Partner violence screen
Have you been hit, punched, or otherwise hurt by someone within the past year? If so, by whom?
Do you feel safe in your current relationship?
Is a partner from a previous relationship making you feel unsafe now?
SAFE screen
Stress/safety
	What stress do you have in your relationship?
	Do you feel safe in your relationship?
Afraid/abused
	What happens when you and your partner disagree?
	Has your partner ever threatened or abused you or your children?
Friends/family
	If you were hurt, would your friends or family know?
	Could you tell them?
	Would they be able to help you?
Emergency plan
	Do you have a safe place to go in an emergency?
	Would you like help in locating a shelter?
	Would you like to talk with a social worker or counselor to develop an emergency plan?
Hotline number
National Domestic Violence Hotline: 1-800-799-7233 (24-hour nationwide, in English and Spanish)