Your DV Risk Snapshot

Assess your situation with this confidential questionnaire

Assessment

1. Physical Harm (Past 6 Months)

2. Strangulation (Ever)

3. Forced or Coerced Sexual Acts (Past 6 Months)

4. Threats to Kill (Past Year)

5. Access to Firearms/Weapons (Current)

6. Escalation in Frequency/Severity (Last 3 Months)

7. Monitoring, Stalking, Surveillance

8. Breaches of Protective Orders/Legal Boundaries

9. Criminal History/Substance Use by Abuser

10. Financial Control

11. Emotional Abuse & Isolation

12. Children Involved and Affected

13. Safe Housing & Transportation Options

14. Support Network Available

15. Threats of Self-Harm by Abuser to Manipulate