Questionnaire Text

Benin 2021 Eswatini (Swaziland) 2021 Madagascar 2018 Tuvalu 2019
Central African Republic 2006 Honduras 2019 Samoa 2019 Zimbabwe 2019
Comoros 2022 Kiribati 2018 Turks and Caicos 2019
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Benin 2021
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VD15. Who assaulted you this way? Anyone else?
Record all mentioned.
[] A Mother/Father's wife
[] B Father/Mother's husband
[] C Sister/Brother
[] D Daughter/Son
[] E Other relative
[] F Current boyfriend
[] G Previous boyfriend
[] H Mother-in-law
[] I Father-in-law
[] J Other in-law
[] K Teacher
[] L Employer/Someone at work
[] M Police/Soldier
[] X Other (specify) ______

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Central African Republic 2006
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DV11.Who physically assaulted you in this way? Someone else?
Record everything that is mentioned

[] A Mother
[] B Father
[] C Your father's wife
[] D Your mother's husband/partner
[] E Sister
[] F Brother
[] G Daughter
[] H Son
[] I Ex-husband/ex-partner
[] J Current friend/partner
[] K Ex-friend/ex-partner
[] L Mother-in-law (husband's mother)
[] M Father-in-law (husband's father)
[] N Related by marriage
[] P Friends/dating ladies
[] Q Friends/meeting men
[] R Professor
[] S Employer
[] T Stranger
[] X Other

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Comoros 2022

No questionnaire text is available for this sample.


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Eswatini (Swaziland) 2021
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GV5. Who has hurt you in this way? Probe: Anyone else? Record all mentioned.

[] A Current Husband/Partner
[] B Mother/Step-Mother
[] C Father/Step-Father
[] D Sister/Brother
[] E Daughter/Son
[] F Other Relative
[] G Former Husband/Partner
[] H Current Boyfriend
[] I Former Boyfriend
[] J Mother-In-Law
[] K Father-In-Law
[] L Other In-Law
[] M Teacher
[] N Employer/Someone at Work
[] O Police/Soldier
[] P Community Police
[] Q Stranger
[] X Other (specify)

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Honduras 2019
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IV17. Who has punched you or harmed you physically?
Probe anyone else
[] A Mother/stepmother
[] B Father/stepfather
[] C Sister/brother
[] D Daughter/son
[] E Other relative
[] F Current boyfriend
[] G Ex boyfriend
[] H Mother in law
[] I Father in law
[] J Other relatives
[] K Teacher
[] L Boss/Co-worker
[] M Ex co-worker
[] N Police/soldier
[] X Other (specify)

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Kiribati 2018
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DVD17. Who has hurt you in this way? Anyone else?
Record all mentioned
[] A Mother/step-mother
[] B Father/step-father
[] C Sister/brother
[] D Daughter/son
[] E Other relatives
[] F Current boyfriend
[] G Former boyfriend
[] H Mother-in-law
[] I Father-in-law
[] J Other in-law
[] K teacher
[] L Employer/someone at work
[] M Police/soldier
[] X Other (specify) ____

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Madagascar 2018
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VD15. Who attacked you in this way? Anyone else? Record all that is mentioned.
[] A Mother/Wife of Father
[] B Father/ Husband of Mother
[] C Sister/Brother
[] D Daughter/Son
[] E Another relative
[] F Current boyfriend
[] G Past boyfriend
[] H Step-mother
[] I Step-father
[] J Another step-relative
[] K Teacher
[] M Employer/ someone at work/ police/ solider
[] X Other (specify)

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Samoa 2019
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DVD17. Who has hurt you in this way? Anyone else?
Record all mentioned
[] A Mother/step-mother
[] B Father/step-father
[] C Sister/brother
[] D Daughter/son
[] E Other relatives
[] F Current boyfriend
[] G Former boyfriend
[] H Mother-in-law
[] I Father-in-law
[] J Other in-law
[] K teacher
[] L Employer/someone at work
[] M Police/soldier
[] X Other (specify) ____

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Turks and Caicos 2019
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DA17. Who has hurt you in this way? Anyone else?
Record all mentioned.
[] A Mother/step-mother
[] B Father/step-father
[] C Sister/brother
[] D Daughter/son
[] E Other relatives
[] F Current boyfriend
[] G Former boyfriend
[] H Mother-in-law
[] I Father-in-law
[] J Other in-law
[] K Teacher
[] L Employer/someone at work
[] M Police/soldier
[] X Other (specify): ____

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Tuvalu 2019
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DVD17. Who has hurt you in this way? Anyone else?
Record all mentioned.
[] A Mother/step-mother
[] B Father/step-father
[] C Sister/brother
[] D Daughter/son
[] E Other relatives
[] F Current boyfriend
[] G Former boyfriend
[] H Mother-in-law
[] I Father-in-law
[] J Other in-law
[] K Teacher
[] L Employer/someone at work
[] M Police/soldier
[] X Other (specify): ____

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Zimbabwe 2019
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DV17. Who has hurt you in this way?
Probe: Anyone else? Record all mentioned

[] A Mother/step-mother
[] B Father/step-father
[] C Sister/brother
[] D Daughter/son
[] E Other relative
[] F Current boyfriend
[] G Former boyfriend
[] H Mother-in-law
[] I Father-in-law
[] J Other-in-law
[] K Teacher
[] L Employer/someone at work
[] M Police/soldier
[] X Other (specify) ____