Fra Vaw Survey Questionnaire 1 en

Survey on womens wellbeing and safety
in Europe
Questionnaire
Version 19 March 2012
Confidential please do not distribute
Section A Introduction 2
Section B Health, feelings of safety, knowledge about services 6
Section C Sexual harassment 10
Section D Other experiences with non-partners 19
Section E Experiences with the current partner 33
Section F Current partner background 43
Section G Experiences with previous partners 46
Section H Repeated incidents 57
Section I Experiences in childhood 65
Section J Respondent background 69
Section K Conclusion 72
Section L Self-completion form 74
Abbreviations:
DK = Dont know
NA = Not applicable
RF = Refused
Note 1: The text in bold is meant to be read out to the respondent. Question marks indicate where the interviewer
should wait for the reply of the respondent before reading out the next item.
Note 2: The formatting of the final questionnaire will depend on factors such as the interview mode. This document
presents the framework of the final questionnaire, which will need to be formatted and edited before use in the
field. Therefore many aspects related to how the questionnaire looks should not be considered final, and the final
questionnaire will be adapted for fieldwork use in cooperation with the survey contractor.
1
Questionnaire Survey on womens wellbeing and safety in Europe
Section A Introduction
Good morning/afternoon/evening. My name is . from...., the research company. We are conducting an important
survey on behalf of the European Union Agency for Fundamental Rights looking at issues that affect women and
their wellbeing and safety. We will be interviewing women across Europe to better understand their opinions and
experiences. The interview will take around 45 minutes to complete. The findings from the survey will be used to
help shape policy to improve the lives of women.
A01 Do you have any children? Please include your own children, as well as step or foster children. Also include
children who are not living with you now but who youve taken care of in the past. (INTERVIEWER, PLEASE
INCLUDE ADOPTED CHILDREN)
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
A02 How many people under the age of 18 are living in your household?
WRITE DOWN THE ANSWER INCLUDE ALL PERSONS FROM AGE 0 TO AGE 17.
OR 97 Dont know
98 Not applicable
99 Refused
A03 And including you, how many women and how many men aged 18 and over are living in your household?
WRITE DOWN THE ANSWER INCLUDE ALL PERSONS FROM AGE 18 ON.
A03a NUMBER OF WOMEN: OR 97 Dont know

98 Not applicable
99 Refused
A03b NUMBER OF MEN: OR 97 Dont know

98 Not applicable
99 Refused
A04
Yes No DK NA RF
Are you currently married or
A04a
in a civil partnership?1 1 2 7 8 9
IF A04a=1 GO TO A04b, ELSE GO TO A04d
A04b Are you living together with

your partner? 1 2 7 8 9
IF A04a=1 AND A04b=1 (MARRIED AND LIVING TOGETHER) GO TO A05, ELSE GO TO A04c
A04c Are you separated? 1 2 7 8 9
1 Instruction to the interviewer: Where applicable, include here civil partnerships/registered partnerships.
2
FRA survey Technical report
A04d IF A04c=1 (MARRIED BUT SEPARATED) ASK:
Are you living together with a different partner?
IF A04a=2, 7, 8 OR 9 (NOT MARRIED) ASK:
Are you living together with a partner? 1 2 7 8 9
IF A04d=1 GO TO A05, ELSE GO TO A04e
A04e Are you involved in a relationship2

without living together? 1 2 7 8 9
IF A04e=1 GO TO A05, ELSE GO TO A06.
A05 Can I just ask, is your current partner a man or a woman?
1. Man 1
2. Woman 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
A06 IF A04a, A04d OR A04e=1 (MARRIED, LIVING TOGETHER WITH A PARTNER OR INVOLVED IN A RELATIONSHIP) ASK:
And before your current relationship, could you please tell me using this card how many times you have been:
ELSE ASK: And using this card, how many times in the past have you been:
(SHOW CARD A06)
AFTER EACH ITEM IF

A06aA06c=ONCE OR MORE
ASK: Was this with amale
or a female partner, or both
male and female partners?
Three or more times
Female
Never
Twice
Once
Male
Both
NA
NA
DK
DK
RF
RF
A06a Married? 1 2 3 4 7 8 9 1 2 3 7 8 9
Living together
A06b with a partner, 1 2 3 4 7 8 9 1 2 3 7 8 9
but not married?
Involved in a
A06c relationship, without 1 2 3 4 7 8 9 1 2 3 7 8 9
living together?
IF A06aA06c=24 (AT LEAST ONE PAST RELATIONSHIP) GO TO A06d, ELSE GO TO A07
2 Instruction to the interviewer: Record as yes here if respondent has a boyfriend or girlfriend.
3
A06d Did your last relationship end in separation or divorce, or did your partner die?
1. Divorced
2. Separated/broke up
3. Widowed/partner died
7. Do not know
8. Not applicable
9. Refused
ASK ALL
A07 Are you working in a paid job or are you unemployed or doing something else using this card, how would
you describe your main activity?
(SHOW CARD A07)
MARK ONE
1. Paid work full time 1
2. Paid work part time 2
3. Self-employed 3
4. Home maker looking after the home/children/relatives etc. or
on parental leave 4
5. Unpaid or voluntary work 5
6. Unemployed and looking for work 6
7. Unemployed but not looking for work 7
8. Student, in training 8
9. I am unable to work because of a disability 9
10. Retired 10
11. In military or community service (INTERVIEWER: MILITARY SERVICE
REFERS TOTHOSECURRENTLYDOING THEIR MILITARY SERVICE,
NOT THOSE WHO AREEMPLOYEDBYTHEMILITARY THESE SHOULD BE
CODED AS WORKING FULL-TIME/PARTTIME) 11
12. Other 12
97. Do not know 97
98. Not applicable 98
99. Refused 99
IF NOT WORKING CURRENTLY (A07=4, 6, 7, 8, 9, 10, 11,12) GO TO A08, ELSE GO TO A09.
A08 Have you undertaken any form of employment3 outside the home at any time during the past 12 months?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
3 Instruction to the interviewer: This can include unpaid/voluntary work.
4
A09 What is your (main) occupation? (OR IF NOT WORKING OR DK, NA OR REF AT A07): What was your last job?)
DO NOT READ OUT.
1. Farmer 1
2. Fisherwoman 2
3. Professional (lawyer, doctor, accountant, architect, etc.) 3
4. Shop owner, artisan, other self-employed person 4
5. Business owner, owner (full or partner) of a company 5
6. General management, director or top management (managing director,
other director) 6
7. Middle management (department head, technician, teacher) 7
8. Employed position, working mainly at a desk 8
9. Employed position, not at a desk but travelling (salesmen, driver, etc.) 9
10. Employed position, not at a desk, but in a service job (hospital, restaurant,
police, fire brigade, etc.) 10
11. Supervisor 11
12. Skilled manual worker 12
13. Other (unskilled manual worker/servant) 13
14. Never done paid work 14
15. Refused 15
ASK ALL
A10 I would like to ask you now about discrimination. By discrimination I mean when somebody is treated
less favourably than others because of a specific personal feature, such as their gender. For example,
discrimination can occur when a woman is not given an equal opportunity to be promoted in her job in
comparison with a man, although she is equally suitable and experienced.
IF YES TO A10a ASK:

Has this happened in
the past 12 months?
Has not looked
for work
Yes
Yes
NA
NA
No
No
DK
DK
RF
RF
A10a
IF YES TO A10b ASK:
Has this happened in
the past 12 months?
Has not been
working
Yes
Yes
NA
NA
No
No
DK
DK
RF
RF
A10bThinking about it, have you

ever been discriminated
1 2 3 7 8 9 1 2 7 8 9
against at work because
you are a woman?
5
Section B Health, feelings of safety, knowledge about services

ASK ALL
B01 I would now like to ask you about your health.4 How is your health in general is it very good, good, fair,
bad or very bad?
1. Very good 1
2. Good 2
3. Fair 3
4. Bad 4
5. Very bad 5
7. Do not know 7
8. Not applicable 8
9. Refused 9
B02a Do you have any complaints, injuries or diseases that limit your everyday activities, keeping you from
doing such things as working, shopping, managing your life or keeping in contact with other people?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
IF B02a=1 GO TO B02b, ELSE GO TO B03
B02b Do you consider yourself to be disabled?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
4 Instruction to the interviewer: Health can encompass both physical and emotional health it is up to the respondent to decide.
6
B03 In the past 12 months, how often, if at all, have you been worried that any of the following might physically
or sexually attack or hurt you?:
(SHOW CARD B03)
Never Some- Often All of DK NA RF

times the
time
B03a someone you 1 2 3 4 7 8 9

do not know?
B03b someone from work, 1 2 3 4 7 8 9

school or training?
B03c another acquaintance 1 2 3 4 7 8 9

or a friend?
B03d a relative or 1 2 3 4 7 8 9
family member other
than your partner?
B03e IF NO CURRENT PARTNER 1 2 3 4 7 8 9

(A04a=2 AND A04d=2 AND
A04e=2) GO TO B03f, ELSE
ASK: your current partner?
B03f IF NO REVIOUS PARTNER 1 2 3 4 7 8 9

(ALL IN A06aA06c=1) GO
TO B04, ELSE ASK: your
previous partner?
B04 During the past 12 months have you carried with you something that can be used for self-defence, as
aprecaution for threatening situations? Please use this card to answer.
(SHOW CARD B04)
1. Never 1
2. Sometimes 2
3. Often 3
4. All the time 4
7. Do not know 7
8. Not applicable 8
9. Refused 9
7
B05 At any time in the past 12 months, have you done any of the following for fear of being physically or sexually
assaulted please use the options on this card to answer. If any of the options do not apply to you please
let me know
(SHOW CARD B05)
Never Some- Often All of DK NA RF

times the
time
B05a Avoided leaving your 1 2 3 4 7 8 9

home on your own?
B05b Avoided taking 1 2 3 4 7 8 9

certain streets or going
to certain areas?
B05c Avoided going to places 1 2 3 4 7 8 9

where there are no other
people around, for example
some streets, car parks, etc.?
B05d Avoided opening 1 2 3 4 7 8 9

your door when you
are alone at home?
B05e Avoided going 1 2 3 4 7 8 9

home because of what
might happen there?
B05f IF NOT WORKING (A08=2) 1 2 3 4 7 8 9

GO TO B06, ELSE ASK:
Avoided being alone with
acolleague or boss at work?
B06 Have you ever heard of the following organisations or services:
Yes No DK NA RF
B06a [ORGANISATION/SERVICE 1]? 1 2 7 8 9
B06b [ORGANISATION/SERVICE 2]? 1 2 7 8 9
B06c [ORGANISATION/SERVICE 3]? 1 2 7 8 9
8
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9
10
C01 Now some questions about experiences that women may have.At times C02 AFTER EACH ITEM, IF IN C01aC01k=24 (ONCEORMORE),
you may have experienced people acting towards you in a way that you felt ASK:Who was it that did this to you? (PROBE: Anyone
was unwanted and offensive. How often since you were 15 years old, until else?) IF NOT CLEAR ASK: Was this a man or a woman,
now, have you experienced any of the following: (SHOW CARD C01) or were both men and women involved? INTERVIEWER:
IF ASKED, PARTNER IS SOMEONE RESPONDENT LIVES
WITH AND BOYFRIEND/GIRLFRIEND IS SOMEONE THEY
ASK ALL
DO NOT LIVE WIMARK ALL THAT APPLY 1=MALE,

2F=FEMALE, 3=BOTH (SHOW CARD C02)
1. Current 2. Current 3. Previous 4. Previous

partner boyfriend/ partner boyfriend/
girlfriend girlfriend
Never
Once
25 times
6 or more times
DK
NA
RF
C01a Unwelcome touching, hugging or kissing? 1 2 3 4 7 8 9 C02a 1 2 3 1 2 3 1 2 3 1 2 3
Inappropriate staring or leering that

C01b 1 2 3 4 7 8 9 C02b 1 2 3 1 2 3 1 2 3 1 2 3
made you feel intimidated?
Section C Sexual harassment
Sexually suggestive comments or jokes

C01c 1 2 3 4 7 8 9 C02c 1 2 3 1 2 3 1 2 3 1 2 3
that made you feel offended?
Somebody sending or showing you
C01d sexually explicit pictures, photos or 1 2 3 4 7 8 9 C02d 1 2 3 1 2 3 1 2 3 1 2 3
gifts that made you feel offended?
C01e Inappropriate invitations to go out on dates? 1 2 3 4 7 8 9 C02e 1 2 3 1 2 3 1 2 3 1 2 3
Intrusive questions about your private
C01f 1 2 3 4 7 8 9 C02f 1 2 3 1 2 3 1 2 3 1 2 3
life that made you feel offended?
Intrusive comments about your physical
C01g 1 2 3 4 7 8 9 C02g 1 2 3 1 2 3 1 2 3 1 2 3
appearance that made you feel offended?
Unwanted sexually explicit emails or SMS
C01h messages that offended you? INTERVIEWER: IF 1 2 3 4 7 8 9 C02h 1 2 3 1 2 3 1 2 3 1 2 3
RESPONDENT HAS NEVER USED EMAIL/SMS CODE NA
Inappropriate advances that offended you on
social networking websites such as Facebook, or in
C01i 1 2 3 4 7 8 9 C02i 1 2 3 1 2 3 1 2 3 1 2 3
internet chat rooms? INTERVIEWER: IF RESPONDENT
HAS NEVER USED SOCIAL NETWORKS CODE NA
C01j Somebody indecently exposing themselves to you? 1 2 3 4 7 8 9 C02j 1 2 3 1 2 3 1 2 3 1 2 3
Somebody made you watch or look at
C01k 1 2 3 4 7 8 9 C02k 1 2 3 1 2 3 1 2 3 1 2 3
pornographic material against your wishes?
5. Boss/
supervisor
6. Colleague/co-worker
7. Client/
customer/
patient
8. Teacher/trainer/coach
9. Another pupil/
co-student
10. Doctor/health
care worker
11. Relative/
family member (other
than partner)
12. A date/
someone you just met
13. Friend/
acquaintance
14. Somebody
else you knew
15. Someone you
did not know
16. Unknown perpetrator
(DO NOT ASK SEX)
DK
NA
RF
1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 97 98 99
1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 97 98 99
1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 97 98 99
1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 97 98 99
1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 97 98 99
1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 97 98 99
1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 97 98 99
1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 97 98 99
1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 97 98 99
1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 97 98 99
1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 97 98 99
IF ALL IN C01aC01k=1 (NEVER), 7 (DK), 8 (NA) or 9 (REF), GO TO D01, ELSE GO TO C03
11
12
C03 FOR EACH ITEM WHERE C01aC01k=24 (ONCE OR MORE) ASK: C04 AFTER EACH ITEM, IF IN C03aC03k=24 (ONCE OR MORE),
You said that you have experienced [READ OUT THE RELEVANT CATEGORY AND MORE THAN ONE PERSON SELECTED AT C02 ASK:
FROM C01]. Can I just ask, how often has this happened to you in Who was it that did this to you? (PROBE: Anyone else?)
the past 12 months? Please still use this card to answer. IF NOT CLEAR ASK: Was this a man or a woman,
(SHOW CARD C03) or were both men and women involved?
MARK ALL THAT APPLY M=MALE, F=FEMALE, B=BOTH
(SHOW CARD C04)
Never Once 25 6 or DK NA RF 1. Current 2. Current 3. Previous 4. Previous
times more partner boyfriend/ partner boyfriend/
times girlfriend girlfriend
C03a Unwelcome touching, hugging or kissing? 1 2 3 4 7 8 9 C04a M F B M F B M F B M F B

Inappropriate staring or leering that
C03b 1 2 3 4 7 8 9 C04b M F B M F B M F B M F B
made you feel intimidated?
Sexually suggestive comments or

C03c 1 2 3 4 7 8 9 C04c M F B M F B M F B M F B
jokes that made you feel offended?
Somebody sending or showing you
C03d sexually explicit pictures, photos or 1 2 3 4 7 8 9 C04d M F B M F B M F B M F B
gifts that made you feel offended?
C03e Inappropriate invitations to go out on dates? 1 2 3 4 7 8 9 C04e M F B M F B M F B M F B
Intrusive questions about your private
C03f 1 2 3 4 7 8 9 C04f M F B M F B M F B M F B
life that made you feel offended?
Intrusive comments about your physical
C03g 1 2 3 4 7 8 9 C04g M F B M F B M F B M F B
appearance that made you feel offended?
Unwanted sexually explicit emails or
SMS messages that offended you?
C03h 1 2 3 4 7 8 9 C04h M F B M F B M F B M F B
INTERVIEWER: IF RESPONDENT HAS
NEVER USED EMAIL/SMS CODE NA
Inappropriate advances that offended
you on social networking websites such
C03i as Facebook, or in internet chat rooms? 1 2 3 4 7 8 9 C04i M F B M F B M F B M F B
INTERVIEWER: IF RESPONDENT HAS NEVER
USED SOCIAL NETWORKS CODE NA
Somebody indecently exposing
C03j 1 2 3 4 7 8 9 C04j M F B M F B M F B M F B
themselves to you?
Somebody made you watch or look at
C03k 1 2 3 4 7 8 9 C04k M F B M F B M F B M F B
pornographic material against your wishes?
5. Boss/
supervisor
7. Client/customer/
patient
9. Another pupil/
co-student
10. Doctor/health
care worker
11. Relative/
family member (other
than partner)
12. A date/
someone you just met
13 Friend/
acquaintance
14. Somebody
else you knew
15. Someone you
did not know
16. Unknown perpetrator
(DO NOT ASK SEX)
DK
NA
RF
M F B M F B M F B M F B M F B M F B M F B M F B M F B M F B M F B 96 97 98 99
M F B M F B M F B M F B M F B M F B M F B M F B M F B M F B M F B 97 98 99
13
C05 Now thinking about the most serious5 incident that has happened to you since the age of 15, which of the
things on this card happened at that time? By most serious we mean an incident that had the biggest
impact on you, either physically or psychologically. PROBE: Did anything else happen during the most
serious incident? IF RESPONDENT SAYS THAT SHE DID NOT THINK THE INCIDENT WAS SERIOUS QUESTION
WORDING FOR C06 TO C09 SHOULD BE CHANGED AS INDICATED
(SHOW CARD C05)
MARK ALL
THAT APPLY
1. Unwelcome touching, hugging or kissing 1
2. Inappropriate staring or leering that made you feel intimidated 2
3. Sexually suggestive comments or jokes that made you feel offended 3
4. Somebody sending or showing you sexually explicit pictures,
photos or gifts that made you feel offended? 4
5. Inappropriate invitations to go out on dates 5
6. Intrusive questions about your private life that made you feel offended 6
7. Intrusive comments about your physical appearance that made you
feel offended 7
8. Unwanted sexually explicit emails or SMS messages that offended you 8
9. Inappropriate advances that offended you on social networking websites
such as Facebook, or in internet chat rooms 9
10. Somebody indecently exposing themselves to you 10
11. Somebody made you watch or look at pornographic material against
our wishes 11
97. Do not know 97
99. Refused 99
IF DK, NA OR REF AND NONE OF CATEGORIES 111 MARKED AT C05 SKIP TO D01
C06 Just to be clear, who was it that did this to you in the most serious incident/in this incident? IF NOT CLEAR
ASK: Was this a man or a woman, or were both men and women involved?
(SHOW CARD C06)

MARK ALL THAT APPLY
Man Woman Both DK NA RF
C06a. Current partner 1 2 3 97 98 99
C06b. Current boyfriend/girlfriend 1 2 3 97 98 99
C06c. Previous partner 1 2 3 97 98 99
C06d. Previous boyfriend/girlfriend 1 2 3 97 98 99
C06e. Boss/supervisor 1 2 3 97 98 99
C06f. Colleague/co-worker 1 2 3 97 98 99
C06g. Client/customer/patient 1 2 3 97 98 99
C06h. Teacher/trainer/coach 1 2 3 97 98 99
C06i. Another pupil/co-student 1 2 3 97 98 99
C06j. Doctor/health care worker 1 2 3 97 98 99
C06k. Relative/family member (other than partner) 1 2 3 97 98 99
C06l. A date/someone you just met 1 2 3 97 98 99
C06m. Friend/acquaintance 1 2 3 97 98 99
C06n. Somebody else you knew 1 2 3 97 98 99
C06o. Someone you did not know 1 2 3 97 98 99
C06p. Unknown perpetrator (DO NOT ASK SEX) 1 97 98 99
If C03AK=1 (NEVER), skip C07
5 Instruction to the interviewer: If the respondent cannot decide which incident has been the most serious, ask her to consider the most
recent incident that she felt was serious.
14
C07 Did the most serious incident/this incident take place in the past 12 months or before then?
1. In the past 12 months 1

2. Before then 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
C08 In the most serious incident,/this incident was the person who did this to you acting alone or were there
other people involved?
1. One perpetrator 1
2. Two perpetrators 2
3. Three or more perpetrators 3
7. Do not know 7
8. Not applicable 8
9. Refused 9
C09 Thinking about the most serious incident/this incident, did you feel any of the following as a result? Please
use this card you can select more than one option. PROBE: Anything else?
(SHOW CARD C09)
MARK ALL
THAT APPLY
1. Anger 1
2. Aggressiveness 2
3. Shock 3
4. Fear 4
5. Shame 5
6. Embarrassment 6
7. Guilt 7
8. Annoyance 8
9. Other 9
10. None (NOT ON SHOWCARD) 10
97. Do not know 97
99. Refused 99
C10 Did you suffer from any of the following as a result? PROBE: Anything else?
(SHOW CARD C10)
MARK ALL
THAT APPLY
1. Depression 1
2. Anxiety 2
3. Panic attacks 3
4. Loss of self-confidence 4
5. Feeling vulnerable 5
6. Difficulty in sleeping 6
7. Concentration difficulties 7
8. Difficulties in relationships 8
9. Other 9
97. Do not know 97
99. Refused 99
15
C11 Did you speak about this incident or report it to anyone? IF YES: Who did you talk to? PROBE: Anyone else?
SPONTANEOUS. DO NOT READ OUT
MARK ALL
THAT APPLY
1. No, did not talk to anyone 1
2. Employer/boss at my workplace 2
3. Labour union representative 3
4. Colleague/another employee at my workplace 4
5. Teacher/professor 5
6. Another pupil at my school/co-student 6
7. Doctor/health care worker 7
8. Counsellor 8
9. Victim support organisation 9
10. Police 10
11. Friend 11
12. Family member or relative 12
13. Partner/boyfriend/girlfriend 13
14. Lawyer 14
15. Other 15
97. Do not know 97
99. Refused 99
IF C11=1 GO TO C13, ELSE IF C11=2,3,5,7,8,9,10 (TALKED TO EMPLOYER/BOSS, LABOUR UNION

REPRESENTATIVE, TEACHER/PROFESSOR, DOCTOR/HEALTH CARE WORKER, COUNSELLOR,
VICTIM SUPPORT ORGANISATION, OR POLICE) GO TO C12, ELSE GO TO C14.
C12 (SHOW CARD C12)

Varied depending
Fairly dissatisfied
Very dissatisfied
Fairly satisfied
Very satisfied
on person
NA
DK
RF
IF C12a How satisfied or dissatisfied
C11=23 were you with the response you
1 2 3 4 5 7 8 9
ASK: received from [EMPLOYER, BOSS OR
LABOUR UNION REPRESENTATIVE]?
IF C12b How satisfied or dissatisfied

C11=5 were you with the response you 1 2 3 4 5 7 8 9
ASK: received from [TEACHER/PROFESSOR]?
IF C11=7 C12c How satisfied or dissatisfied

ASK: were you with the response
1 2 3 4 5 7 8 9
you received from [DOCTOR/
HEALTH CARE WORKER]?
IF C12d How satisfied or dissatisfied

C11=89 were you with the response you
1 2 3 4 5 7 8 9
ASK: received from [COUNSELLOR, VICTIM
SUPPORT ORGANISATION]?
IF C12e How satisfied or dissatisfied

C11=10 were you with the response you 1 2 3 4 5 7 8 9
ASK: received from the police?
GO TO C14.
16
C13 Why did you not talk to anyone about what happened? PROBE: Was there any other reason? SPONTANEOUS.
DO NOT READ OUT
MARK ALL
THAT APPLY
1. Was able to deal with it myself 1
2. Too minor/not serious enough/never occurred to me 2
3. Did not think it would help 3
4. Fear of offender, of reprisal 4
5. Somebody stopped me or discouraged me 5
6. Shame, embarrassment 6
7. Thought it was my fault 7
8. Did not want anyone to know/kept it private 8
9. Too emotionally upset to tell anyone 9
10. Would not be believed 10
11. Other reason 11
97. Do not know 97
99. Refused 99
C14 Relating to this incident, was any official action ever taken against the person who did this to you? For
example, were they given an official warning, or was a complaints body or a court involved in any way?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
17
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D01 Sometimes other people can do things that hurt you physically. In the next D02 AFTER EACH ITEM, IF D01aD01j=24
questions I would like to ask you about your experiences with persons (ONCE OR MORE), ASK:
other than your current or previous partner(s)/boyfriend(s)/girlfriend(s). Who was it? (PROBE: Anyone else?)
Since you were 15 years old until now, how often has someone done any IF NOT CLEAR ASK: Was this a man or a woman,
of the following to you. Please use this card to answer. Please exclude or were both men and women involved?
here your current partner/boyfriend/girlfriend and any previous partner/ MARK ALL THAT APPLY M=MALE, F=FEMALE, B=BOTH
boyfriend/girlfriend you may have had, as I will ask about them later. (SHOW CARD D02)
(SHOW CARD D01) trainer/coach
customer/
patient
co-worker
supervisor
Never
Once
25 times
6 or more times
DK
NA
RF
1. Boss/
2. Colleague/
3. Client/
4. Teacher/
D01a Threatened to hurt you physically? 1 2 3 4 7 8 9 D02a M F B M F B M F B M F B
D01b Pushed you or shoved you? 1 2 3 4 7 8 9 D02b M F B M F B M F B M F B
D01c Slapped you? 1 2 3 4 7 8 9 D02c M F B M F B M F B M F B
D01d Threw a hard object at you? 1 2 3 4 7 8 9 D02d M F B M F B M F B M F B
D01e Grabbed you or pulled your hair? 1 2 3 4 7 8 9 D02e M F B M F B M F B M F B
Beat you with a fist or a hard

D01f 1 2 3 4 7 8 9 D02f M F B M F B M F B M F B
object, or kicked you?
Section D Other experiences with non-partners
D01g Burned you? 1 2 3 4 7 8 9 D02g M F B M F B M F B M F B
D01h Tried to suffocate you or strangle you? 1 2 3 4 7 8 9 D02h M F B M F B M F B M F B
D01i Cut or stabbed you, or shot at you? 1 2 3 4 7 8 9 D02i M F B M F B M F B M F B
D01j Beat your head against something? 1 2 3 4 7 8 9 D02j M F B M F B M F B M F B
19
20
7. Relative/family
5. Another pupil/ 6. Doctor/health member (other 8. A date/someone 9. Friend/ 10. S omebody else 11. S omeone you
co-student care worker than partner) you just met acquaintance you knew did not know DK NA RF
M F B M F B M F B M F B M F B M F B M F B 97 98 99
IF ALL IN D01aD01j=1 (NEVER), 7 (DK), 8 (NA) or 9 (RF) GO TO D05, ELSE GO TO D03

D03 FOR EACH ITEM WHERE D01aD01j=24 (ONCE OR MORE) ASK: D04 AFTER EACH ITEM, IF D03aD03j=24 (ONCE OR MORE)
You said that someone [READ OUT THE RELEVANT CATEGORY FROM D01]. Can I just ask, how AND MORE THAN ONE PERSON SELECTED AT D02, ASK:
often has this happened to you in the past 12 months? Please still use this card to answer. Who was it in the past 12 months? (PROBE: Anyone else?)
(SHOW CARD D03) IF NOT CLEAR ASK: Was this a man or a woman,
or were both men and women involved?
(SHOW CARD D04)
trainer/
coach
customer/
patient
co-worker
supervisor
Never
Once
25 times
6 or more
times
DK
NA
RF
1. Boss/
2. Colleague/
3. Client/
4. Teacher/
D03a Threatened to hurt you physically? 1 2 3 4 7 8 9 D04a M F B M F B M F B M F B
D03b Pushed you or shoved you? 1 2 3 4 7 8 9 D04b M F B M F B M F B M F B
D03c Slapped you? 1 2 3 4 7 8 9 D04c M F B M F B M F B M F B
D03d Threw a hard object at you? 1 2 3 4 7 8 9 D04d M F B M F B M F B M F B
D03e Grabbed you or pulled your hair? 1 2 3 4 7 8 9 D04e M F B M F B M F B M F B
Beat you with a fist or a hard

D03f 1 2 3 4 7 8 9 D04f M F B M F B M F B M F B
object, or kicked you?
D03g Burned you? 1 2 3 4 7 8 9 D04g M F B M F B M F B M F B
D03h Tried to suffocate you or strangle you? 1 2 3 4 7 8 9 D04h M F B M F B M F B M F B
D03i Cut or stabbed you, or shot at you? 1 2 3 4 7 8 9 D04i M F B M F B M F B M F B
D03j Beat your head against something? 1 2 3 4 7 8 9 D04j M F B M F B M F B M F B
21
22
7. Relative/family
D05 Since you were 15 years old until now, how often has someone done any of the D06 AFTER EACH ITEM, IF D05aD05d=24 (ONCE OR MORE), ASK:
following to you. Please exclude here your current partner and any previous Who was it? (PROBE: Anyone else?)
partner you may have had. IF NOT CLEAR ASK: Was this a man or a woman,
(SHOW CARD D05) or were both men and women involved?
(SHOW CARD D06)
trainer/coach
customer/
patient
co-worker
supervisor
Never
Once
25 times
6 or more times
DK
NA
RF
1. Boss/
2. Colleague/
3. Client/
4. Teacher/
Forced you into sexual intercourse by holding you

down or hurting you in some way? (IF NEEDED
D05a 1 2 3 4 7 8 9 D06a M F B M F B M F B M F B
ADD: By sexual intercourse we mean here forced
oral sex, forced anal or vaginal penetration)
Apart from this, attempted to force you into

sexual intercourse by holding you down or
D05b hurting you in some way? (IF NEEDED ADD: 1 2 3 4 7 8 9 D06b M F B M F B M F B M F B
By sexual intercourse we mean here forced
Apart from this, made you take part in any

D05c form of sexual activity when you did not 1 2 3 4 7 8 9 D06c M F B M F B M F B M F B
want to or you were unable to refuse?
Or have you consented to sexual

D05d activity because you were afraid of 1 2 3 4 7 8 9 D06d M F B M F B M F B M F B
what might happen if you refused?
23
24
7. Relative/family
IF 2, 3 OR 4 (ONCE OR MORE TIMES) TO ANY IN D05aD05d GO TO D07

ELSE IF 2, 3 OR 4 (ONCE OR MORE TIMES) TO ANY IN D01aD01j GO TO D09
ELSE IF A04b, A04d or A04e=1 (RESPONDENT HAS A CURRENT PARTNER) GO TO E01
ELSE IF A06aA06c=24 (RESPONDENT HAS A PREVIOUS PARTNER) GO TO G01

ELSE GO TO H01
D07 FOR EACH ITEM WHERE D05aD05d=24 (ONCE OR MORE) ASK: D08 AFTER EACH ITEM, IF D07aD07d=24 (ONCE OR MORE)
You said that a person [READ OUT THE RELEVANT CATEGORY FROM D05]. Can I just ask, AND MORE THAN ONE PERSON SELECTED AT D06, ASK:
how often has this happened to you in the past 12 months? Who was it in the past 12 months? (PROBE: Anyone else?)
(SHOW CARD D07) IF NOT CLEAR ASK: Was this a man or a woman,
or were both men and women involved?
(SHOW CARD D08)
trainer/
coach
customer/
patient
co-worker
supervisor
Never
Once
25 times
6 or more
times
DK
NA
RF
1. Boss/
2. Colleague/
3. Client/
4. Teacher/
Forced you into sexual intercourse by

holding you down or hurting you in
D07a some way? (IF NEEDED ADD: By sexual 1 2 3 4 7 8 9 D08a M F B M F B M F B M F B
intercourse we mean here forced oral
sex, forced anal or vaginal penetration)
Attempted to force you into sexual

intercourse by holding you down or
D07b hurting you in some way? (IF NEEDED ADD: 1 2 3 4 7 8 9 D08b M F B M F B M F B M F B
By sexual intercourse we mean here forced
Made you take part in any form of

D07c sexual activity when you did not want 1 2 3 4 7 8 9 D08c M F B M F B M F B M F B
to or you were unable to refuse?
Or have you consented to sexual

D07d activity because you were afraid of 1 2 3 4 7 8 9 D08d M F B M F B M F B M F B
what might happen if you refused?
25
26
7. Relative/family
IF 2, 3 OR 4 (ONCE OR MORE TIMES) TO ANY IN D01aD01j OR D05aD05d GO TO D09,

ELSE IF A04b, A04d or A04e=1 (RESPONDENT HAS A CURRENT PARTNER) GO TO E01,

ELSE IF A06aA06c=24 (RESPONDENT HAS A PREVIOUS PARTNER) GO TO G01,
ELSE GO TO H01.
D09 Next I would like you to think about the most serious 6 incident you have experienced since the
ageof15please exclude here anything done to you by your current partner and any previous partner
you may have had. Which of the things on this card happened? By most serious we mean an incident
that had the biggest impact on you, either physically or psychologically. PROBE: Did anything else happen
during the most serious incident?
(SHOW CARD D09)
MARK ALL
THAT APPLY
1. Threatened to hurt you physically 1
2. Pushed you or shoved you 2
3. Slapped you 3
4. Threw a hard object at you 4
5. Grabbed you or pulled your hair 5
6. Beat you with a fist or a hard object, or kicked you 6
7. Burned you 7
8. Tried to suffocate you or strangle you 8
9. Cut or stabbed you, or shot at you 9
10. Beat your head against something 10
11. Forced you into sexual intercourse by holding you down or hurting you
in some way. By sexual intercourse we mean here forced oral sex,
forced anal or vaginal penetration. 11
12. Attempted to force you into sexual intercourse by holding you down
or hurting you in some way. By sexual intercourse we mean here
forced oral sex, forced anal or vaginal penetration. 12
13. Made you take part in any form of sexual activity when you
did not want to or you were unable to refuse 13
14. Or have you consented to sexual activity because you
were afraid of what might happen if you refused? 14
97. Do not know 97
99. Refused 99
IF DK, NA OR REF, AND NONE OF THE CATEGORIES 114 MARKED, AT D09 AND:
A04b, A04d or A04e=1 (RESPONDENT HAS A CURRENT PARTNER) GO TO E01,
ELSE IF A06aA06c=24 (RESPONDENT HAS A PREVIOUS PARTNER) GO TO G01,
ELSE GO TO H01.
D10 Just to be clear, who was it that did this to you in the most serious incident? IF NOT CLEAR ASK: Was this
aman or a woman, or were both men and women involved?
(SHOW CARD D10)
MARK ALL THAT APPLY

D10a. Boss/supervisor 1 2 3 97 98 99
D10b. Colleague/co-worker 1 2 3 97 98 99
D10c. Client/customer/patient 1 2 3 97 98 99
D10d. Teacher/trainer/coach 1 2 3 97 98 99
D10e. Another pupil/co-student 1 2 3 97 98 99
D10f. Doctor/health care worker 1 2 3 97 98 99
D10g. Relative/family member (other than partner) 1 2 3 97 98 99
D10h. A date/someone you just met 1 2 3 97 98 99
D10i. Friend/acquaintance 1 2 3 97 98 99
D10j. Somebody else you knew 1 2 3 97 98 99
D10k. Someone you did not know 1 2 3 97 98 99
6 Instruction to the interviewer: If the respondent cannot decide which incident has been the most serious, ask her to consider the most
27
D11 In the most serious incident, was the person who did this to you acting alone or were there
other people involved?
7. Do not know 7
8. Not applicable 8
9. Refused 9
D12 Thinking about the most serious incident, where did it take place?
SPONTANEOUS. DO NOT READ OUT MARK ALL
THAT APPLY
1. In my own home 1
2. Some other house or apartment 2
3. Elsewhere in a residential building 3
4. At school or workplace 4
5. In a caf, restaurant, pub, club, disco 5
6. In a shop 6
7. In a car 7
8. In public transport 8
9. Elsewhere indoors 9
10. In the street, a square, parking lot,
or other public place 10
11. In a park, forest 11
12. Elsewhere outdoors 12
97. Do not know 97
99. Refused 99
IF D03aD03j=1 and D07aD07d=1, SKIP D13
D13 Did the most serious incident take place in the past 12 months or before then?

2. Before then 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
D14 Thinking about the most serious incident, did you feel any of the following as a result?
Please use this card you can select more than one option. PROBE: Anything else?
(SHOW CARD D14)
MARK ALL
THAT APPLY
1. Anger 1
2. Aggressiveness 2
3. Shock 3
4. Fear 4
5. Shame 5
6. Embarrassment 6
7. Guilt 7
8. Annoyance 8
9. Other 9
10. None of the above (NOT ON SHOWCARD) 10
97. Do not know 97
99. Refused 99
28
D15 Did you suffer from any of the following as a result? PROBE: Anything else?
(SHOW CARD D15)
MARK ALL
THAT APPLY
1. Depression 1
2. Anxiety 2
3. Panic attacks 3
9. Other 9
97. Do not know 97
99. Refused 99
D16 Thinking about the most serious incident, did it result in any of the following? PROBE: Anything else?
(SHOW CARD D16)
MARK ALL
THAT APPLY
1. No injuries 1
2. Bruises, scratches 2
3. Wounds, sprains, burns 3
4. Fractures, broken bones, broken teeth 4
5. Concussion or other brain injury 5
6. Internal injuries 6
7. Miscarriage 7
8. Other 8
97. Do not know 97
99. Refused 99
D17 Did you take any time off work or studies because of the incident?
1. Yes 1
2. No 2
3. Not working or studying at the time 3
7. Do not know 7
8. Not applicable 8
9. Refused 9
IF D17=1 GO TO D18, ELSE GO TO D19
D18 And how much time did you take off work or studies? SPONTANEOUS. DO NOT READ OUT
1. Less than one full day 1

2. 1 day 2
3. 2 days 3
4. Between 3 and 6 days 4
5. Between a week and a month 5
6. More than a month 6
7. Do not know 7
8. Not applicable 8
9. Refused 9
29
D19 Did the police come to know about the incident? (SHOW CARD D19)
1. Yes, I reported it myself 1

2. Yes, someone else reported it 2
3. Yes, police came to know about the incident without anyone reporting it 3
4. No 4
7. Do not know 7
8. Not applicable 8
9. Refused 9
IF D19=1 GO TO D21, ELSE GO TO D20
D20 Why did you not contact the police? SPONTANEOUS. DO NOT READ OUT
MARK ALL
THAT APPLY
1. Dealt with it myself/involved a friend/family matter 1
3. Did not think they would do anything 3
4. Did not think they could do anything 4
7. Shame, embarrassment
10. Too emotionally upset to contact the police 10
11. Did not want the offender arrested or to get in trouble
with police 11
13. Went directly to a magistrate or judge to report
the incident 13
14. Somebody else had reported it, or police came to
know about it on their own 14
15. Went someplace else for help 15
16. Other reason 16
97. Do not know 97
99. Refused 99
IF D19=1, 2 OR 3 GO TO D21, ELSE GO TO D22.
D21 Overall, how satisfied or dissatisfied were you with the contact you had with the police after the incident?
Please use this card to answer.
(SHOW CARD D21)
1. Very satisfied 1
2. Fairly satisfied 2
3. Fairly dissatisfied 3
4. Very dissatisfied 4
7. Do not know 7
8. Not applicable 8
9. Refused 9
30
D22 This card lists some types of information, advice or support that people sometimes need after experiencing
an incident such as the one we have been describing. What types of information, advice or support would
you say you wanted following the incident? PROBE: Anything else?
(SHOW CARD D22)
MARK ALL
THAT APPLY
1. Information from the police 1
2. Information about security/crime prevention 2
3. Practical help 3
4. Someone to talk to/moral support 4
5. Help with insurance/compensation claim 5
6. Protection from further victimisation/harassment 6
7. Help in reporting the incident/dealing with the police 7
8. Medical help 8
9. Financial support 9
10. None of these/did not want any support 10
11. Other 11
97. Do not know 97
99. Refused 99
D23 Did you contact any of the following services as a result of the incident:
AFTER EACH ITEM, IF YES IN D23aD23h:

How satisfied or dissatisfied were you
with the help or advice you received?
(SHOW CARD D23)
Fairly dissatisfied
Very dissatisfied
Fairly satisfied
Very satisfied
Yes
NA
NA
No
DK
DK
RF
RF
D23a Hospital? 1 2 7 8 9 1 2 3 4 7 8 9
D23b Doctor, health

centreor other
1 2 7 8 9 1 2 3 4 7 8 9
health care
institution?
D23c Social services? 1 2 7 8 9 1 2 3 4 7 8 9
D23d Womens shelter? 1 2 7 8 9 1 2 3 4 7 8 9
D23e Victim support

1 2 7 8 9 1 2 3 4 7 8 9
organisation?
D23f Church/faith-based
1 2 7 8 9 1 2 3 4 7 8 9
organisation?
D23g Legal service/

1 2 7 8 9 1 2 3 4 7 8 9
lawyer?
D23h Another service/

1 2 7 8 9 1 2 3 4 7 8 9
organisation?
IF D23aD23h=2 (NO TO ALL) GO TO D24, ELSE GO TO D25
31
D24 What were the reasons that you did not seek help from any of these organisations? PROBE: Was there any
other reason? SPONTANEOUS. DO NOT READ OUT
MARK ALL
THAT APPLY
3. Did not believe that anyone could help 3
4. Did not know where to turn to 4
5. No services were available 5
6. Services were too far away or difficult to get to 6
7. Could not afford it 7
8. The queues for services were too long 8
12 Did not want anyone to know/kept it private 12
13. Afraid I would be blamed 13
15. Too emotionally upset 15
17. Other reason 17
97. Do not know 97
99. Refused 99
D25 Apart from what you have already told me, did you speak about this incident with anyone else?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
IF A04b, A04d or A04e=1 (RESPONDENT HAS A CURRENT PARTNER) GO TO E01

ELSE IF ANY OF A06aA06c=24 (RESPONDENT HAS A PREVIOUS PARTNER) GO TO G01
ELSE GO TO H01
32
Section E Experiences with the current partner

ASK IF HAS CURRENT PARTNER INTERVIEWER: CURRENT BOYFRIENDS/GIRLFRIENDS SHOULD BE INCLUDED
Im now going to ask some questions about your experiences with your current partner.
E01 When two people are in a relationship, they usually share both good and bad moments. These questions
are about your current partner. How often does your current partner...
(SHOW CARD E01)
All the time

Sometimes
Never
Often
NA
DK
RF
Try to keep you from
E01a 1 2 3 4 7 8 9
seeing your friends?
Try to restrict your contact with

E01b 1 2 3 4 7 8 9
your family of birth or relatives?
Insist on knowing where

E01c you are in a way that goes 1 2 3 4 7 8 9
beyond general concern?
Get angry if you speak with another

man/woman? (READ OUT THE
E01d 1 2 3 4 7 8 9
OPTION THAT CORRESPONDS TO THE
GENDER OF THE CURRENT PARTNER)
Become suspicious that

E01e 1 2 3 4 7 8 9
you are unfaithful?
Prevent you from making decisions

E01f about family finances and from 1 2 3 4 7 8 9
shopping independently?
E01g Forbid you to work outside the home? 1 2 3 4 7 8 9
Forbid you to leave the house, takes

E01h 1 2 3 4 7 8 9
away your car keys or locks you up?
E02 Using this card, how often would you say that your current partner has...
(SHOW CARD E02)
All the time
Sometimes
Never
Often
NA
DK
RF
Belittled or humiliated you

E02a 1 2 3 4 7 8 9
in front of other people?
E02b Belittled or humiliated you in private? 1 2 3 4 7 8 9
Done things to scare or intimidate

E02c you on purpose, for example by 1 2 3 4 7 8 9
yelling and smashing things?
Made you watch or look

E02d at pornographic material 1 2 3 4 7 8 9
against your wishes?
33
IF A01=1 (RESPONDENT HAS OR HAD CHILDREN IN HER CARE) GO TO E02e ELSE GO TO E02h
Threatened to take the

E02e 1 2 3 4 7 8 9
children away from you?
E02f Threatened to hurt your children? 1 2 3 4 7 8 9
E02g Hurt your children? 1 2 3 4 7 8 9
IF A01=1 (RESPONDENT HAS

CHILDREN) ASK: Threatened to
E02h hurt or kill someone else you care 1 2 3 4 7 8 9
about? ELSE ASK Threatened to hurt
or kill someone you care about?
E03 Using this card, how often has something like this happened to you? Your current partner has...
(SHOW CARD E03)
AFTER EACH ITEM,

IF E03aE03j=24 ASK:
How often has this happened
in the past 12 months?
6 or more
6 or more
25 times
25 times
Never
Never
times
times
Once
Once
NA
NA
DK
DK
RF
RF
Threatened
E03a to hurt you 1 2 3 4 7 8 9 1 2 3 4 7 8 9
physically?
Pushed you or
E03b 1 2 3 4 7 8 9 1 2 3 4 7 8 9
shoved you?
E03c Slapped you? 1 2 3 4 7 8 9 1 2 3 4 7 8 9
Thrown a hard
E03d 1 2 3 4 7 8 9 1 2 3 4 7 8 9
object at you?
Grabbed you
E03e or pulled 1 2 3 4 7 8 9 1 2 3 4 7 8 9
your hair?
Beat you with

a fist or a hard
E03f 1 2 3 4 7 8 9 1 2 3 4 7 8 9
object, or
kicked you?
E03g Burned you? 1 2 3 4 7 8 9 1 2 3 4 7 8 9
Tried to
suffocate you
E03h 1 2 3 4 7 8 9 1 2 3 4 7 8 9
or strangle
you?
Cut or stabbed
E03i you, or shot 1 2 3 4 7 8 9 1 2 3 4 7 8 9
at you?
Beat your
E03j head against 1 2 3 4 7 8 9 1 2 3 4 7 8 9
something?
34
E04 How often has your current partner done any of the following to you? Please use this card to answer.
(SHOW CARD E04)
AFTER EACH ITEM,

IF E04aE04d=24 ASK:
6 or more times
6 or more times
25 times
25 times
Never
Never
Once
Once
NA
NA
DK
DK
RF
RF
E04a Your current partner 1 2 3 4 7 8 9 1 2 3 4 7 8 9
has forced you into
sexual intercourse by
holding you down or
hurting you in some
way? (IF NEEDED ADD:
By sexual intercourse
we mean here forced
oral sex, forced anal or
vaginal penetration)
E04b Apart from this, your 1 2 3 4 7 8 9 1 2 3 4 7 8 9

current partner has
attempted to force
you into sexual
intercourse by holding
you down or hurting
you in some way?
(IF NEEDED ADD: By
sexual intercourse we
mean here forced oral
sex, forced anal or
vaginal penetration)
E04c Apart from this, your 1 2 3 4 7 8 9 1 2 3 4 7 8 9

current partner has
made you take part
in any form of sexual
activity when you did
not want to or you
were unable to refuse?
E04d Or have you consented 1 2 3 4 7 8 9 1 2 3 4 7 8 9

to sexual activity
because you were
afraid of what your
current partner might
do if you refused?
IF 2, 3 OR 4 (ONCE OR MORE TIMES) TO ANY IN E03aE03j OR E04aE04d, GO TO E05a

ELSE GO TO F01
35
E05a The next questions concern incidents with your current partner, where one or more of the things on this
card happened. Thinking about your current partner, when did the first incident take place?
(SHOW CARDS E05 AND E05a)
1. Within the past month 1

2. 23 months ago 2
3. 46 months ago 3
4. 712 months ago 4
5. More than one and up to two years ago 5
6. More than 2 and up to 3 years ago 6
7. More than 3 and to up to 4 years ago 7
10. More than 10 years ago 10
97. Do not know 97
99. Refused 99
E05b Were you living together at the time of the first incident?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
E05c And when was the most recent or last incident?

(SHOW CARD E05c)

2. 23 months ago 2
3. 46 months ago 3
4. 712 months ago 4
97. Do not know 97
99. Refused 99
E06 Have you ever been pregnant during your relationship with your current partner?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
IF E06=1 GO TO E07, ELSE IF A01=1 (RESPONDENT HAS OR HAD CHILDREN IN HER CARE) GO TO E08, ELSE GO TO E09
36
E07 Have any of the things on this card ever happened when you were pregnant? (SHOW CARD E07)
We do not need to know which things happened, just if any of them did.
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
IF A01=1 (RESPONDENT HAS OR HAD CHILDREN IN HER CARE) GO TO E08, ELSE GO TO E09
E08 Have any children who have been living with you ever been aware of any violent incidents by your partner?
(SHOW CARD E08)
1. Yes 1
2. No 2
3. No children living with me at the time of the incident 3
7. Do not know 7
8. Not applicable 8
9. Refused 9
E09 Next I would like you to think about the most serious incident7 by your current partner. Which of the things
on this card happened at that time? By most serious we mean an incident that had the biggest impact on
you, either physically or psychologically. PROBE: Did anything else happen during the most serious incident?
(SHOW CARD E09)
MARK ALL
THAT APPLY
3. Slapped you 3
7. Burned you 7
11. Forced you into sexual intercourse by holding youc down or hurting you
in some way. By sexual intercourse we mean here forced oral sex,
12. Attempted to force you into sexual intercourse by holding you down
or hurting you in some way. By sexual intercourse we mean here
forced oral sex, forced anal or vaginal penetration. 12
13. Made you take part in any form of sexual activity when you did not want
to or you were unable to refuse 13
14. Or have you consented to sexual activity because you were afraid
of what your current partner might do if you refused? 14
97. Do not know 97
99. Refused 99
IF DK, NA OR REF AND NONE OF THE CATEGORIES 114 MARKED AT E09 SKIP TO F01
IF E03aE03j IN THE PAST 12 MONTHS=1 (NEVER) AND E04aE04d IN THE PAST 12 MONTHS=1 (NEVER)
SKIP E10
7 Instruction to the interviewer: If the respondent cannot decide which incident has been most serious, ask her to consider the most
37
E10 Did the most serious incident take place in the past 12 months or before then?

2. Before then 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
E11 Thinking about the most serious incident, did you feel any of the following as a result? Please use this
card you can select more than one option. PROBE: Anything else?
(SHOW CARD E11)
MARK ALL
THAT APPLY
1. Anger 1
2. Aggressiveness 2
3. Shock 3
4. Fear 4
5. Shame 5
6. Embarrassment 6
7. Guilt 7
8. Annoyance 8
9. Other 9
97. Do not know 97
99. Refused 99
E12 Did you suffer from any of the following as a result? PROBE: Anything else?
(SHOW CARD E12)
MARK ALL
THAT APPLY
1. Depression 1
2. Anxiety 2
3. Panic attacks 3
9. Other 9
97. Do not know 97
99. Refused 99
38
E13 Thinking about the most serious incident, did it result in any of the following? PROBE: Anything else?
(SHOW CARD E13)
MARK ALL
THAT APPLY
1. No injuries 0
7. Miscarriage 6
8. Other 7
97. Do not know 97
99. Refused 99
E14 Did you take any time off work or studies because of the incident?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
IF E14=1 GO TO E15, ELSE GO TO E16
E15 And how much time did you take off work or studies? SPONTANEOUS, DO NOT READ OUT

2. 1 day 2
3. 2 days 3
7. Do not know 7
8. Not applicable 8
9. Refused 9
E16 Did the police come to know about the incident? (SHOW CARD E16)

4. No 4
7. Do not know 7
8. Not applicable 8
9. Refused 9
IF E16=1 GO TO E18, ELSE GO TO E17
39
E17 Why did you not contact the police? PROBE: Was there any other reason? SPONTANEOUS. DO NOT READ OUT
MARK ALL
THAT APPLY
6. The partner or somebody else stopped me
or discouraged me 6
11. Did not want the offender arrested
or to get in trouble with police 11
13. Afraid I would lose the children 13
14. Did not want the relationship to end 14
15. Went directly to a magistrate or judge
to report the incident 15
16. Somebody else had reported it, or police came
to know about it on their own 16
18. Other reason 18
97. Do not know 97
99. Refused 99
IF E16=1,2 OR 3 GO TO E18 ELSE GO TO E19.
E18 Overall, how satisfied or dissatisfied were you with the contact you had with the police after the incident?
(SHOW CARD E18)
1. Very satisfied 1
7. Do not know 7
8. Not applicable 8
9. Refused 9
40
E19 This card lists some types of information, advice or support that people sometimes need after experiencing
(SHOW CARD E19)
MARK ALL
THAT APPLY
3. Practical help 3
8. Medical help 8
11. Other 11
97. Do not know 97
99. Refused 99
E20 Did you contact any of the following services as a result of the incident:
AFTER EACH ITEM, IF YES IN E20aE20h:

(SHOW CARD E20)
Fairly dissatisfied
Very dissatisfied
Fairly satisfied
Very satisfied
Yes
NA
NA
No
DK
DK
RF
RF
E20a Hospital? 1 2 7 8 9 1 2 3 4 7 8 9
E20b Doctor, health centre 1 2 7 8 9 1 2 3 4 7 8 9

or other health
care institution?
E20c Social services? 1 2 7 8 9 1 2 3 4 7 8 9
E20d Womens shelter? 1 2 7 8 9 1 2 3 4 7 8 9
E20e Victim support 1 2 7 8 9 1 2 3 4 7 8 9

organisation?
E20f Church/faith-based 1 2 7 8 9 1 2 3 4 7 8 9
organisation?
E20g Legal service/lawyer? 1 2 7 8 9 1 2 3 4 7 8 9
E20h Another service/ 1 2 7 8 9 1 2 3 4 7 8 9

organisation?
IF E20aE20h=2 (NO TO ALL) GO TO E21, ELSE GO TO E22
41
E21 What were the reasons that you did not seek help from any of these organisations? PROBE: Was there any
other reason? SPONTANEOUS, DO NOT READ OUT
MARK ALL
THAT APPLY
12 Did not want anyone to know/kept it private 12
15. Too emotionally upset 15
17. Other reason 17
97. Do not know 97
99. Refused 99
E22 Apart from what you have already told me, did you speak about this incident with anyone else?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
E23 What has helped you to overcome the violence? PROBE: Anything else?
(SHOW CARD E23)
MARK ALL
THAT APPLY
1 There were no consequences of the violence 1
2 I have not overcome the violence 2
3 The perpetrator made amends/changed behaviour 3
4 Telling others about the experiences 4
5 Support from family and friends 5
6 Professional support incl. counselling and victim support 6
7 Charges brought against the perpetrator/conviction
in court 7
8 I have dealt with the issue and it does not concern
me any more 8
9 My personal strength and decisiveness 9
10 Acknowledging that the violence was/is wrong 10
11 Divorce/separation/moving away 11
12 Other means 12
97 Dont know 97
98 Not applicable 98
99 Refused 99
42
Section F Current partner background

F01 Next, I have some further questions about your current partner. Please be assured all answers are
confidential. In which year was your current partner born?
WRITE DOWN THE ANSWER IF RESPONDENT IS UNWILLING TO GIVE

EXACT YEAR, PROBE AGE WITH LISTED CATEGORIES
OR 1519 1
2024 2
2529 3
3034 4
3539 5
4049 6
5059 7
6069 8
7074 9
7579 10
80+ 11
Do not know 97
No answer/refused 99
F02 Is your partner working in a paid job or unemployed or doing something else using this card, how would
you describe your partners main activity?
(SHOW CARD F02)
MARK ONE
1. Paid work full time 1
2. Paid work part time 2
3. Self-employed 3
4. Home maker looking after the home/
children/relatives etc. or on parental leave 4
5. Unpaid or voluntary work 5
6. Unemployed and looking for work 6
7. Unemployed but not looking for work 7
8. Student, in training 8
9. Unable to work because of a disability 9
10. Retired 10
11. In military or community service (INTERVIEWER:
MILITARY SERVICE REFERS TO THOSE CURRENTLY
DOING THEIR MILITARY SERVICE, NOT THOSE WHO
ARE EMPLOYED BY THE MILITARY THESE SHOULD BE
CODED AS WORKING FULL-TIME/PART-TIME) 11
12. Other 12
97. Do not know 97
99. Refused 99
43
F03 What is your partners (main) occupation? (OR IF NOT WORKING OR DK, NA OR REF AT F02): What was your
partners last job?) DO NOT READ OUT
1. Farmer 1
2. Fisherperson 2
3. Professional (lawyer, doctor, accountant, architect, etc.) 3
4. Shop owner, artisan, other self-employed person 4
5. Business owner, owner (full or partner) of a company 5
6. General management, director or top management
(managing director, other director) 6
7. Middle management (department head,
technician, teacher) 7
8. Employed position, working mainly at a desk 8
9. Employed position, not at a desk but travelling
(salesmen, driver, etc.) 9
10. Employed position, not at a desk, but in a service job
(hospital, restaurant, police, fire brigade, etc.) 10
11 Supervisor 11
12 Skilled manual worker 12
13 Other (unskilled manual worker/servant) 13
14 Never done paid work 14
97. Do not know 97
F04 Would you say that your partner earns less than you, or your earnings are roughly the same, or that your
partner earns more than you? INTERVIEWER NOTE: EARNIGS MEAN SALARY AND OTHER INCOME SOURCES
MARK ONE
1. Partner earns less than the respondent 1
2. Both earn roughly the same amount 2
3. Partner earns more than the respondent 3
7. Do not know 7
8. Not applicable 8
9. Refused 9
IF a04b or a04s=1 ask F05 OTHERWISE SKIP TO F06
F05 Do you feel you have an equal say with regard to the use of the household income?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
F06 How long have you been together in total, since you started dating?
WRITE DOWN THE ANSWER

CODE IN MONTHS ONLY IF RELATIONSHIP HAS LASTED LESS THAN ONE YEAR
years/ months OR Do not know 97

Not applicable 98
Refused 99
44
F07 How often does your partner drink so much that he/she gets drunk? SPONTANEOUS. DO NOT READ OUT
MARK ONE
1. Never drinks/drinks but does not get drunk 1
2. A few times a year or less 2
3. Once every two months 3
4. Once a month 4
5. A couple of times a month 5
6. Once or twice a week 6
7. Every day or almost every day 7
97. Do not know 97
99. Refused 99
F08 Has your partner ever been physically violent towards anyone outside the family?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
F09 What is the highest level of education your partner has achieved? Please use this card.
(SHOW CARD F09)
1. Not completed primary education 1

2. Completed primary education 2
3. Lower secondary education
(ages 1116 GCSEs/O-Levels, GNVQ) 3
4. Upper secondary education (ages 1618. e.g. AS/A Levels,
Scottish Highers, International Baccalaureate) 4
5. Post secondary but not university (ages 18+, e.g. HND,
NVQ Level 4 and 5, HNC) 5
6. First degree (e.g. BA, BSc) 6
7. Postgraduate degree (e.g. MA, MSc, MBA, PGCE, PhD) 7
97 Do not know 97
99. Refused 99
IF A06aA06c=24 (RESPONDENT HAS A PREVIOUS PARTNER) GO TO G01

ELSE GO TO H01
45
Section G Experiences with previous partners

INTERVIEWER: PAST BOYFRIENDS/GIRLFRIENDS SHOULD BE INCLUDED
Im now going to ask about experiences with former partners
G01 There are usually both good and bad times in relationships. The following questions concern any previous
partnerships you may have had. Did any of your previous partners ever:
Yes No DK NA RF
G01a Try to keep you from seeing your friends? 1 2 7 8 9
G01b Try to restrict your contact with your family of birth or relatives? 1 2 7 8 9
G01c Insist on knowing where you are? 1 2 7 8 9
G01d Get angry if you speak with another man/woman? 1 2 7 8 9

(READ OUT THE OPTION THAT CORRESPONDS TO THE
GENDER OF THE CURRENT/PREVIOUS PARTNER)
G01e Become suspicious that you were unfaithful? 1 2 7 8 9
G01f Prevent you from making decisions about family 1 2 7 8 9

finances and from shopping independently?
G01g Forbid you to go work outside the home? 1 2 7 8 9
G01h Forbid you to leave the house, take away 1 2 7 8 9

your car keys or lock you up?
G02 Would you say that any of your previous partners:
Yes No DK NA RF
G02a Belittled or humiliated you in front of other people? 1 2 7 8 9
G02b Belittled or humiliated you in private? 1 2 7 8 9
G02c Did things to scare or intimidate you on purpose, 1 2 7 8 9

for example by yelling and smashing things?
G02d Made you watch or look at pornographic 1 2 7 8 9

material against your wishes?
IF A01=1 (RESPONDENT HAS OR HAD CHILDREN IN HER CARE) GO TO G02e ELSE GO TO G02h
G02e Threatened to take the children away from you? If you 1 2 7 8 9

did not have any children at the time please let me know.
INTERVIEWER: IF RESPONDENT DID NOT HAVE CHILDREN
AT THE TIME G02eg AND G03 SHOULD BE MARKED NA
G02f Threatened to hurt your children? 1 2 7 8 9
G02g Hurt your children? 1 2 7 8 9
G02h IF A01=1 (RESPONDENT HAS CHILDREN) ASK: 1 2 7 8 9
Threatened to hurt or kill someone else you care about?
ELSE ASK: Threatened to hurt or kill someone you care about?
IF A01=1 (RESPONDENT HAS OR HAD CHILDREN IN HER CARE) GO TO G03, ELSE GO TO G04
46
G03 Did any of your previous partners do any of the following when you were splitting up or separating, or
after you had split up or separated:
Yes No DK NA RF
G03a Make threats concerning the custody of your children? 1 2 7 8 9
G03b Threaten to hurt your children? 1 2 7 8 9
G03c Hurt your children? 1 2 7 8 9
G03d Hurt you or threaten to hurt you when visiting, 1 2 7 8 9

picking up or bringing back the children?
G04 Using this card, could you please tell me how often have you experienced any of the following by any
previous partner. How many times has any of your previous partners:
(SHOW CARD G04)
AFTER EACH ITEM,

IF G04aG04j=24 ASK:
6 or more
6 or more
25 times
25 times
Never
Never
times
times
Once
Once
NA
NA
DK
DK
RF
RF
G04a Threatened 1 2 3 4 7 8 9 1 2 3 4 7 8 9
to hurt you
physically?
G04b Pushed you or 1 2 3 4 7 8 9 1 2 3 4 7 8 9

shoved you?
G04c Slapped you? 1 2 3 4 7 8 9 1 2 3 4 7 8 9
G04d Thrown a hard 1 2 3 4 7 8 9 1 2 3 4 7 8 9

object at you?
G04e Grabbed you 1 2 3 4 7 8 9 1 2 3 4 7 8 9

or pulled
your hair?
G04h Beat you with 1 2 3 4 7 8 9 1 2 3 4 7 8 9

a fist or a hard
object, or
kicked you?
G04f Burned you? 1 2 3 4 7 8 9 1 2 3 4 7 8 9
G04g Tried to 1 2 3 4 7 8 9 1 2 3 4 7 8 9
suffocate you
or strangled
you?
G04i Cut or stabbed 1 2 3 4 7 8 9 1 2 3 4 7 8 9

you, or shot
at you?
G04j Beaten your 1 2 3 4 7 8 9 1 2 3 4 7 8 9

head against
something?
47
G05 And how many times has any previous partner done any of the following to you? Please use this card to
answer.
(SHOW CARD G05)
AFTER EACH ITEM,

IF G05aG05d=24 ASK:
How often has
this happened
6 or more times
6 or more times
25 times
25 times
Never
Never
Once
Once
NA
NA
DK
DK
RF
RF
G05a Forced you into sexual intercourse 1 2 3 4 7 8 9 1 2 3 4 7 8 9
by holding you down or hurting
you in some way? (IF NEEDED
ADD: By sexual intercourse we
mean here forced oral sex, forced
anal or vaginal penetration)
G05b Apart from this, attempted to 1 2 3 4 7 8 9 1 2 3 4 7 8 9

force you into sexual intercourse
by holding you down or hurting
you in some way? (IF NEEDED
ADD: By sexual intercourse we
mean here forced oral sex, forced
anal or vaginal penetration)
G05c Apart from this, made you take 1 2 3 4 7 8 9 1 2 3 4 7 8 9

part in any form of sexual activity
when you did not want to or
you were unable to refuse?
G05d Or have you consented to sexual 1 2 3 4 7 8 9 1 2 3 4 7 8 9

activity because you were afraid
of what any of your previous
partners might do if you refused?
IF G04aG04j=24 (ONCE OR MORE TIMES) OR G05aG05d=24 (ONCE OR MORE TIMES) GO TO G06,

ELSE GO TO H01.
48
G06 I would like you to think about the most serious incident8 by one of your previous partners. Which of the
things on this card happened at that time? By most serious we mean an incident that had the biggest
impact on you, either physically or psychologically PROBE: Did anything else happen during the most
serious incident (SHOW CARD G06)
MARK ALL
THAT APPLY
3. Slapped you 3
7. Burned you 7
11. Forced you into sexual intercourse by holding
you down or hurting you in some way.
By sexual intercourse we mean here forced oral sex,
12. Attempted to force you into sexual intercourse
by holding you down or hurting you in some way.
By sexual intercourse we mean here forced oral sex,
13. Made you take part in any form of sexual activity
when you did not want to or you were unable to refuse 13
14. Or have you consented to sexual activity because
you were afraid of what any of your previous partners
might do if you refused? 14
97. Do not know 97
99. Refused 99
IF DK, NA OR REF, AND NONE OF THE CATEGORIES 114 MARKED, AT G06 SKIP TO H01
G07 Using this card, could you please tell me which option corresponds to the type of relationship you were in
with the previous partner who did this to you?
(SHOW CARD G07)
1. Married or in a civil partnership 1

2. Living together with a partner, but not married 2
3. Involved in a relationship, without living together 3
7. Do not know 7
8. Not applicable 8
9. Refused 9
8 Instruction to the interviewer: If the respondent cannot decide which incident has been most serious, ask her to consider the most
49
G08a Thinking about all incidents by this previous partner, when did the first incident9 take place?
(SHOW CARD G08a)

2. 23 months ago 2
3. 46 months ago 3
4. 712 months ago 4
97. Do not know 97
99. Refused 99
G08b Were you living together at the time of the first incident?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
G08c And when was the most recent or last incident?

(SHOW CARD G08c)

2. 23 months ago 2
3. 46 months ago 3
4. 712 months ago 4
97. Do not know 97
99. Refused 99
G09 Did this incident/these incidents take place:
Yes No DK NA RF
G09a during the relationship? 1 2 7 8 9
G09b during the break-up? 1 2 7 8 9
G09c after the break-up? 1 2 7 8 9
9 Instruction to the interviewer: If the respondent spontaneously says that there was only one incident by this previous partner, mark
the time of this incident also in G08c.
50
G10 Were you ever pregnant during your relationship with this previous partner?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
IF G10=1 GO TO G11, ELSE IF A01=1 (RESPONDENT HAS OR HAD CHILDREN IN HER CARE) GO TO G12,
ELSE GO TO G13.
G11 Have any of the things on this card ever happened when you were pregnant during your relationship with
this previous partner?
(SHOW CARD G11)
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
IF A01=1 (RESPONDENT HAS OR HAD CHILDREN IN HER CARE) GO TO G12, ELSE GO TO G13.
G12 Have any children who have been living with you ever been aware of any violent incidents by this previous
partner? (SHOW CARD G12)
1. Yes 1
2. No 2
3. No children living with me at the time of the incidents 3
7. Do not know 7
8. Not applicable 8
9. Refused 9
IF G04aG04j IN THE PAST 12 MONTHS=1 (NEVER) AND

G05aG05d IN THE PAST 12 MONTHS=1 (NEVER) SKIP G13
G13 Now thinking again about the most serious incident with this previous partner, did it happen in the past
12 months or before then?

2. Before then 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
G14 Still thinking about the most serious incident, did you feel any of the following as a result? Please use this
card you can select more than one option. PROBE: Anything else?
(SHOW CARD G14)
MARK ALL
THAT APPLY
1. Anger 1
2. Aggressiveness 2
3. Shock 3
4. Fear 4
5. Shame 5
6. Embarrassment 6
7. Guilt 7
51
8. Annoyance 8
9. Other 9
97. Do not know 97
99. Refused 99
G15 Did you suffer from any of the following as a result? PROBE: Anything else?
(SHOW CARD G15)
MARK ALL
THAT APPLY
1. Depression 1
2. Anxiety 2
3. Panic attacks 3
9. Other 9
97. Do not know 97
99. Refused 99
G16 Thinking about the most serious incident, did it result in any of the following? PROBE: Anything else?
(SHOW CARD G16)
MARK ALL
THAT APPLY
1. No injuries 1
7. Miscarriage 7
8. Other 8
97. Do not know 97
99. Refused 99
G17 Did you take any time off work or studies because of the incident?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
IF G17=1 GO TO G18, ELSE GO TO G19
52
G18 And how much time did you take off work or studies? SPONTANEOUS. DO NOT READ OUT

2. 1 day 2
3. 2 days 3
7. Do not know 7
8. Not applicable 8
9. Refused 9
G19 Did the police come to know about the incident? (SHOW CARD G19)

3. Yes, police came to know about the incident
without anyone reporting it 3
4. No 4
7. Do not know 7
8. Not applicable 8
9. Refused 9
IF G19=1 GO TO G21, ELSE GO TO G20
G20 Why did you not contact the police? SPONTANEOUS, DO NOT READ OUT
MARK ALL
THAT APPLY
6. The partner or somebody else stopped me
or discouraged me 6
11. Did not want the offender arrested or to get
in trouble with police 11
13. Afraid I would lose the children 13
14. Did not want the relationship to end 14
15. Went directly to a magistrate or judge to report
the incident 15
16. Somebody else had reported it, or police came
to know about it on their own 16
18. Other reason 18
97. Do not know 97
99. Refused 99
IF G19=1,2 OR 3 GO TO G21, ELSE GO TO G22
53
G21 Overall, how satisfied or dissatisfied were you with the contact you had with the police after the incident?
(SHOW CARD G21)
1. Very satisfied 1
7. Do not know 7
8. Not applicable 8
9. Refused 9
G22 This card lists some types of information, advice or support that people sometimes need after experiencing
(SHOW CARD G22)
MARK ALL
THAT APPLY
3. Practical help 3
8. Medical help 8
11. Other 11
97. Do not know 97
99. Refused 99
54
G23 Did you contact any of the following services as a result of the incident:
AFTER EACH ITEM, IF YES IN G23aG23h:

(SHOW CARD G23)
dissatisfied
dissatisfied
satisfied
satisfied
Fairly
Fairly
Very
Very
Yes
NA
NA
No
DK
DK
RF
RF
G23a Hospital? 1 2 7 8 9 1 2 3 4 7 8 9
G23b Doctor, health centre 1 2 7 8 9 1 2 3 4 7 8 9

or other health
care institution?
G23c Social services? 1 2 7 8 9 1 2 3 4 7 8 9
G23d Womens shelter? 1 2 7 8 9 1 2 3 4 7 8 9
G23e Victim support 1 2 7 8 9 1 2 3 4 7 8 9

organisation?
G23f Church/faith-based 1 2 7 8 9 1 2 3 4 7 8 9
organisation?
G23g Legal service/ 1 2 7 8 9 1 2 3 4 7 8 9

lawyer?
G23h Another service/ 1 2 7 8 9 1 2 3 4 7 8 9

organisation?
IF G23aG23h=2 (NO TO ALL) GO TO G24, ELSE GO TO G25
G24 What were the reasons that you did not seek help from any of these organisations? SPONTANEOUS. DONOT
READ OUT
MARK ALL
THAT APPLY
15. Too emotionally upset to tell anyone 15
17. Other reason 17
97. Do not know 97
99. Refused 99
55
G25 Apart from what you have already told me, did you speak about this incident with anyone else?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
G26 Did you end your relationship with any of your previous partners because of violence? (IF YES:) Was it the
main reason?
1. Yes, the main reason 1

2. Yes, but it was not the main reason 2
3. No 3
7. Do not know 7
8. Not applicable 8
9. Refused 9
G27 What has helped you to overcome the violence? PROBE: Anything else?
(SHOW CARD G27)
MARK ALL
THAT APPLY
1 There were no consequences of the violence 1
2 I have not overcome the violence 2
3 The perpetrator made amends/changed behaviour 3
4 Telling others about the experiences 4
5 Support from family and friends 5
6 Professional support incl. counselling and victim support 6
7 Charges brought against the perpetrator/conviction in court 7
8 I have dealt with the issue and it does not concern me any more 8
9 My personal strength and decisiveness 9
10 Acknowledging that the violence was/is wrong 10
11 Divorce/separation/moving away 11
12 Other means 12
13 Partner died (SPONTANEOUS NOT ON SHOWCARD) 13
97 Do not know 97
98 Not applicable 98
99 Refused 99
56
H01 You may have been in a situation where the same person has H02 AFTER EACH ITEM, IF IN H01aH01h=YES, ASK:
been repeatedly offensive or threatening towards you. Who was it? (PROBE: Anyone else?)
For the next questions I would like to ask you to think about IF NOT CLEAR ASK: Was this a man or a woman,
both your current and previous partners as well as other people. or were both men and women involved?
Since you were 15 years old until now, has the same person MARK ALL THAT APPLY M=MALE, F=FEMALE, B=BOTH
repeatedly done one or more of the following things to you: (SHOW CARD H02)
(IF YES: Has this happened 25 times or 6 or more times)
MARK FIRST YES/NO, AND IF YES, ASK HOW OFTEN IT HAPPENED,
AND MARK THE NUMBER OF TIMES. KEEP THE INITIAL YES EVEN
IF THE RESPONDENT SAYS IN THE SECOND STEP THAT IT HAPPENED
ONLY ONCE AND NOT REPEATEDLY (THAT IS, TWO OR MORE TIMES).
boyfriend/
girlfriend
partner
boyfriend/
girlfriend
partner
Yes
No
Yes, 25 times
Yes, 6 or more times
DK
NA
RF
1. Current
2. Current
3. Previous
4. Previous
Section H Repeated incidents
Sent you emails, text messages

H01a (SMS) or instant messages that 1 2 1 2 7 8 9 H02a M F B M F B M F B M F B
were offensive or threatening?
Sent you letters or cards that
H01b 1 2 1 2 7 8 9 H02b M F B M F B M F B M F B
Made offensive, threatening
H01c 1 2 1 2 7 8 9 H02c M F B M F B M F B M F B
or silent phone calls to you?
Im now going ask about incidents that may have happened to you repeatedly.
Posted offensive comments

H01d 1 2 1 2 7 8 9 H02d M F B M F B M F B M F B
about you on the internet?
Shared intimate photos or
H01e videos of you, on the internet 1 2 1 2 7 8 9 H02e M F B M F B M F B M F B
or by mobile phone?
Loitered or waited for you outside
H01f your home, workplace or school 1 2 1 2 7 8 9 H02f M F B M F B M F B M F B
without a legitimate reason?
H01g Deliberately followed you around? 1 2 1 2 7 8 9 H02g M F B M F B M F B M F B
Deliberately interfered with
H01h 1 2 1 2 7 8 9 H02h M F B M F B M F B M F B
or damaged your property?
57
58
you just met
(other than partner)
co-student
5. Boss/supervisor
7. Client/customer/patient
9. Another pupil/
10. Doctor/health care worker
11. Relative or family member
12. A date/someone
13. Friend or acquaintance
14. Somebody else you knew
15. Someone you did not know
16. Unknown perpetrator DO NOT CODE SEX
DK NA RF
IF NO, or DK, NA or RF TO ALL IN H01aH01h GO TO I01, ELSE GO TO H03

H03 FOR EACH ITEM WHERE H01aH01h=YES ASK: H04 AFTER EACH ITEM, IF IN H03aH03h=YES, ASK:
You said that somebody repeatedly [READ OUT THE RELEVANT CATEGORY Who was it? (PROBE: Anyone else?)
FROM H01]. Can I just ask, has this happened to you in the past 12 months? IF NOT CLEAR ASK: Was this a man or a woman,
(IF YES: Has this happened 25 times or 6 or more times). or were both men and women involved?
MARK FIRST YES/NO, AND IF YES, ASK HOW OFTEN IT HAPPENED, AND MARK ALL THAT APPLY M=MALE, F=FEMALE, B=BOTH
MARK THE NUMBER OF TIMES. KEEP THE INITIAL YES EVEN IF THE (SHOW CARD H04)
RESPONDENT SAYS IN THE SECOND STEP THAT IT HAPPENED ONLY
ONCE AND NOT REPEATEDLY (THAT IS, TWO OR MORE TIMES).
Yes,
6 or
boyfriend/
girlfriend
partner
partner
Yes, 25 more
1. Current
2. Current
boyfriend/
girlfriend
3. Previous
4. Previous
Yes No times times DK NA RF
H03a Sent you emails, text messages

(SMS) or instant messages that 1 2 1 2 7 8 9 H04a M F B M F B M F B M F B
H03b Sent you letters or cards that

1 2 1 2 7 8 9 H04b M F B M F B M F B M F B
H03c Made offensive, threatening

1 2 1 2 7 8 9 H04c M F B M F B M F B M F B
or silent phone calls to you?
H03d Posted offensive comments

1 2 1 2 7 8 9 H04d M F B M F B M F B M F B
about you on the internet?
H03e Shared intimate photos or

videos of you, on the internet 1 2 1 2 7 8 9 H04e M F B M F B M F B M F B
or by mobile phone?
H03f Loitered or waited for

you outside your home,
1 2 1 2 7 8 9 H04f M F B M F B M F B M F B
workplace or school without
a legitimate reason?
H03g Deliberately followed

1 2 1 2 7 8 9 H04g M F B M F B M F B M F B
you around?
H03h Deliberately interfered with

1 2 1 2 7 8 9 H04h M F B M F B M F B M F B
or damaged your property?
59
60
octor/health care worker
(other than partner)
co-student
5. Boss/supervisor
7. Client/customer/patient
9. Another pupil/
10. D
11. Relative or family member
12. A date/someone you just met
13. Friend or acquaintance
14. Somebody else you knew
15. Someone you did not know
16. Unknown perpetrator (DO NOT ASK SEX)
DK NA RF
IF TWO OR MORE TIMES TO ANY IN H01aH01h GO TO H05, ELSE GO TO I01.

H05 Next I would like you to think about the most serious10 group of incidents that have happened to you. In
relation to this, which of the things on this card happened to you/are happening? By most serious we
mean a group of incidents that had the biggest impact on you, either physically or psychologically. PROBE:
Did anything else happen during the most serious incident? IF RESPONDENT SAYS THAT SHE DID NOT THINK
THE INCIDENT WAS SERIOUS QUESTION WORDING FOR H07 TO H19 SHOULD BE CHANGED AS INDICATED
(SHOW CARD H05)

MARK ALL
THAT APPLY
1. Sent you emails, text messages (SMS) or instant messages that were
offensive or threatening 1
2. Sent you letters or cards that were offensive or threatening 2
3. Made offensive, threatening or silent phone calls to you 3
4. Posted offensive comments about you on the internet 4
5. Shared intimate photos or videos of you, on the internet or by mobile phone 5
6. Loitered or waited for you outside your home, workplace or school without
a legitimate reason 6
7. Deliberately followed you around 7
8. Deliberately interfered with or damaged your property 8
97. Do not know 97
99. Refused 99
IF DK, NA OR REF, AND NONE OF THE CATEGORIES 18 MARKED, AT H05 SKIP TO I01
H06 Just to be clear, who was it that did this to you?

IF NOT CLEAR ASK: Was this a man or a woman, or were both men and women involved?
(SHOW CARD H06)

MARK ALL THAT APPLY

H06a. Current partner 1 2 3 97 98 99
H06b. Current boyfriend/girlfriend 1 2 3 97 98 99
H06c. Previous partner 1 2 3 97 98 99
H06d. Previous boyfriend/girlfriend 1 2 3 97 98 99
H06e. Boss/supervisor 1 2 3 97 98 99
H06f. Colleague/co-worker 1 2 3 97 98 99
H06g. Client/customer/patient 1 2 3 97 98 99
H06h. Teacher/trainer/coach 1 2 3 97 98 99
H06i. Another pupil/co-student 1 2 3 97 98 99
H06j. Doctor/health care worker 1 2 3 97 98 99
H06k. Relative/family member 1 2 3 97 98 99
H06l. A date/someone you just met 1 2 3 97 98 99
H06m. Friend/acquaintance 1 2 3 97 98 99
H06n. Someone else you knew 1 2 3 97 98 99
H06o. Someone you did not know 1 2 3 97 98 99
H06p. Unknown perpetrator 1 97 98 99
10 Instruction to the interviewer: If the respondent cannot decide which group of incidents has been most serious, ask her to consider the
most recent group of incidents that she felt was serious.
61
H07 IF ONLY ONE CATEGORY SELECTED IN H06 ASK: Was [READ OUT THE CATEGORY SELECTED IN H06] acting alone,
or were there other persons involved in the most serious group/this group of incidents?
IF MORE THAN ONE CATEGORY SELECTED IN H06 ASK: How many persons
were involved in committing the most serious group of incidents?
4. One or more perpetrators, depending on the incident 4
7. Do not know 7
8. Not applicable 8
9. Refused 9
H08 IF H07=1 (ONE PERSON) ASK: Is the same person still doing this to you?
IF H07=2, 3 OR 4 (MORE THAN ONE PERSON) ASK: Are the same persons still doing this to you?
If H07=7 (DK) ASK: Is this still happening?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
H09 IF H08=1 (YES) ASK: How long has it been going on?
IF H08=2 (NO) ASK: How long did this go on? SPONTANEOUS. DO NOT READ OUT
1. A few days 1
2. Between a few days and 1 month 2
3. More than 1 month and up to 3 months 3
4. More than 3 months and up to 6 months 4
5. More than 6 months and up to 12 months 5
6. More than one and up to two years 6
7. More than 2 and up to 3 years 7
8. More than 3 and to up to 4 year 8
9. More than 4 and up to 5 years 9
10. More than 5 years and up to 10 years 10
11. More than 10 years 11
97. Do not know 97
99. Refused 99
62
H10 Thinking about the most serious group/this group of incidents, have you felt any of the following as a
result? Please use this card you can select more than one option. PROBE: Anything else?
(SHOW CARD H10)
MARK ALL
THAT APPLY
1. Anger 1
2. Aggressiveness 2
3. Shock 3
4. Fear 4
5. Shame 5
6. Embarrassment 6
7. Guilt 7
8. Annoyance 8
9. Other 9
97. Dont know 97
99. Refused 99
H11 Have you suffered from any of the following as a result? PROBE: Anything else?
(SHOW CARD H11)
MARK ALL
THAT APPLY
1. Depression 1
2. Anxiety 2
3. Panic attacks 3
9. Other 9
97. Do not know 97
99. Refused 99
H12 Have the police come to know about this? (SHOW CARD H12)

4. No 4
7. Do not know 7
8. Not applicable 8
9. Refused 9
IF H12=1 GO TO H14, ELSE GO TO H13
63
H13 Why have you not contacted the police? PROBE: Is there any other reason?
SPONTANEOUS. DO NOT READ OUT
MARK ALL
THAT APPLY
6. The partner or somebody else stopped me or discouraged me 6
11. Did not want the offender arrested or get in trouble with police 11
13. Went directly to a magistrate or judge to report the incident 13
14. Somebody else had reported it, or police came to know about it on their own 14
16. Other reason 16
97. Do not know 97
99. Refused 99
H14 Have you ever done any of the following because of what has happened:
(SHOW CARD H14)
Yes No DK NA RF
H14a. Confronted the perpetrator about what he/she was doing? 1 2 7 8 9
H14b. Moved home? 1 2 7 8 9
H14c. Changed your phone number/email address? 1 2 7 8 9
H14d. Closed your social networking (e.g. Facebook) account? 1 2 7 8 9
H14e. Contacted a victim support organisation? 1 2 7 8 9
H14f. Threatened the perpetrator with police/court action? 1 2 7 8 9
H14g. Talked about the incidents with friends or relatives? 1 2 7 8 9
H14h. Went someplace else for help? 1 2 7 8 9
64
I01 The next questions concern the time when you were under 15 years of age. Before I02 AFTER EACH ITEM, IF IN I01xI01e=23 (ONCE OR
you were 15 years old, how often did any adult that is, somebody who was MORE), ASK: Who did this to you? Please use this
18years or older do any of the following to you. Please use this card to answer. card to answer and tell me all options that apply.
(SHOW CARD I01) MARK ALL THAT APPLY
(SHOW CARD I02)
More
or neighbour
step-brother
foster father
than
1. Father
2. Step-father or
3. Brother or
4. Other male relative
5. Male friend
6. Male acquaintance
Never Once once DK NA RF
I01x Slap you or pull your

1 2 3 7 8 9 I02x 1 2 3 4 5 6
hair so that it hurt you?
I01a Hit you very hard so

1 2 3 7 8 9 I02a 1 2 3 4 5 6
that it hurt you?
I01b Kick you very hard

Section I Experiences in childhood
1 2 3 7 8 9 I02b 1 2 3 4 5 6
so that it hurt you?
I01c Beat you very hard

with an object like
1 2 3 7 8 9 I02c 1 2 3 4 5 6
a stick, cane or belt
so that it hurt you?
I01d Stab or cut you

with something so 1 2 3 7 8 9 I02d 1 2 3 4 5 6
that it hurt you?
I01e Threaten to hurt you

1 2 3 7 8 9 I02e 1 2 3 4 5 6
badly or kill you?
65
66
7
7
7
7
7
7. Male teacher
8
8
8
8
8
8. Male doctor or health care worker

9
9
9
9
9
9. Male priest or religious leader

10
10
10
10
10
10. Boyfriend over 18 years old

11
11
11
11
11
11. A man you did not know before

12
12
12
12
12
a. Mother
13
13
13
13
13
b. Step-mother or foster mother

14
14
14
14
14
c. Sister or step-sister
15
15
15
15
15
d. Other female relative

16
16
16
16
16
e. Female friend
17
17
17
17
17
f. Female acquaintance or neighbour

18
18
18
18
18
g. Female teacher
19
19
19
19
19
h. Female doctor or health care worker
20
20
20
20
20
i. Female priest or religious leader
21
21
21
21
21
j. Girlfriend over 18 years old
22
22
22
22
22
k. A woman you did not know before
97
97
97
97
97
DK
98
98
98
98
98
NA
RF
99
99
99
99
99
I03 Before you were 15 years old, how often did any adult that is, somebody who was 18 years I04 AFTER EACH ITEM, IF IN I03aI03e=23 (ONCE OR MORE),
or older do any of the following to you: ASK: Who did this to you? Please use this card to answer
(SHOW CARD I03) and tell me all options that apply.
MARK ALL THAT APPLY
(SHOW CARD I04)
More
relative
or neighbour
rother or
step-brother
foster father
than
1. Father
2. S tep-father or
3. B
4. Other male
5. Male friend
6. Male acquaintance
Never Once once DK NA RF
I03a Expose their genitals to you when

1 2 3 7 8 9 I03a 1 2 3 4 5 6
you did not want them to?
I03b Make you pose naked in front of

any person or in photographs,
1 2 3 7 8 9 I03b 1 2 3 4 5 6
video or an internet webcam when
you did not want to do this?
I03c Touch your private parts

genitals or breasts when 1 2 3 7 8 9 I03c 1 2 3 4 5 6
you did not want them to?
I03d Make you touch their private

parts genitals or breasts when 1 2 3 7 8 9 I03d 1 2 3 4 5 6
you did not want to do this?
I03e Make you have sexual intercourse

with them when you did not want to?
(IF NEEDED ADD: By sexual intercourse 1 2 3 7 8 9 I03e 1 2 3 4 5 6
we mean here forced oral sex,
forced anal or vaginal penetration)
67
68
oyfriend over
18 years old
man you did not
know before
health care worker

religious leader
health care worker
foster mother
woman you did
not know before
or neighbour
religious leader
irlfriend over
18 years old
7. Male teacher
8. Male doctor or
9. Male priest or
10. B
11. A
a. Mother
b. Step-mother or
c. Sister or step-sister
d. Other female relative
e. Female friend
f. F emale acquaintance
g. Female teacher
h. Female doctor or
i. Female priest or
j. G
k. A
DK NA RF
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 97 98 99
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 97 98 99
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 97 98 99
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 97 98 99
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 97 98 99
I05 Before you were 15 years old, how often did any adult member of your I06 AFTER EACH ITEM, IF IN I05aI05c=23 (ONCE OR MORE) ASK: Who did this to you?
family who was 18 years or older do any of the following to you? Please use this card to answer and tell me all options that apply.
Please use this card to answer (SHOW CARD I05) MARK ALL THAT APPLY (SHOW CARD I06)
More
relative
relative
or step-brother
foster mother
foster father
step-sister
than
1. Father
2. Step-father or
3. Adult brother
4. Other male
a. Mother
b. Step-mother or
c. Adult sister or
d. Other female
Never Once once DK NA RF DK NA RF
I05a Say to you that you

1 2 3 7 8 9 I06a 1 2 3 4 5 6 7 8 97 98 99
were not loved?
I05b Say that they

wished you had 1 2 3 7 8 9 I06b 1 2 3 4 5 6 7 8 97 98 99
never been born?
I05c Threaten to abandon

you or throw you out 1 2 3 7 8 9 I06c 1 2 3 4 5 6 7 8 97 98 99
of the family home?
Section J Respondent background

J01 The next questions are about your background. The information you provide will remain confidential and
will be used for analysis purposes only. In which year were you born?
WRITE DOWN THE ANSWER IF RESPONDENT UNWILLING TO GIVE EXACT YEAR, PROBE AGE WITH LISTED
CATEGORIES
OR 1819 1
2024 2
2529 3
3034 4
3539 5
4049 6
5059 7
6069 8
7074 9
Do not know 97
Not applicable 98
Refused 99
J02 Could you please tell me what your households net combined monthly income is that is, after deduc-
tions for tax, social insurance etc.? A rough estimate will do and your answers are strictly confidential.
By household I mean all the people who share the same address and share cooking and food with you.
WRITE DOWN THE ANSWER IF RESPONDENT UNWILLING TO GIVE EXACT SUM, PROBE WITH LISTED
CATEGORIES
OR Under lowest quartile 1

Between lowest quartile and median 2
Between median and highest quartile 3
Above highest quartile 4
Do not know 7
Not applicable 8
Refused 9
J03 Which of the descriptions on this card comes closest to how you feel about your households income
nowadays?
(SHOW CARD J03)
1. Living comfortably on present income 1

2. Coping on present income 2
3. Finding it difficult on present income 3
4. Finding it very difficult on present income 4
7. Do not know 7
8. Not applicable 8
9. Refused 9
69
J04 What is your religion, if any? SPONTANEOUS, DO NOT READ OUT
1. Christian (Catholic/Orthodox/Protestant/Other Christian) 1

2. Islam (Alevi/Aleviter/Ismaili (Seveners)/Ithna ashari
(Twelvers)/Sunni/Shia/Sufi/Zayadi) 2
3. Jewish 3
4. Hindu 4
5. Sikh 5
6. Buddhist 6
7. Other 7
8. Has no religion 8
97. Do not know 97
99. Refused 99
J05 Thinking about where you live, do you consider yourself to be part of any of the following? Please tell me
all that apply.
(SHOW CARD J05)
MARK ALL
THAT APPLY
J05a An ethnic minority 1
J05b An immigrant minority 2
J05c A religious minority 3
J05d A sexual minority 4
J05e A minority in terms of disability 5
J05f (SPONTANEOUS) None 6
J05g (SPONTANEOUS) Any other minority group,
specify 7
J05x Do not know 97
Not applicable 98
No answer/refused 99
J06 Which of the options on this card best describes how you think of yourself? Please just read the letter next
to the description.
(SHOW CARD J06)
1. F Heterosexual/Straight (PROMPT IF NECESSARY, NOT

ON SHOWCARD: A person who is sexually attracted to the opposite sex) 1
2. A Lesbian (PROMPT IF NECESSARY, NOT ON SHOWCARD:
A person who is sexually attracted to the same sex) 2
3. X Bisexual (PROMPT IF NECESSARY, NOT ON SHOWCARD:
A person who is sexually attracted to the both sexes) 3
4. T Other 4
97. Do not know 97
99. Refused 99
J08 Which option on this card best describes the area where you live?
(SHOW CARD J08)
1. A big city 1
2. The suburbs or outskirts of a big city 2
3. A town or a small city 3
4. A country village 4
5. A farm or home in the countryside 5
6. Other 6
7. Do not know 7
8. Not applicable 8
9. Refused 9
70
J09 What is the highest level of education you have achieved? Please use this card.
(SHOW CARD J09)
1. Not completed primary education 1

2. Completed primary education 2
3. Lower secondary education (ages 1116 GCSEs/O-Levels, GNVQ) 3
4. Upper secondary education (ages 1618. e.g. AS/A Levels,
Scottish Highers, International Baccalaureate) 4
5. Post secondary but not university
(ages 18+, e.g. HND, NVQ Level 4 and 5, HNC) 5
6. First degree (e.g. BA, BSc) 6
7. Postgraduate degree (e.g. MA, MSc, MBA, PGCE, PhD) 7
97 Do not know 97
99. Refused 99
J10 How long have you been living in [COUNTRY]?
WRITE DOWN THE ANSWER

OR Has never lived outside [COUNTRY] 96
Do not know 97
Not applicable 98
Refused 99
J11 Are you a [COUNTRY] citizen?
1. Yes 1
2. Yes, but also a citizen of another country 2
3. No 3
7. Do not know 7
8. Not applicable 8
9. Refused 9
J13 Were any of your parents born outside of [COUNTRY]? (IF YES: In which country were they born?)
J13a J13b
Mother Father
1. No. born in [COUNTRY] 1 1
2. Born in another country [SPECIFY] 2 2
7. Do not know 7 7
8. Not applicable 8 8
9. Refused 9 9
71
Section K Conclusion
K01 In general, how common do you think violence against women by partners, acquaintances or strangers is
in [COUNTRY]? Please use this card to answer.
(SHOW CARD K01)
1. Very common 1
2. Fairly common 2
3. Not very common 3
4. Not at all common 4
7. Do not know 7
8. Not applicable 8
9. Refused 9
K02 Have you recently seen or heard any advertising addressing campaigns against violence against women?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
9. Refused 9
K03 Thinking about domestic violence against women that is, violence involving partners or people who are
in a relationship do you know of any women who have been a victim of any form of domestic violence:
Yes No DK NA RF
K03a In your circle of friends and family? 1 2 7 8 9
K03c IF A07=1,2,3,5,8, 11
Where you work or study?
If A07=4,6,7,9,10,12,DK, NA,REF
Where you used to work or study? 1 2 7 8 9
K04 As far as you are aware, are there any specific laws or political initiatives in [COUNTRY] for:
Yes No DK NA RF
K04a Preventing domestic violence against women? 1 2 7 8 9
K04b Protecting women in cases of domestic violence?
K05 Would you find it acceptable if doctors routinely ask women who have certain injuries, whether they have
been caused by violence?
1. Yes 1
2. No 2
7. Do not know 7
8. Not applicable 8
K06 There is just one more thing Id like to ask you to do, please. Can you take just a couple of minutes to read
this form and tick the boxes. Then please put the form into this envelope and seal it.
INTERVIEWER TO HAND OUT THE SELF-COMPLETION FORM (SECTION L)
72
K07 We have now come to the end of the interview. I would like to thank you very much for your time. I real-
ise that some of the questions may have been difficult, but I really appreciate that you took the time to
respond. Your answers will be very important for having a picture of womens experiences in Europe.
Is there anything that you would like to add?

INTERVIEWER NOTE: IF RESPONDENT CANNOT SEE/CANNOT READ

THEN DO NOT GIVE THEM THE SELF-COMPLETION FORM TO COMPLETE
73
Section L Self-completion form

This interview has involved topics which can be difficult to talk about. No matter what you have already told the
interviewer, please read the following statements, think about the issues discussed in the interview, and put a
cross in the box that corresponds to what you have experienced.
After you have answered all six questions, please put this form in an envelope and close it. The interviewer will not
see your answers she will take the sealed envelope to the research agency where your answers will be treated
anonymously and confidentially.
1. My partner or an ex-partner has been physically violent against me.

Yes No I have not had a partner or an ex-partner
2. My partner or an ex-partner has been sexually violent against me.

Yes No I have not had a partner or an ex-partner
3. Since I was 15 years or above, somebody other than my partner or an ex-partner has been physically
violent against me.

Yes No
4. Since I was 15 years or above, somebody other my partner or an ex-partner has been sexually violent
against me.

Yes No
5. When I was under 15 years old, somebody was physically violent against me.

Yes No
6. When I was under 15 years old, somebody was sexually violent against me.

Yes No
74
M01. Please record the start time of the interview.

Hour:
Minutes:
Not available
M02. Please record the end time of the interview.

Hour:
Minutes:
Not available
M03. Please record the interview length.

Hour:
Minutes:
Not available
M04. Interviewer number

(1 99999999)
75

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Survey on womens wellbeing and safety

A03a NUMBER OF WOMEN: OR 97 Dont know

A03b NUMBER OF MEN: OR 97 Dont know

IF A04a=1 GO TO A04b, ELSE GO TO A04d

A04b Are you living together with

A04c Are you separated? 1 2 7 8 9

A04d IF A04c=1 (MARRIED BUT SEPARATED) ASK:

Are you living together with a different partner?

IF A04a=2, 7, 8 OR 9 (NOT MARRIED) ASK:

Are you living together with a partner? 1 2 7 8 9

IF A04d=1 GO TO A05, ELSE GO TO A04e

A04e Are you involved in a relationship2

IF A04e=1 GO TO A05, ELSE GO TO A06.

A05 Can I just ask, is your current partner a man or a woman?

AFTER EACH ITEM IF

IF A06aA06c=24 (AT LEAST ONE PAST RELATIONSHIP) GO TO A06d, ELSE GO TO A07

IF NOT WORKING CURRENTLY (A07=4, 6, 7, 8, 9, 10, 11,12) GO TO A08, ELSE GO TO A09.

3 Instruction to the interviewer: This can include unpaid/voluntary work.

IF YES TO A10a ASK:

A10bThinking about it, have you

Section B Health, feelings of safety, knowledge about services

IF B02a=1 GO TO B02b, ELSE GO TO B03

B02b Do you consider yourself to be disabled?

Never Some- Often All of DK NA RF

B03a someone you 1 2 3 4 7 8 9

B03b someone from work, 1 2 3 4 7 8 9

B03c another acquaintance 1 2 3 4 7 8 9

B03e IF NO CURRENT PARTNER 1 2 3 4 7 8 9

B03f IF NO REVIOUS PARTNER 1 2 3 4 7 8 9

Never Some- Often All of DK NA RF

B05a Avoided leaving your 1 2 3 4 7 8 9

B05b Avoided taking 1 2 3 4 7 8 9

B05c Avoided going to places 1 2 3 4 7 8 9

B05d Avoided opening 1 2 3 4 7 8 9

B05e Avoided going 1 2 3 4 7 8 9

B05f IF NOT WORKING (A08=2) 1 2 3 4 7 8 9

B06 Have you ever heard of the following organisations or services:

Page left intentionally blank

DO NOT LIVE WIMARK ALL THAT APPLY 1=MALE,

1. Current 2. Current 3. Previous 4. Previous

Inappropriate staring or leering that

Sexually suggestive comments or jokes

IF ALL IN C01aC01k=1 (NEVER), 7 (DK), 8 (NA) or 9 (REF), GO TO D01, ELSE GO TO C03

C03a Unwelcome touching, hugging or kissing? 1 2 3 4 7 8 9 C04a M F B M F B M F B M F B

Sexually suggestive comments or

If C03AK=1 (NEVER), skip C07

1. In the past 12 months 1

IF C11=1 GO TO C13, ELSE IF C11=2,3,5,7,8,9,10 (TALKED TO EMPLOYER/BOSS, LABOUR UNION

C12 (SHOW CARD C12)

IF C12b How satisfied or dissatisfied

IF C11=7 C12c How satisfied or dissatisfied

IF C12d How satisfied or dissatisfied

IF C12e How satisfied or dissatisfied

Page left intentionally blank

D01a Threatened to hurt you physically? 1 2 3 4 7 8 9 D02a M F B M F B M F B M F B

D01b Pushed you or shoved you? 1 2 3 4 7 8 9 D02b M F B M F B M F B M F B

D01c Slapped you? 1 2 3 4 7 8 9 D02c M F B M F B M F B M F B

D01d Threw a hard object at you? 1 2 3 4 7 8 9 D02d M F B M F B M F B M F B

D01e Grabbed you or pulled your hair? 1 2 3 4 7 8 9 D02e M F B M F B M F B M F B

Beat you with a fist or a hard

D01g Burned you? 1 2 3 4 7 8 9 D02g M F B M F B M F B M F B

D01h Tried to suffocate you or strangle you? 1 2 3 4 7 8 9 D02h M F B M F B M F B M F B

D01i Cut or stabbed you, or shot at you? 1 2 3 4 7 8 9 D02i M F B M F B M F B M F B

A10bThinking about it, have you

1. Current 2. Current 3. Previous 4. Previous