Series of questions on household smoking | |
Alcohol and other drugs | |
On average, how many days a week do you drink alcohol? | |
Do you consider alcohol to be a problem in your household? | |
Do you consider drugs to be a problem in your household? | |
Domestic Violence questions | |
Within the last year have you been hit, slapped, or hurt in other ways by your partner or ex-partner? | |
Yes □ | |
No □ | |
Are you frightened of your partner or ex-partner? | |
Yes □ | |
No □ | |
(With a series of sub questions if the woman answers yes). |