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Sexual Abuse
What
kind of psychological abuse have you experienced in this relationship?
Check off all that apply during this particular relationship.
Use the following codes:
1 = has not occurred
2 = threatened
3= once
4 = two to four times
5 = five or more times, frequently
Typical Sexual Abuse |
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Unwanted Sexual Advances |
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Unwanted Sexual Gestures |
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Taking Advantage of a Power Relationship |
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Unwanted Direct Sexual Requests |
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Hostile Atmosphere Towards Women |
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Sexual Touching of Clothing and Body Areas |
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Unwanted or Rough Touching of Specific Genital
Areas |
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Any Sexual Touching of Minors |
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Forcing Vaginal Intercourse with or without
Orgasm |
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Forcing Oral Sex |
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Forcing Anal Sex |
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Inserting Objects into Genitals |
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Forcing Masturbation |
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Rough Sex Causing Genital Bruises or Mutilation |
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Forcing Prostitution |
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Forcing Pornography |
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Forcing Sex with Other People |
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Forcing Viewing Others Having Sex |
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Sexual Contact when STD's Are Known or Suspected |
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Sexual Contact when HIV Positive |
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Other Sexual Abuse |
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How To Get Help
Call the national domestic violence hot line at 1-800-333-SAFE right now to
find a local battered woman shelter or 1-900-772-3872 for more information
from the Family Survival Network.
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