| Name | Label | Question |
| Q905F |
Kick, drag or beat you up
| (Does/Did ) your (last) husband/partner ever do any of the SOME- NOT following things to you: Kick you, drag you or beat you up?
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| Q905F1 |
Kick, drag or beat you up
| (Does/Did ) your (last) husband/partner ever do any of the SOME- NOT following things to you: Kick you, drag you or beat you up?
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| Q905F2 |
Frequency of kick, drag or beat you up
| How many times(Does/Did ) your (last) husband/partner kick you, drag you or beat you up?
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| Q905G |
Try to choke or burn you on purpose
| (Does/Did ) your (last) husband/partner ever do any of the SOME- NOT following things to you: Try to choke you or burn you on purpose?
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| Q905G1 |
Try to choke or burn you on purpose
| (Does/Did ) your (last) husband/partner ever do any of the SOME- NOT following things to you: Try to choke you or burn you on purpose?
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| Q905G2 |
Frequency of try to choke or burn you on purpose
| How many times(Does/Did ) your (last) husband/partner try to choke you or burn you on purpose?
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| Q905H |
Treaten or attack you with knife, gun
| (Does/Did ) your (last) husband/partner ever do any of the SOME- NOT following things to you: Threaten or attack you with a knife, gun or any other weapon?
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| Q905H1 |
Treaten or attack you with knife, gun
| (Does/Did ) your (last) husband/partner ever do any of the SOME- NOT following things to you: Threaten or attack you with a knife, gun or any other weapon?
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| Q905H2 |
Frequency of treaten or attack you with knife, gun
| How many times(Does/Did ) your (last) husband/partner threaten or attack you with a knife, gun or any other weapon?
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| Q907 |
Duration of bad relation with husband
| How long after your first got married to/started living with your (last) husband/partner did (this/any of these things)first happen?
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| Q908A |
Cus, bruises or aches
| Did the following ever happen as a result of what your (last) husband/partner did to you: You had cuts, bruises or aches?
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| Q908B |
Eye injuried, sprains, burns
| Did the following ever happen as a result of what your (last) husband/partner did to you: You had eye injuries, sprains, dislocations, or burns?
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| Q908C |
Deep wounds, broken bones
| Did the following ever happen as a result of what your (last) husband/partner did to you: You had deep wounds, broken bones, broken teeth, or any other serious injury?
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| Q908D |
Symphoms of hepyrthyroidish
| Did the following ever happen as a result of what your (last) husband/partner did to you: You had symphoms of hyperthyroidish?
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| Q908E |
Stomach aches
| Did the following ever happen as a result of what your (last) husband/partner did to you: You had stomach aches?
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| Q908F |
Miscarried
| Did the following ever happen as a result of what your (last) husband/partner did to you: You miscarried?
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| Q908G |
Other
| Did the following ever happen as a result of what your (last) husband/partner did to you: OTHER?
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| Q909 |
Ever hit, slapped, or physically hurt you
| Have you ever hit, slapped, kicked, or done anything else to physically hurt your(last) husband/partner at times when he was not already beating or physically hurting you?
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| Q910 |
How often in last 12 months
| In the last 12 months, how often have you done this to your husband/partner?
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| Q911 |
Force to have sexual intercourse
| In your lifetime, has anybody forced you having sexual intercouse or any act of sexual matter?
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| Q912 |
Who force to have SI
| Who has that person?
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| Q912A |
CURRENT HUSBAND/PARTNER
| That person was current husband/partner?
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| Q912B |
FORMER HUSBAND/PARTNER
| That person was former husband/partner?
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| Q912C |
CURRENT/FORMER BOYFRIEND
| That person was current/ former boyfriend?
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| Q912D |
FATHER
| That person was your partner?
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| Q912E |
STEP FATHER
| That person was your step parther?
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| Q912F |
FATHER-IN-LAW
| That person was your parther-in-law?
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| Q912G |
OTHER-IN-LAW
| That person was your other-in-law?
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| Q912H |
FRIEND'S
| That person was your friends?
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| Q912I |
FAMILY FRIEND'S
| That person was your family friends?
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| Q912J |
TEACHER
| That person was your teacher?
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| Q912K |
EMPLOYER/SOMEONE AT WORK
| That person was employer/someone at work?
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| Q912L |
POLICE/SOLDIER
| That person was police/soldier?
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| Q912M |
NOT MAN
| That person was not man?
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| Q912X |
OTHER
| That was other person?
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| Q913A |
How often force
| How ofthen this happened?
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| Q913B |
Nature of sexual assault
| What was the nature of sexual assault?
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| Q915 |
Ever hit you when you are pregnant
| Has any one ever hit, slapped, kicked, or done anything else to hurt you physically while you were pregnant?
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| Q916 |
Who hit when you are pregnant
| Who was done any of these things to physically hurt you while you were pregnant?
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| Q916A |
Current husband/partner
| Current husband/partner was done any of these things to physically hurt you while you were pregnant?
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| Q916B |
Former husband/partner
| Former husband/partner was done any of these things to physically hurt you while you were pregnant?
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| Q916C |
Current boyfriend
| Current boyfriend was done any of these things to physically hurt you while you were pregnant?
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| Q916D |
Former boyfriend
| Former boyfriend was done any of these things to physically hurt you while you were pregnant?
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| Q916E |
Mother/ Step mother
| Mother/ Step mother was done any of these things to physically hurt you while you were pregnant?
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| Q916F |
Father/Step father
| Father/Step father was done any of these things to physically hurt you while you were pregnant?
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| Q916G |
Mother-In-Law
| Mother-In-Law was done any of these things to physically hurt you while you were pregnant?
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| Q916H |
Father-In-Law
| Father-In-Law was done any of these things to physically hurt you while you were pregnant?
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| Q916I |
Sister/Brother
| Sister/Brother was done any of these things to physically hurt you while you were pregnant?
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| Q916J |
Other-In-Law
| Other-In-Law was done any of these things to physically hurt you while you were pregnant?
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| Q916K |
Teacher
| Teacher was done any of these things to physically hurt you while you were pregnant?
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| Q916L |
Employer/someone at work
| Employer/someone at work was done any of these things to physically hurt you while you were pregnant?
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| Q916M |
Police/Soldier
| Police/Soldier was done any of these things to physically hurt you while you were pregnant?
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| Q916X |
Other
| Other person was done any of these things to physically hurt you while you were pregnant?
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| Q918 |
Ever tried to seek help
| Thinking about what you yourself have experienced among the different things we have been talking about, have you ever tried to seek help to stop (the/these) person(s) from doing this to you again?
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|
| Q919 |
From whom have you sought help
| From whom have you sought help? Anyone else?
|
|
| Q919A |
OWN FAMILY
| Have you sought help from OWN FAMILY?
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|
| Q919B |
HUSBAND/PARTNER'S FAMILY
| Have you sought help from HUSBAND/PARTNER'S FAMILY?
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| Q919C |
CURRENT/LAST/LATE HUSBAND/PARTNER
| Have you sought help from CURRENT/LAST/LATE HUSBAND/PARTNER?
|
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| Q919D |
CURRENT/FORMER BOYFRIEND
| Have you sought help from CURRENT/FORMER BOYFRIEND?
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| Q919E |
FRIEND
| Have you sought help from FRIEND?
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|
| Q919F |
NEIGHBOR
| Have you sought help from NEIGHBOR?
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| Q919G |
RELIGIOUS LEADER
| Have you sought help from RELIGIOUS LEADER?
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| Q919H |
DOCTOR/MEDICAL PERSONNEL
| Have you sought help from DOCTOR/MEDICAL PERSONNEL?
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| Q919I |
LAWYER
| Have you sought help from LAWYER?
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|
| Q919J |
POLICE
| Have you sought help from POLICE?
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|
| Q919K |
SOCIAL SERVICE ORGANIZATION
| Have you sought help from SOCIAL SERVICE ORGANIZATION?
|
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| Q919X |
OTHER (SPECIFY)
| Have you sought help from OTHER (SPECIFY)?
|
|
| Q920 |
Ever told any one else about this
| Have you ever told any one else about this?
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|
| Q921A |
Buying cosmetics
| Do you have difficulties spending your, your husband's, your common money for buying cosmetics or having beaficians sessions?
128d/ 128e/ 128f/ 128g/ 128h/ 128i/ other128921RECORD
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|
| Q921B |
Health check up
| Do you have difficulties spending your, your husband's, your common money for health check up/health servise?
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| Q921C |
Visiting relativives
| Do you have difficulties spending your, your husband's, your common money for visiting relatives and buying them gifts?
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| Q921D |
Buying furniture
| Do you have difficulties spending your, your husband's, your common money for buying furniture?
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| Q921E |
Education
| Do you have difficulties spending your, your husband's, your common money for specialty on your educations?
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| Q921F |
Buying food
| Do you have difficulties spending your, your husband's, your common money for buying food?
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| Q921G |
Emolliy children in extracamuder activities
| Do you have difficulties spending your, your husband's, your common money for emolliy children in extracamuder activities?
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| Q921H |
Stay at resort sanatorium, go to movies
| Do you have difficulties spending your, your husband's, your common money for stay at resort sanatorium, go to movies, theathre etc?
|
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| Q921I |
Other
| Do you have difficulties spending your, your husband's, your common money for other activities?
|
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| Q922H |
Interview hour
| Did you have to interrupt the interview because some adult was trying to listen, or came into the room, or interfered in any other way?
|
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| Q922M |
Interview minute
| Did you have to interrupt the interview because some adult was trying to listen, or came into the room, or interfered in any other way?
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| Q923A |
Husbnad/Partner
| Did you have to interrupt the interview because Husbnad/Partner was trying to listen, or came into the room, or interfered in any other way?
|
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| Q923B |
Other male adult
| Did you have to interrupt the interview because Other male adult was trying to listen, or came into the room, or interfered in any other way?
|
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| Q923C |
Other female adult
| Did you have to interrupt the interview because Other female adult was trying to listen, or came into the room, or interfered in any other way?
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| UR |
Residence
| |
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| RESPNUM |
Husband Line Number
| |
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| WLINENO |
Women Line Number
| |
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| INTERM |
Interview Month
| |
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| INTERD |
Interview Day
| |
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| INTERRES |
Result of Interview
| |
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| VISIT |
Number of Visits
| |
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| H100H |
Recording Time : Hours
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| H100M |
Recording Time : Minutes
| |
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| H101Y |
Year of Birth
| |
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| H101M |
Month of Birth
| |
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| H102 |
Age
| |
|
| H103 |
Always Lived Here
| |
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| H104 |
Previous Place of Residence
| |
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| H105 |
Ever Attended School
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| H106 |
Highest Level of Education
| |
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| H107 |
Literacy
| |
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| H108A |
Read Newpaper Once a Week
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