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Domestic Abuse Needs Assessment

When it comes to domestic abuse, it's hard to know what we need, where to turn, and what awaits on the other side of verbal, emotional, mental and physical abuse. Feel free to take this free needs assessment quiz to help you look deeper within and identify what's most pressing for you now.

Intimate Partner Abuse Screen

If you need to identify intimate partner abuse and want a personal interpretive report, please see: Intimate Partner Abuse Screen®

We are a nonprofit organization dedicated to helping individuals who may be victims of abuse by providing educational resources and professional guidance and consulting.

Remember to be honest. This assessment is completely anonymous, so please be honest otherwise you will not get the proper results.

Has anyone accused you of being irrational, uncooperative or "crazy"? Yes
No
Does your partner say and do things that leave you feeling stupid or unimportant? Yes
No
Do you find yourself in the "doghouse?" Yes
No
Do you wonder if you are in an "abusive relationship?" Yes
No
Do you often think of leaving your partner? Yes
No
Does your partner fail to keep promises made? Yes
No
Do you often feel trapped in your relationship? Yes
No
Do you think that you are to blame for your partner's behavior towards you? Yes
No
Are you self-conscious about your weight or appearance? Yes
No
Do you like the person you see in the mirror? Yes
No
Do you have intense feelings of inadequacy and helplessness? Yes
No
Does depression or worrisome thought cloud your day? Yes
No
Do you have problems sleeping or falling asleep? Yes
No
Do you suffer from excessive pain, stress and anxiety? Yes
No
Do you long for peace and the absence of conflict? Yes
No
Would you like to turn on your own internal healing response? Yes
No
Have you sought legal help to resolve your domestic problems? Yes
No
Have the police ever been called as a result of your relationship? Yes
No
Do you fear that you will lose custody of your children? Yes
No
Does it sometimes feel as if your lawyer is not looking out for your best interest? Yes
No





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