Abuse Assessment Form – Thrive Network UK

Does your partner ever monitor your phone, email, social media, or whereabouts without permission?

Have they tried to isolate you from friends, family, or co-workers (e.g., “You don’t need anyone else”)?

Do they threaten to harm themselves, you, or loved ones if you consider leaving?

In the past year, have you been pushed, slapped, choked, or otherwise physically hurt by your partner?

Have you ever been forced into sexual activity against your will?

Does your partner regularly insult, demean, or humiliate you—in private or in front of others?

Do you feel “on edge” or like you must “walk on eggshells” to avoid their anger?

Does your partner control or restrict access to family finances, bank accounts, or employment?

Have you been followed, surveilled, or threatened online or in public to instill fear?

Have you experienced increased anxiety, panic attacks, or insomnia because of the relationship?

Have you ever had thoughts of harming yourself or suicide due to your partner’s behavior?

No Yes, once Yes, more than once Prefer not to answer