29 Domestic Violence Survey Questions

Explore 25 domestic violence survey questions with sample formats, response tips, and insights for effective awareness and research.

Domestic Violence Survey Questions template

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If you are drafting domestic violence survey questions, you are really covering screening, prevalence, safety, service access, survivor experience, and program evaluation. That includes domestic abuse questions, domestic violence questions, domestic violence assessment questions, a questionnaire on domestic violence, and research questions on domestic violence.

Here’s the thing, good survey design must be trauma-informed, voluntary, confidential, and right for your setting because one-size-fits-all belongs with socks, not sensitive research. This guide shares practical survey categories, use cases, and sample question ideas, not legal or crisis advice, and if you need an online survey tool, it should support that kind of careful setup.

Domestic Violence Screening Survey Questions

Sample questions

  1. In the past 12 months, has a partner or ex-partner made you feel afraid for your safety?

  2. Has a partner or ex-partner repeatedly insulted, humiliated, or controlled your daily activities?

  3. Has a partner or ex-partner prevented you from seeing friends, family, or accessing money, transportation, or medical care?

  4. Has a partner or ex-partner threatened to harm you, your children, pets, or themselves to control you?

  5. Has a partner or ex-partner physically hurt you in any way, such as pushing, hitting, choking, or restraining you?

Behavior-based screening questions

Why & When to Use

Use these domestic violence survey questions for early identification when you need a quick, practical check-in, not a full investigation.

They fit well in healthcare, counseling, social services, schools, workplace support, and intake settings where concise domestic violence assessment questions can help you spot possible harm and decide on next-step support.

Here’s the thing, screening is not the same as diagnosis, fact-finding, or trying to play detective in a cardigan.

Keep your domestic abuse questions private, voluntary, and asked one-on-one whenever possible.

Plus, every domestic violence survey process should be paired with a clear safety protocol so you know what to do if someone says yes, seems distressed, or needs immediate support.

Behavior-specific domestic violence questions usually work better than asking only, “Are you abused?” because people may not use that label for what they are experiencing.

That is why questionnaires on domestic violence often focus on actions and patterns rather than broad terms.

Use screening questions when you need to:

  • identify possible abuse early

  • guide referrals and support options

  • document risk indicators consistently

  • improve intake with brief, trauma-informed domestic violence assessment questions

On top of that, this approach makes your domestic violence questions and answers more useful, clearer, and easier to act on.

An AHRQ review found IPV screening tools typically use 3–8 behavior-specific questions covering physical, psychological, sexual abuse, and safety concerns. Source

domestic violence survey questions example

How to create a domestic violence survey in HeySurvey

1. Create a new survey
Click the button below to open a template or start from scratch. HeySurvey lets you begin without an account, so you can explore the editor right away. Give your survey a clear internal name and choose a simple layout that makes it easy for respondents to move through the questions.

2. Add questions
Select Add Question and include a mix of question types, such as multiple choice, scale, and text fields. For a domestic violence survey, keep the wording respectful, clear, and nonjudgmental. You can mark key questions as required, add answer choices, and use branching to show follow-up questions only when needed.

3. Publish survey
Use Preview to check the flow and wording, then click Publish when everything looks right. After publishing, HeySurvey gives you a shareable link. You can send it to respondents or embed it on a website with an online survey tool.

Domestic Violence Prevalence and Frequency Survey Questions

Sample questions

  1. During the past 12 months, how often has a current or former partner yelled at, insulted, or degraded you?

  2. During the past 12 months, how often has a partner monitored your phone, messages, location, or online activity without your consent?

  3. During the past 12 months, how often has a partner limited your access to money, work, school, or basic necessities?

  4. During the past 12 months, how often has a partner threatened or used physical force against you?

  5. Have you ever experienced any form of abuse from an intimate partner at any point in your life?

Frequency-based questions reveal patterns

Why & When to Use

Use these domestic violence survey questions when you want to understand how common specific experiences are across a group, not just whether they happened once.

They work especially well in population studies, campus climate surveys, nonprofit needs assessments, workplace wellbeing studies, and community research where questionnaires on domestic violence need clearer trend data.

Here’s the thing, prevalence-focused domestic abuse questions are built to measure patterns across many people, so they help you spot scale, frequency, and gaps in support.

For cleaner domestic violence survey data, use a clear timeframe like past 6 months, past 12 months, or lifetime, because fuzzy timing creates fuzzy results, and nobody wants their research wearing blurry glasses.

Plus, separate incident type, frequency, and recency whenever possible so your domestic violence assessment questions are easier to analyze and compare.

A simple, trauma-informed response scale usually works best:

  • Never

  • Once

  • A few times

  • Often

On top of that, this structure strengthens research questions about domestic violence by making responses more consistent, more useful, and much easier to turn into action.

CDC’s NISVS uses behaviorally specific intimate partner violence questions to improve reliable reporting and track prevalence trends. Source

Domestic Violence Risk and Safety Planning Questions

Sample questions

  1. Has the abusive behavior become more frequent or more severe in recent weeks or months?

  2. Has your partner or ex-partner ever threatened to kill you, your children, or someone close to you?

  3. Does the person have access to weapons or use objects to intimidate you?

  4. Has the person ever strangled, suffocated, or blocked your breathing?

  5. Do you feel safe going home, ending contact, or taking steps to seek help right now?

Risk-focused questions help you act fast

Why & When to Use

Use these domestic violence questions when you need immediate risk triage, safety planning, shelter intake support, case management, or crisis-oriented follow-up.

Here’s the thing, these are not casual check-in prompts. They are sensitive domestic violence assessment questions designed to help you prioritize urgent intervention without making the experience feel like an interrogation.

High-risk indicators matter most here, especially when you need to spot danger quickly and respond clearly.

  • Escalating threats or violence

  • Strangulation or blocked breathing history

  • Access to weapons

  • Stalking or constant surveillance

  • Forced isolation from family, friends, work, or transportation

  • Threats involving children or custody

Plus, these domestic abuse questions work best when every answer connects to a next step, like a private safety plan, a warm referral, or an immediate crisis response.

On top of that, if you are building questionnaires on domestic violence for this purpose, only use them where there is a real plan for quick exits, privacy protection, and referral pathways.

A risk survey without follow-up is like a smoke alarm with no batteries, technically present, but not doing the job.

Survivor Needs and Help-Seeking Survey Questions

Sample questions

  1. Have you tried to get help for abuse from friends, family, a hotline, healthcare provider, police, or an advocacy organization?

  2. What prevented you from seeking help sooner, if applicable?

  3. Which services would be most helpful to you right now: emergency housing, legal support, counseling, financial aid, childcare, or safety planning?

  4. How safe do you feel using your phone, email, or shared devices to ask for help?

  5. What type of support would make it easier for you to leave, stay safe, or recover?

Support-focused questions reveal what survivors actually need

Why & When to Use

Use these domestic violence survey questions when you want to understand what support people need, what is getting in the way, and how they prefer to reach out for help.

They work especially well in shelters, hotlines, advocacy groups, healthcare systems, legal aid settings, and grant-funded programs that need better service design, not just better paperwork.

Here’s the thing, good domestic violence survey design does more than ask whether someone experienced harm. It helps you spot barriers like fear, cost, language access, disability, immigration concerns, transportation, childcare, and digital surveillance.

That makes these domestic violence questions and domestic violence assessment questions practical, not just informative.

Use them to learn things like:

  • which services survivors want first

  • which systems feel safe or unsafe to contact

  • which obstacles delay help-seeking

  • which unmet needs affect safety, recovery, or independence

  • which outreach methods actually work

Plus, these questionnaires on domestic violence are strongest when you combine multiple-choice options with one optional open-text prompt for nuance.

That gives you cleaner data and still leaves room for the real story, because checkboxes are helpful, but they are not mind readers.

On top of that, if you are developing research questions about domestic violence or improving support programs, this section helps turn survivor feedback into better access, faster referrals, and more useful care.

Sample questions

  1. How has your relationship affected your stress, anxiety, depression, or overall emotional wellbeing?

  2. Have you experienced sleep problems, panic, physical injuries, chronic pain, or other health concerns related to the relationship?

  3. Has the situation affected your job attendance, productivity, education, or finances?

  4. Has the situation affected your children, caregiving responsibilities, or family relationships?

  5. To what extent has the abuse made you feel isolated, hopeless, or unable to make everyday decisions?

IPV survivors with children at home reported more service-access barriers than those without children (33.1% vs 28.7%), highlighting childcare-related support needs. CDC study

Domestic Violence Impact and Wellbeing Survey Questions

Impact questions show what abuse is costing someone day to day

Why & When to Use

Use these domestic violence questions when you want to measure how abuse affects daily life, not just whether it happened.

They help you understand the ripple effects on mental health, physical health, sleep, work, school, parenting, finances, and social functioning.

Here’s the thing, these domestic violence assessment questions are especially useful in survivor outcome studies, service evaluation, and research questions about domestic violence.

They can also strengthen a domestic violence survey by showing how abuse affects stability, health, and independence over time.

Use this section to explore impacts such as:

  • emotional distress, fear, or trouble concentrating

  • injuries, chronic pain, panic, or sleep disruption

  • missed work, school problems, or financial strain

  • parenting stress or family relationship challenges

  • isolation, hopelessness, or difficulty making decisions

Plus, these questionnaires on domestic violence help programs explain why survivors may need more than one type of support.

That matters when you are making the case for funding, staffing, trauma-informed care, and integrated services, because numbers open doors, even when they should not need a VIP pass.

On top of that, impact questions should complement direct behavior-based domestic abuse questions, not replace them.

Keep the wording plain and clear, and avoid clinical assumptions unless your setting is medical or research-based.

Sample questions

  1. Did the service help you better understand your options and next steps?

  2. After receiving support, do you feel more informed about safety planning and available resources?

  3. Did staff treat you with respect, confidentiality, and cultural sensitivity?

  4. What parts of the program were most helpful, and what could be improved?

  5. As a result of this service, do you feel safer, more supported, or better able to make decisions?

Program Evaluation and Service Feedback Questions

Good feedback questions show whether your support actually helped

Why & When to Use

Use these domestic violence questions after services are delivered, not before, so you can measure what changed.

They work well for survivor advocacy, counseling, shelter programs, support groups, trainings, and prevention efforts.

Here’s the thing, a domestic violence survey tied to services should do more than ask whether people liked the program.

Satisfaction questions tell you how someone felt about the experience, while outcome-focused domestic violence assessment questions tell you whether the service improved safety, knowledge, confidence, or access to resources.

That difference matters a lot when you want to improve programs instead of just collecting polite gold stars.

Use this section when you want to learn whether services helped participants:

  • understand their options and next steps

  • feel safer and more supported

  • build confidence in decision-making

  • learn about safety planning and community resources

  • feel respected by staff across culture, identity, and lived experience

Plus, these domestic abuse questions can help organizations strengthen service quality, spot gaps, and improve outcomes over time.

On top of that, if anonymity cannot be fully protected, avoid collecting names or identifiable details in feedback.

That keeps your questionnaires on domestic violence safer, more ethical, and more useful for honest responses.

Sample questions

  1. Are questions written in behavior-based language rather than vague labels like "abuse" alone?

  2. Is each question limited to one idea so respondents are not confused?

  3. Does the survey clearly state the timeframe, such as past month, past year, or lifetime?

  4. Are response options simple, consistent, and easy to understand?

  5. Is there a final question asking whether the respondent wants information about support resources?

Best Practices for Writing Domestic Violence Survey Questions

Clear, trauma-informed wording makes every survey safer and smarter

Why & When to Use

Use this section as your universal checklist for writing better domestic abuse questions, domestic violence questions, and domestic violence assessment questions.

It works for researchers, nonprofits, schools, healthcare teams, and service providers creating anything from a short intake form to full questionnaires on domestic violence.

Here’s the thing, strong domestic violence research questions are not just about what you ask, but how you ask it.

The five sample questions above help you review whether your domestic violence survey is clear, specific, and safe before it goes live.

Use them as a quick bridge into these practical dos and don'ts, because even well-meaning surveys can get messy fast.

Dos

  • Use trauma-informed, nonjudgmental wording.

  • Ask in private and explain confidentiality limits clearly.

  • Include opt-out choices and a way to skip questions.

  • Tailor domestic violence questions to the setting, audience, and purpose.

  • Use inclusive language for gender, sexuality, relationship status, and living situation.

  • Test for readability, accessibility, and emotional burden.

  • Prepare a response plan before collecting answers.

Don'ts

  • Do not force disclosure or require every question to be answered.

  • Do not ask graphic, blame-based, or leading questions.

  • Do not mix multiple behaviors into one item.

  • Do not promise anonymity or safety if you cannot guarantee it.

  • Do not collect unnecessary personal details.

  • Do not use survey data without a referral, safeguarding, or escalation process.

  • Do not ignore device safety and the need for quick exits in risky situations.

Plus, if your survey feels easy to answer, that is not "too simple." That is good design doing its job.

Sample questions

  1. Do your questions assume all abuse is physical and overlook coercive control?

  2. Are you using stigmatizing terms that may discourage honest responses?

  3. Have you included too many open-ended questions for a high-risk or time-limited setting?

  4. Are you asking about safety without having a response protocol in place?

  5. Are you combining screening, risk assessment, and program feedback into one confusing survey?

Common Mistakes to Avoid in Domestic Violence Questionnaires

Small survey mistakes can create big problems fast

Why & When to Use

Use this section when you want to pressure-test your domestic abuse questions before launch.

It helps writers, researchers, and service teams spot design flaws that weaken data quality, confuse respondents, or increase risk in a domestic violence survey.

Here’s the thing, many searches for domestic violence questions and answers are really asking, "What makes a question helpful instead of harmful?"

That is where this checklist comes in, with concrete examples you can fix without needing a full survey rewrite.

Break your review into four buckets so problems are easier to catch. Think of it as less detective drama, more tidy toolbox.

  • Wording: vague, blaming, or stigmatizing phrasing that shuts people down.

  • Structure: too many open responses, double-barreled items, or mixed goals in one form.

  • Ethics: asking sensitive domestic violence assessment questions without consent, privacy, or support planning.

  • Implementation: using strong questionnaires on domestic violence in settings that do not allow enough time, privacy, or follow-up.

Plus, effective domestic violence questions usually focus on specific behaviors, clear timeframes, and a single purpose.

Problematic ones often blur screening with research questions about domestic violence, or ask about immediate danger without any response protocol in place.

On top of that, if your survey tries to do everything at once, it usually does none of it well.

Sample questions

  1. Which findings show the most urgent safety concerns that require immediate protocol changes?

  2. What barriers to help-seeking appear most often, and which can your organization address first?

  3. Which populations report lower feelings of safety, trust, or access to services?

  4. What survey results should shape staff training, partnerships, or referral pathways?

  5. How will you measure whether changes made after the survey improved safety and support outcomes?

Turning Survey Insights Into Action

Good data only matters when you actually do something with it

Why & When to Use

Use this section when you are ready to turn domestic abuse questions into decisions, not just documents collecting digital dust.

It is especially useful for teams working with research questions on domestic violence, service feedback, or domestic violence assessment questions and needing clear next steps.

Here’s the thing, strong domestic violence survey results should improve how you screen, refer, staff, train, and support survivors.

Plus, the smartest move is to group findings into practical themes before making changes.

  • Prevalence: what types of abuse, control, or risk are showing up most often.

  • Barriers: what keeps people from seeking help, disclosing harm, or using services.

  • High-risk signals: what responses suggest urgent danger or immediate workflow gaps.

  • Unmet needs: what survivors say they need but are not getting.

  • Service effectiveness: what parts of your current response are building trust and what parts are not.

On top of that, these themes help you decide what belongs in protocol updates, staff training, referral partnerships, prevention planning, or survivor-centered service design.

A simple action framework works well:

  • Spot the pattern in your domestic violence questions data.

  • Choose one response owner for each issue.

  • Set one change to test first.

  • Track one outcome such as referral completion, safety planning uptake, or service satisfaction.

Good questionnaires on domestic violence are valuable, but only when paired with safe, ethical, and actionable follow-through.

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