A Guide for Those in a Romantic Relationship

Does the person you love…..?

Answer each of these questions with one of the four responses:

3 = Frequently 2 = Sometimes 1 = Rarely 0 = Never

________"Track" all of your time?

________sulk or refuse to talk?

________scream, insult, or swear at you?

________Is he/she ever rude to your friends?

________Make you feel like you are "walking on egg shells" when your he/she is around?

________Criticize such things as your cooking, clothes, or appearance?

________Have moods that change radically, from very calm to very angry, or vice versa?

________Threaten punishment other than physical (i.e. withholding money, taking the children away, having an affair?)

________Constantly accuse you of being unfaithful?

________Prevent you from your leaving or seeing certain people?

________Discourage your relationships with family and friends?

________Prevent you from working or attending school?

________Criticize you for little things or blame you for everything that goes wrong?

________Anger easily when drinking or using drugs?

________Control all finances and force you to account for the money you spend?

________Humiliate you in front of others?

________Destroy personal property or sentimental items?

________Threaten to hit or throw something at you?

________Throw, hit , or kick something?

________Threaten to hurt you or your children?

________Hit, punch, slap, kick, or bite you or your children?

________Use or threat to use a weapon against you?

________Drive recklessly to frighten you?

________Push, carry, restrain, grab, or shove you?

________Bite or scratch you?

________Spit at you?

________Have a criminal record for being violent with others?

________Force you to have sex against your will?

Glance at your responses. Do you see more 3’s, 2’s, and 1’s than you are comfortable with? If you find yourself questioning whether or not you are in an unhealthy relationship, now is the time to stop by or call Missouri Shores Domestic Violence Center for more information.

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