Domestic Violence Institute
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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

_____

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

_____

Sexual Contact when STD's Are Known or Suspected

_____

Sexual Contact when HIV Positive

_____

Other Sexual Abuse

 

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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