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* 1. Are you/your partner committing any of the following psychological-based domestic abuse? 

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* 2. Click which of the following forms of financial domestic abuse you/your partner has committed

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* 3. Have you/your partner ever committed the following examples of sexual domestic abuse?

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* 4. Do you/your partner commit the following intimidation-based domestic abuse techniques?

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* 5. Have you/your partner committed any of the following physical acts of domestic abuse?

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