top of page

Emotional Wellness Questonnaire

Are you being verbally or physically abused at home, school or work?

Page 7 of 9

Do you feel safe in your home?

Does your partner threaten to harm you?

Do you try to please your partner rather than yourself in order to avoid being hurt?

Do you lie to your family, friends and doctor about your bruises, cuts, scratches or other injuries?

bottom of page