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SAFE questions for domestic violence

Stress/Safety 1) What stress do yo experience in your relationships? 2) Do you feel safe in your relationships? 3) Should I be concerned for your safety? Afraid/Abused 1) Has your partner ever threatened or abused you or your children? 2) Have you been physically hurt by your partner? 3) People in relationships often fight; what happens when you & your partner disagree? Friends/Family 1) Are your friends aware that you have been hurt? 2) Do your parents or siblings know about the above? 3) Do you think that you could tell them, & do you think they would be able to give you support? Emergency Plan - Do you have a safe place to go & the resources you need in an emergency?

Related

domestic violence (includes intimate partner violence)

General

health questionnaire

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998