Use this brief screening measure to help you determine if
you might need to see a mental health or other social services
professional to help you successfully deal with a domestic violence
or abusive relationship situation.
Instructions: This is a screening measure to help you determine whether you might be involved in an abusive relationship that needs attention. This screening measure is not designed to make a diagnosis or take the place of a professional diagnosis or consultation. For each item, indicate the extent to which it is true, by checking the appropriate box next to the item.
All rights reserved. For personal, educational or research use only; other use may be prohibited by law.
Last reviewed: By John M. Grohol, Psy.D. on 21 Aug 2013
Published on PsychCentral.com. All rights reserved.