRENT BOYFRIEND G
FORMER BOYFRIEND H
MOTHER-IN-LAW I
FATHER-IN-LAW J
OTHER-IN-LAW K
TEACHER L
EMPLOYER/SOMEONE AT WORK M
POLICE/SOLDIER N
OTHER (SPECIFY) ____ X

top
India 2005
Survey form view entire document:  text 
1015. Who has hurt you in this way?
Anyone else?
RECORD ALL MENTIONED.

MOTHER/STEP-MOTHER A
FATHER/STEP-FATHER B
SISTER/BROTHER C
DAUGHTER/SON D
OTHER RELATIVE E
FORMER HUSBAND/PARTNER F
CURRENT BOYFRIEND G
FORMER BOYFRIEND H
MOTHER-IN-LAW I
FATHER-IN-LAW J
OTHER IN-LAW K
TEACHER L
EMPLOYER/SOMEONE AT WORK M
POLICE/SOLDIER N
OTHER (SPECIFY) _______ X

top
India 2015
Survey form view entire document:  text 
1117A. So far we have been talking about the behavior of your (current/last) husband. Now I want to ask you about the behavior of any previous husband.

a. Did any previous husband ever hit, slap, kick, or do anything else to hurt you physically?
YES 1 ( GO TO 1117B)
NO 2

1117B. If so, how long ago did this last happen?

0-11 MONTHS AGO 1
12 OR MORE MONTHS AGO 2
DON'T REMEMBER 3
b. Did any previous husband physically force you to have intercourse or perform any other sexual acts against your will?
YES 1 ( GO TO 1117B)
NO 2

1117B. If so, how long ago did this last happen?

0-11 MONTHS AGO 1
12 OR MORE MONTHS AGO 2
DON'T REMEMBER 3

top
Jordan 2007
Survey form view entire document:  text 
1109) Who has hurt you in this way?

Anyone else?

RECORD ALL MENTIONED.

MOTHER A
FATHER B
STEP-MOTHER C
STEP-FATHER D
BROTHER E
SISTER F
SON G
DAUGHTER H
EX-HUSBAND I
MOTHER-IN-LAW J
FATHER-IN-LAW K
OTHER FEMALE RELATIVE/IN-LAW L
OTHER MALE RELATIVE/ IN-LAW M
FEMALE FRIEND/ACQUAINTANCE N
MALE FRIEND/ACQUAINTANCE O
FEMALE TEACHER P
MALE TEACHER Q
FEMALE EMPLOYER R
MALE EMPLOYER S
FEMALE STRANGER T
MALE STRANGER U
POLICE/SOLDIER V
OTHER (SPECIFY)_______ X

top
Jordan 2012
Survey form view entire document:  text 
1215.
A. So far we have been talking about the behavior of your (current/last) husband. Now I want to ask you about the behavior of any previous husband?
B. How long ago did this last happen?

a) Did any previous husband ever hit, slap, kick, or do anything else to hurt you physically?
YES 1
NO 2
0-11 MONTHS AGO 1
12+ MONTHS AGO 2
DON'T REMEMBER 3
b) Did any previous husband physically force you to have intercourse against your will?
YES 1
NO 2
0-11 MONTHS AGO 1
12+ MONTHS AGO 2
DON'T REMEMBER 3

top
Jordan 2017
Survey form view entire document:  text 
1309) Have you ever hit, slap, kick, or done anything else to physically hurt your (last) husband at times when he was not already beating or physically hurting you?

YES 1
NO 2 (SKIP TO 1313)

top
Kenya 2003
Survey form view entire document:  text 
1015. Who has physically hurt you in this way?
Anyone else?

CIRCLE ALL MENTIONED.

MOTHER A
FATHER B
STEP-MOTHER C
STEP-FATHER D
SISTER E
BROTHER F
DAUGHTER G
SON H
LATE/EX-HUSBAND/EX-PARTNER I
CURRENT BOYFRIEND J
FORMER BOYFRIEND K
MOTHER-IN-LAW L
FATHER-IN-LAW M
OTHER FEMALE RELATIVE/IN-LAW N
OTHER MALE RELATIVE/ IN-LAW O
FEMALE FRIEND/ACQUAINTANCE P
MALE FRIEND/ACQUAINTANCE Q
TEACHER R
EMPLOYER S
STRANGER T
OTHER (SPECIFY) ________ X

top
Kenya 2008
Survey form view entire document:  text 
1215. Who has hurt you in this way?Anyone else?
RECORD ALL MENTIONED.

MOTHER/STEP-MOTHER A
FATHER/STEP-FATHER B
SISTER/BROTHER C
DAUGHTER/SON D
OTHER RELATIVE E
FORMER HUSBAND/PARTNER F
CURRENT BOYFRIEND G
FORMER BOYFRIEND H
MOTHER-IN-LAW I
FATHER-IN-LAW J
OTHER IN-LAW K
TEACHER L
EMPLOYER/SOMEONE AT WORK M
POLICE/SOLDIER N
OTHER (SPECIFY) ___________ X

top
Kenya 2014
Survey form view entire document:  text 
1415A) 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?
a) YES 1 (GO TO 1415B-a)
NO 2 (GO TO 1415A-b)
b) Did any previous (husband/partner) physically force you to have intercourse or perform any other sexual acts against your will?
b) YES 1 (GO TO 1415B-b)
NO 2 (GO TO 1416)

top
Liberia 2007
Survey form view entire document:  text 
1014) CHECK 601 AND 602:

EVER MARRIED/LIVED WITH A MAN
From the time you were 15 years old has anyone other than your (current/last) husband/partner hit, slapped, kicked, or done anything else to hurt you physically?
YES 1
NO 2 (GO TO 1020)
REFUSED TO ANSWER/NO ANSWER 3 (GO TO 1020)
NEVER MARRIED/NEVER LIVED WITH A MAN
From the time you were 15 years old has anyone ever hit, slapped, kicked, or done anything else to hurt you physically?
YES 1
NO 2 (GO TO 1020)
REFUSED TO ANSWER/NO ANSWER 3 (GO TO 1020)

1015) Who has hurt you in this way? Anyone else? RECORD ALL MENTIONED.

MOTHER/STEP-MOTHER A
FATHER/STEP-FATHER B
SISTER/BROTHER C
DAUGHTER/SON D
OTHER RELATIVE E
FORMER HUSBAND/PARTNER F
CURRENT BOYFRIEND G
FORMER BOYFRIEND H
MOTHER-IN-LAW I
FATHER-IN-LAW J
OTHER IN-LAW K
TEACHER L
EMPLOYER/SOMEONE AT WORK M
POLICE/SOLDIER N
OTHER (SPECIFY) _________ X

top
Malawi 2004
Survey form view entire document:  text 
DV15. Who has physically hurt you in this way? Anyone else?
RECORD ALL MENTIONED.

MOTHER A
FATHER B
STEP-MOTHER C
STEP-FATHER D
SISTER E
BROTHER F
DAUGHTER G
SON H
LATE/EX-HUSBAND/EX-PARTNER I
CURRENT BOYFRIEND J
FORMER BOYFRIEND K
MOTHER-IN-LAW L
FATHER-IN-LAW M
OTHER FEMALE RELATIVE/IN-LAW N
OTHER MALE RELATIVE/ IN-LAW O
FEMALE FRIEND/ACQUAINTANCE P
MALE FRIEND/ACQUAINTANCE Q
TEACHER R
EMPLOYER S
STRANGER T
OTHER (SPECIFY) ________ X

top
Malawi 2010
Survey form view entire document:  text 
1215. Who has hurt you in this way? Anyone else?
RECORD ALL MENTIONED.

MOTHER A
STEP-MOTHER B
FATHER C
STEP-FATHER D
SISTER/BROTHER E
DAUGHTER/SON F
OTHER RELATIVE G
FORMER HUSBAND/PARTNER H
CURRENT BOYFRIEND I
FORMER BOYFRIEND J
MOTHER-IN-LAW K
FATHER-IN-LAW L
OTHER IN-LAW M
TEACHER N
EMPLOYER/SOMEONE AT WORK O
POLICE/SOLDIER P
OTHER X

top
Malawi 2016
Survey form view entire document:  text 
1315A. So far we have been talking 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 di anything else to hurt you physically?
YES 1 (GO TO 1315B)
NO 2 (GO TO b)
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 1315B)
NO 2 (GO TO 1316)

top
Mali 2006
Survey form view entire document:  text 
1015. Who physically attacked you?
Someone else?
CIRCLE ALL MENTIONED.

MOTHER A
FATHER B
FATHER'S NEW WIFE C
MOTHER'S NEW HUSBAND/PARTNER D
SISTER E
BROTHER F
DAUGHTER G
SON H
EX-HUSBAND/EX-PARTNER I
CURRENT FRIEND/ SEXUAL PARTNER J
FORMER FRIEND/SEXUAL PARTNER K
MOTHER-IN-LAW L
FATHER-IN-LAW M
OTHER FEMALE RELATIVES IN LAW N
OTHER MALE RELATIVES IN LAW O
FEMALE FRIENDS P
MALE FRIENDS Q
INSTRUCTOR R
EMPLOYER S
STRANGER T
OTHERS (SPECIFY) __X

top
Mali 2018
Survey form view entire document:  text 
1515)
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).
b) How long ago did this last happen?

A) DID ANY PREVIOUS (HUSBAND/PARTNER) EVER HIT, SLAP, KICK OR DO ANYTHING ELSE TO HURT YOU PHYSICALLY?

EVER?
YES 1
NO 2
0-11 MONTHS AGO
YES 1
NO 2
12 OR MORE MONTHS AGO
YES 1
NO 2
DON'T REMEMBER
YES 1
NO 2

B) DID ANY PREVIOUS (HUSBAND/PARTNER) PHYSICALLY FORCE YOU TO HAVE INTERCOURSE OR PERFORM ANY OTHER SEXUAL ACTS AGAINST YOUR WILL?

EVER?
YES 1
NO 2
0-11 MONTHS AGO
YES 1
NO 2
12 OR MORE MONTHS AGO
YES 1
NO 2
DON'T REMEMBER
YES 1
NO 2

C) DID ANY PREVIOUS (HUSBAND/PARTNER) HUMILIATE YOU IN FRONT OF OTHERS, THREATEN TO HURT OR HARM YOU OR SOMEONE YOU CARE ABOUT, INSULT YOU OR MAKE YOU FEEL BAD ABOUT YOURSELF?

EVER?
YES 1
NO 2
0-11 MONTHS AGO
YES 1
NO 2
12 OR MORE MONTHS AGO
YES 1
NO 2
DON'T REMEMBER
YES 1
NO 2

top
Mozambique 2011
Survey form view entire document:  text 
1214. Who has hurt you in this way? Anyone else?
RECORD ALL MENTIONED.

MOTHER/STEP-MOTHER A
FATHER/STEP-FATHER B
SISTER/ BROTHER C
DAUGHTER/ SON D
OTHER RELATIVE E
FORMER HUSBAND/PARTNER F
CURRENT BOYFRIEND G
FORMER BOYFRIEND H
MOTHER-IN-LAW/FATHER-IN-LAW I
OTHER IN-LAW J
TEACHER K
EMPLOYER L
POLICE/SOLDIER M
OTHER (SPECIFY)___ X

top
Myanmar 2015
Survey form view entire document:  text 
1205) A: Did your (last) husband ever do any of the following things to you:
B: How often did this happen during the last 12 months: often, only sometimes, or not at all?

a) push you, shake you, or throw something at you?
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 IN THE LAST 12 MONTHS 3
b) slap 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 IN THE LAST 12 MONTHS 3
c) twist your arm or pull your hair?
YES 1
NO 2 (GO TO 1205d)
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
d) punch you with his fist or something that could hurt you?
YES 1
NO 2 (GO TO 1205e)
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
e) kick you, drag you, or beat you up?
YES 1
NO 2 (GO TO 1205f)
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
f) try to choke you or burn you on purpose?
YES 1
NO 2 (GO TO 1205g)
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
g) threaten or attack you with a knife, gun, or other weapon?
YES 1
NO 2 (GO TO 1205h)
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
h) physically force you to have sexual intercourse with him when you did not want to?
YES 1
NO 2 (GO TO 1205i)
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
i) physically force you to perform any other sexual acts you did not want to?
YES 1
NO 2 (GO TO 1205j)
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
j) force you with threats or in any other way to perform sexual acts you did not want to?
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 IN THE LAST 12 MONTHS 3

top
Namibia 2013
Survey form view entire document:  text 
1215) 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
NO 2
b) Did any previous (husband/partner) physically force you to have intercourse or perform any other sexual acts against your will?
YES 1
NO 2

B) How long ago did this last happen?

a) Did any previous (husband/partner) ever hit, slap, kick, or do anything else to hurt you physically?
0-11 MONTHS AGO 1
12+ MONTHS AGO 2
DON'T REMEMBER 3
b) Did any previous (husband/partner) physically force you to have intercourse or perform any other sexual acts against your will?
0-11 MONTHS AGO 1
12+ MONTHS AGO 2
DON'T REMEMBER 3

top
Nepal 2011
Survey form view entire document:  text 
1116) Who has hurt you in this way?
Anyone else?
RECORD ALL MENTIONED.

MOTHER/STEP-MOTHER A
FATHER/STEP-FATHER B
SISTER/BROTHER C
DAUGHTER/SON D
OTHER RELATIVE E
FORMER HUSBAND/LIVE-IN PARTNER F
CURRENT BOYFRIEND G
FORMER BOYFRIEND H
MOTHER-IN-LAW I
FATHER-IN-LAW J
OTHER IN-LAW K
TEACHER L
EMPLOYER/SOMEONE AT WORK M
POLICE/SOLDIER N
OTHER (SPECIFY) ____________ X

top
Nepal 2016
Survey form view entire document:  text 
1315A. 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 1315B)
NO 2
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 1315B)
NO 2

top
Nigeria 2008
Survey form view entire document:  text 
1319. Who has hurt you in this way? Anyone else?
RECORD ALL MENTIONED.

MOTHER/STEP-MOTHER A
FATHER/STEP-FATHER B
SISTER/BROTHER C
DAUGHTER/SON D
OTHER RELATIVE E
FORMER HUSBAND F
CURRENT BOYFRIEND G
FORMER BOYFRIEND H
MOTHER-IN-LAW I
FATHER-IN-LAW J
OTHER IN-LAW K
TEACHER L
EMPLOYER/SOMEONE AT WORK M
POLICE/SOLDIER N
OTHER (SPECIFY) ___________ X

top
Nigeria 2018
Survey form view entire document:  text 
1515. 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?

EVER
YES 1 (GO TO B)
NO 2

B. How long ago did this happen?

0-11 MONTHS AGO 1
12+ MONTHS AGO 2
DON'T REMEMBER 3

b) Did any previous (husband/partner) physically force you to have intercourse or preform other sexual acts against your will?

EVER
YES 1 (GO TO C)
NO 2

B. How long ago did this happen?

0-11 MONTHS AGO 1
12+ MONTHS AGO 2
DON'T REMEMBER 3

c) Did any previous (husband/partner) humiliate you in front of others, threaten to hurt you or someone you care about, or insult you or make you feel bad about yourself?

EVER
YES 1
NO 2

B. How long ago did this happen?

0-11 MONTHS AGO 1
12+ MONTHS AGO 2
DON'T REMEMBER 3

top
Pakistan 2012
Survey form view entire document:  text 
1016) A. So far we have been talking about the behavior of your (current/last) husband. Now I want to ask you about the behavior of any previous husband.
Did any previous husband ever hit, slap, kick, or do anything else to hurt you physically?
B. How long ago did this happen?

YES 1
0-11 MONTHS AGO 1
12+ MONTHS AGO 2
DON'T REMEMBER 3
NO 2

top
Pakistan 2017
Survey form view entire document:  text 
1215) So far we have been talking about the behavior of your (last) husband. Now I want to ask you about the behavior of any previous husband.

a) Did any previous husband ever hit, slap, kick, or do anything else to hurt you physically?
YES 1
NO 2 (GO TO b)
How long ago did this happen?
0-11 MONTHS AGO 1
12+ MONTHS AGO 2
DON'T REMEMBER 3
b) Did any previous husband physically force you to have intercourse or perform any other sexual acts against your will?
YES 1
NO 2 (GO TO 1216)
How long ago did this happen?
0-11 MONTHS AGO 1
12+ MONTHS AGO 2
DON'T REMEMBER 3

top
Rwanda 2005
Survey form view entire document:  text 
1015. Who has physically hurt you in this way? Anyone else?
RECORD ALL MENTIONED.

MOTHER A
FATHER B
STEP-MOTHER C
STEP-FATHER D
SISTER E
BROTHER F
DAUGHTER G
SON H
LATE/EX-HUSBAND/EX-PARTNER I
CURRENT BOYFRIEND K
MOTHER-IN-LAW L
FATHER-IN-LAW M
OTHER FEMALE RELATIVE/IN-LAW N
OTHER MALE RELATIVE/IN-LAW O
FEMALE FRIEND/ACQUAINTANCE Q
TEACHER R
EMPLOYER S
STRANGER T
OTHER (SPECIFY)_____ X

top
Rwanda 2010
Survey form view entire document:  text 
1207) Who else has physically hurt you in this way? Anyone else?

RECORD ALL MENTIONED.

MOTHER A
FATHER B
STEP-MOTHER C
STEP-FATHER D
SISTER E
BROTHER F
DAUGHTER G
SON H
LATE/EX-HUSBAND/EX-PARTNER I
CURRENT BOYFRIEND J
FORMER BOYFRIEND K
MOTHER-IN-LAW L
FATHER-IN-LAW M
OTHER FEMALE RELATIVE/IN-LAW N
OTHER MALE RELATIVE/IN-LAW O
FEMALE FRIEND/ACQUAINTANCE P
MALE FRIEND/ACQUAINTANCE Q
TEACHER R
EMPLOYER S
POLICE/SOLDIER T
STRANGER U
OTHER (SPECIFY) X

top
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

top
Senegal 2017
Survey form view entire document:  text 
1516) 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).
b) How long ago did this last happen?

a) Did any previous (husband/partner) ever hit, slap, kick or do anything else to hurt you physically?
YES 1
NO 2
0-11 MONTHS AGO 1
12 OR MORE MONTHS AGO 2
DON'T REMEMBER 8
b) Did any previous (husband/partner) physically force you to have intercourse or perform any other sexual acts against your will?
YES 1
NO 2
0-11 MONTHS AGO 1
12 OR MORE MONTHS AGO 2
DON'T REMEMBER 8

top
South Africa 1998
Survey form view entire document:  text 
705 Can you tell me who has done this to you? Anyone else?
RECORD ALL MENTIONED
PROBE IF NOT MENTIONED

CURRENT HUSBAND/PARTNER A
FORMER HUSBAND/PARTNER B
BOYFRIEND C
FATHER D
BROTHER E
SON F
DAUGHTER G
MOTHER H
FATHER-IN-LAW I
MOTHER-IN-LAW J
OTHER MALE RELATIVE K
OTHER FEMALE RELATIVE L
MANAGER/FOREMAN/EMPLOYER M
ASSAILANT N
OTHER (SPECIFY) ____________________ X
NO ANSWER Y

top
South Africa 2016
Survey form view entire document:  text 
1515) A) So far we have been talking about the behavior of your (current/last) partner. Now I want to ask you about the behavior of any previous partner.

a) Did any previous partner ever hit, slap, kick, or do anything else to hurt you physically?
b) Did any previous partner physically force you to have sexual intercourse against your will?
c) Did any previous partner physically force you to perform any other sexual acts against your will?
d) Did any previous partner humiliate, threaten, belittle, insult or try to exert excessive control over you in any way?
e) Did any previous partner refuse to give you enough money for household expenses or contribute towards household expenses?

A) HURT PHYSICALLY
YES 1 (GO TO PART B)
NO 2
B) FORCE INTERCOURSE
YES 1 (GO TO PART B)
NO 2
C) FORCE OTHER SEXUAL ACTS
YES 1 (GO TO PART B)
NO 2
D) HUMILIATE
YES 1 (GO TO PART B)
NO 2
E) REFUSE MONEY
YES 1 (GO TO PART B)
NO 2

top
Tanzania 2010
Survey form view entire document:  text 
1015. CHECK 601 AND 602:

EVER MARRIED/LIVED WITH A MAN: From the time you were 15 years old has anyone other than your (current/last) husband/partner hit, slapped, kicked, or done anything to hurt you physically?

NEVER MARRIED/ NEVER LIVED WITH A MAN: From the time you were 15 years old has anyone ever hit, slapped, kicked, or done anything else to hurt you else physically?

YES 1
NO 2 (GO TO 1018)
REFUSED TO ANSWER/NO ANSWER 3 (GO TO 1018)

1016. Who has hurt you in this way? Anyone else?
RECORD ALL MENTIONED.

MOTHER/STEP-MOTHER A
FATHER/STEP-FATHER B
SISTER/BROTHER C
DAUGHTER/SON D
OTHER RELATIVE E
FORMER HUSBAND/LIVE-IN PARTNER F
CURRENT BOYFRIEND G
FORMER BOYFRIEND H
MOTHER-IN-LAW I
FATHER-IN-LAW J
OTHER IN-LAW K
TEACHER L
EMPLOYER/SOMEONE AT WORK M
POLICE/SOLDIER N
OTHER (SPECIFY) _______ X

top
Tanzania 2015
Survey form view entire document:  text 
1415)

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 Ba)
NO 2 (GO TO 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 Bb)
NO 2 (GO TO 1416)

B. How long ago did this last happen?

a) Did any previous (husband/partner) ever hit, slap, kick, or do anything else to hurt you physically?
0-11 MONTHS AGO 1
MORE THAN 12 MONTHS AGO 2
DON'T REMEMBER 3
b) Did any previous (husband/partner) physically force you to have intercourse or perform any other sexual acts against your will?
0-11 MONTHS AGO 1
MORE THAN 12 MONTHS AGO 2
DON'T REMEMBER 3

top
Togo 2013
Survey form view entire document:  text 
1415)
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).

b) How long ago did this last happen?

a) DID ANY PREVIOUS (HUSBAND/PARTNER) EVER HIT, SLAP, KICK OR DO ANYTHING ELSE TO HURT YOU PHYSICALLY?
YES 1
NO 2
0-11 MONTHS AGO
12 OR MORE MONTHS AGO
DON'T REMEMBER
b) DID ANY PREVIOUS (HUSBAND/PARTNER) PHYSICALLY FORCE YOU TO HAVE INTERCOURSE OR PERFORM ANY OTHER SEXUAL ACTS AGAINST YOUR WILL?
YES 1
NO 2
0-11 MONTHS AGO
12 OR MORE MONTHS AGO
DON'T REMEMBER

top
Uganda 2006
Survey form view entire document:  text 
1115) Who has hurt you in this way? Anyone else?
RECORD ALL MENTIONED.

MOTHER/STEP-MOTHER A
FATHER/STEP-FATHER B
SISTER/BROTHER C
DAUGHTER/SON D
OTHER RELATIVE E
FORMER HUSBAND/PARTNER F
CURRENT BOYFRIEND G
FORMER BOYFRIEND H
MOTHER-IN-LAW I
FATHER-IN-LAW J
OTHER IN-LAW K
TEACHER L
EMPLOYER/SOMEONE AT WORK M
POLICE/SOLDIER N
OTHER (SPECIFY) X

top
Uganda 2016
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 B)
NO 2
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 B)
NO 2

top
Zambia 2001
Survey form view entire document:  text 
720EX. Who did this to you?
RECORD ALL MENTIONED.

FATHER A
MOTHER B
FATHER-IN-LAW C
MOTHER-IN-LAW D
BROTHER E
SISTER F
SON G
DAUGHTER H
LATE/EX-HUSBAND/EX-PARTNER I
CURRENT BOYFRIEND J
FORMER BOYFRIEND K
OTHER MALE RELATIVE L
OTHER FEMALE RELATIVE M
MALE FRIEND N
FEMALE FRIEND O
TEACHER P
EMPLOYER Q
STRANGER R
OTHER (SPECIFY) _____________ X

top
Zambia 2007
Survey form view entire document:  text 
1219. Who has hurt you in this way?
Anyone else?
RECORD ALL MENTIONED.

MOTHER/STEP-MOTHER A
FATHER/STEP-FATHER B
SISTER/BROTHER C
DAUGHTER/SON D
OTHER RELATIVE E
FORMER HUSBAND F
CURRENT BOYFRIEND G
FORMER BOYFRIEND H
MOTHER-IN-LAW I
FATHER-IN-LAW J
OTHER IN-LAW K
TEACHER L
EMPLOYER/SOMEONE AT WORK M
POLICE/SOLDIER N
OTHER (SPECIFY) ___________ X

top
Zambia 2018
Survey form view entire document:  text 
(1415) 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 (SKIP TO PART (B))
NO 2
b) Did any previous (husband/partner) physically force you to have intercourse or perform any other sexual acts against your will?
YES 1 (SKIP TO PART (B))
NO 2
c) Did any previous (husband/partner) humiliate you in front of others, threaten to hurt you or someone you care about, or insult you or make you feel bad about yourself?
YES 1 (SKIP TO PART (B))
NO 2

B. How long ago did this happen?

0-11 MONTHS AGO 1
12+ MONTHS AGO 2
DON'T REMEMBER 3

top
Zimbabwe 2005
Survey form view entire document:  text 
1118) Who has hurt you in this way? Anyone else?

RECORD ALL MENTIONED.

MOTHER/STEP-MOTHER A
FATHER/STEP-FATHER B
SISTER/BROTHER C
DAUGHTER/SON D
OTHER RELATIVE E
FORMER HUSBAND/PARTNER F
CURRENT BOYFRIEND G
FORMER BOYFRIEND H
MOTHER-IN-LAW I
FATHER-IN-LAW J
OTHER IN-LAW K
TEACHER L
EMPLOYER/SOMEONE AT WORK M
POLICE/SOLDIER N
OTHER (SPECIFY) __________ X

top
Zimbabwe 2010
Survey form view entire document:  text 
1216) Who hurt you in this way? Anyone else?

RECORD ALL MENTIONED.

MOTHER/STEP-MOTHER A
FATHER/STEP-FATHER B
SISTER/BROTHER C
DAUGHTER/SON D
OTHER RELATIVE E
FORMER HUSBAND/LIVE-IN PARTNER F
CURRENT BOYFRIEND G
FORMER BOYFRIEND H
MOTHER-IN-LAW I
FATHER-IN-LAW J
OTHER-IN-LAW K
TEACHER L
EMPLOYER/SOMEONE AT WORK M
POLICE/SOLDIER N
OTHER (SPECIFY) X

top
Zimbabwe 2015
Survey form view entire document:  text 
1315A. 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 1315B)
NO 2 (GO TO B)
B. Did any previous (husband/partner) physically force you to have intercourse or perform any other sexual acts against you will?
YES 1 (GO TO 1315B)
NO 2 (GO TO 1316)