Factors that will increase danger / lethality for you, your children or your family. Please complete all assessment questions to get a score.
Questions 1. You have been strangled, choked or bitten (also burnt, broken bones) .
Questions 2. You are separated from partner (past, or recently).
Questions 3. You fear that the violence will increase, worry about your safety, your children, family/or future violence.
Questions 4. You have been forced to do things against your will.
Questions 5. You were forced to marry your partner.
Questions 6. You have experienced violence during pregnancy/had miscarriages.
Questions 7. My partner has access, used or possess weapons/firearms.
Questions 8. My partner has mental health, issues (depression, paranoia etc.), addiction (alcohol/drugs etc.) .
Questions 9. Threaten to hurt you, your children, himself or your family if you leave him.
Questions 10. You are new in the country and afraid that you will be deported by the authorities.
Questions 11. You are staying in the marriage/relationship to “save face”/ keep my family honor.
Questions 12. You have a disability.
Questions 13. Are you being sponsored by your spouse in this country .
RESULT LOW RISK Select the factors to see the Risk Level.
RESULT