Healthy Relationship Test Step 1 of 6 - Physical Aspects 16% Physical Aspects (1/2)Does your partner physically abuse you in the following ways: slaps, punches, pushes, chokes, physically restrains or kicks you, or other acts that hurt or threaten you? Yes No Has your partner assaulted you with a weapon (knife or any object)? Yes No Has your partner restrained/locked or confined you to a room? Yes No Have you ever been beaten by your partner while you were pregnant or physically vulnerable? Yes No Has your partner caused any danger to your health or life? Yes No Physical Aspects (2/2)Has your partner harmed your children or threatened to harm your children? Yes No Is your partner an alcoholic/problem drinker? Yes No Does your partner intimidate you by throwing things, punching the wall or breaking things? Yes No Does your partner threaten to hurt themselves because of you? Yes No Does your partner threaten to commit suicide if you leave? Yes No Does your partner threaten to hurt you, your friends or your family? Yes No Emotional Aspects (1/2)Does your partner criticize you, point out your faults or put you down? Yes No Is your partner not very supportive of things you do? Yes No Does your partner make you feel nervous or like you’re “walking on eggshells”? Yes No Does your partner use your religious or spiritual beliefs to manipulate, influence or control you? Yes No Does your partner try to isolate you or keep you away from others by turning you against your friends and family? Yes No Emotional Aspects (2/2)Does your partner accuse you of having an affair without any grounds, or act jealous or possessive? Yes No Does your partner blame you for their actions/abusive behaviour? Yes No Does your partner manipulate or control you by making you believe that your memory is faulty or that you’ve lost your mind? Yes No Does your partner treat you like a possession or servant, or try to control your movement (sometimes by saying they are concerned for your safety)? Yes No Does your partner threaten to leave/divorce you? Yes No Is your partner engaged in affairs? Yes No Economic AspectsDoes your partner withhold basic necessities from you and your children (food, clothes, medications, shelter, education)? Yes No Does your partner try to damage or sabotage your job? (Making you miss work, creating drama at the workplace, calling you too much while you’re at work)? Yes No Does your partner strictly control your finances with an allowance, or make you account for every amouny spent? Yes No Does your partner withhold money or your salary (economic resources)? Yes No Sexual AspectsThe information addressed in this section is special personal information in terms of the Protection of Personal Information Act. You do not have to complete this section. If you do complete it, and request for us to contact you at the end, you consent to us processing this information in accordance with our Privacy Notice (link below).Does your partner force you into unwanted sexual activity (also applies to a married couples)? Yes No Does your partner force you to participate in sexual activity that you are uncomfortable with? Yes No Does your partner force you to participate in degrading, humiliating or embarrassing sexual activity? Yes No Are you exposed/forced to watch pornographic material by your partner? Yes No Does your partner withhold intimacy or sex as a form of punishment? Yes No Does your partner insist on taking pictures and videos while engaging in sexual activities? Yes No Does your partner interfere with or sabotage your efforts to use birth control? Yes No For information on the use of your personal information please see our Privacy Notice.