Video Tools For Domestic Violence Intervention

Flower

Sample Questionnaire

Sample Questionnaire

In the Beginning:
What are some controlling behaviors the women observed or experienced?

Physical & Property Abuse:
What effect did the physical and/or property abuse have on the women?

Sexual Abuse:
How did the sexual abuse effect their attitude towards intimacy (or sex) and their self-image?

Psychological & Verbal Abuse:
How did the verbal & psychological abuse make the women feel?

The Effects of Abuse on Others:
What effect did the abuse have on others (family, friends, co-workers, etc)?

Growing Up with Abuse:
How did their father’s controlling behaviors effect these two youth?

What We’d Like Abusive & Controlling Men to Know:
Of all the things the women and youth say, what had the greatest impact on you?