Domestic Violence Screening Test

Scoring the Domestic Violence Test:

Scores for this domestic violence screening tool range from 4-20. A score of greater than 10 is considered positive; meaning you should be concerned about being in an abusive relationship.

No matter what your score, if you have a concern about your or your children’s safety or any relationship you are in, you might find it helpful to join a support group, talk with someone at your local battered women’s shelter or women’s center. Call your county social services or police station. You can also consult with your doctor or therapist. The important thing is to seek help.

Please print out your domestic violence (HITS) test and score and share it with your doctor, therapist or anyone else you wish to share it with.

1 )	How often does your partner physically hurt you?
	Never Rarely Sometimes Fairly often Frequently

2 )	How often does your partner insult or talk down to you?
	Never Rarely Sometimes Fairly often Frequently

3 )	How often does your partner threaten you with harm?
	Never Rarely Sometimes Fairly often Frequently

4 )	How often does your partner physically scream or curse at you?
	Never Rarely Sometimes Fairly often Frequently

Domestic Violence Screening Test

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