Behaviours
For each statement, mark Often, Sometimes, or Never.
If you check “Often” on several items, that’s a red flag worth taking seriously.
1. Control & Isolation
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My partner tells me who I can or cannot see or talk to.
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My partner checks my phone, email, or social media.
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My partner gets angry if I spend time with friends or family.
2. Verbal & Emotional Abuse
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My partner calls me names, mocks, or belittles me.
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My partner blames me for their anger or problems.
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My partner makes me doubt my memory or perception (gaslighting).
3. Intimidation & Threats
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My partner yells, throws objects, or damages property.
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My partner threatens to harm me, themselves, children, or pets.
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My partner uses intimidation (body language, weapons, silence) to scare me.
4. Financial Control
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My partner controls all the money or withholds funds.
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My partner sabotages my work or stops me from working.
5. Sexual Coercion
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My partner pressures me into sex or sexual acts I don’t want.
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My partner shames me or gets angry when I say no.
6. Manipulative “Ups & Downs”
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My partner is very loving after being abusive (love-bombing).
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My partner gives me the silent treatment or withdraws affection to punish me.
7. Impact on Me
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I feel like I’m walking on eggshells.
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I feel scared, confused, or constantly criticized.
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I’ve lost confidence, independence, or my sense of self.
🟢 What to Do With Your Results
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Patterns of “Often” or “Sometimes” across these areas suggest abuse may be present.
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Save this worksheet somewhere safe if you might need evidence.
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Reach out to a trusted friend, therapist, or domestic-violence hotline.
U.S. National Domestic Violence Hotline: 1-800-799-7233 (free, confidential, 24/7)
Live chat: thehotline.org

