1) A survivor reports feeling dizzy and seeing spots after being grabbed around the neck during an argument. a) Low Risk / No Immediate Danger b) High-Risk – Requires Follow-Up 2) The survivor’s voice sounds hoarse and she mentions throat tenderness after a fight. a) High-Risk – Requires Follow-Up b) Low Risk / No Immediate Danger 3) Partner insists on being present for all doctor visits and refuses to let survivor speak alone with providers. a) High-Risk – Requires Follow-Up b) Low Risk / No Immediate Danger 4) Partner hides or throws away the survivor’s birth control pills. a) High-Risk – Requires Follow-Up b) Low Risk / No Immediate Danger 5) Pet or child witnesses describe seeing the partner “put hands on her throat for a second.” a) High-Risk – Requires Follow-Up b) Low Risk / No Immediate Danger 6) Survivor reports partner insists on controlling medications and keeps them locked away. a) Low Risk / No Immediate Danger b) High-Risk – Requires Follow-Up 7) Partner refuses to allow emergency care unless they can be present. a) High-Risk – Requires Follow-Up b) Low Risk / No Immediate Danger 8) Survivor states, “He said if I ever used birth control again, he’d leave me.” a) Low Risk / No Immediate Danger b) High-Risk – Requires Follow-Up 9) A survivor voluntarily attends counseling sessions alone and reports feeling supported by her therapist. a) High-Risk – Requires Follow-Up b) Low Risk / No Immediate Danger 10) Partner waits in the lobby during the survivor’s court appointment after she requested space. a) Low Risk / No Immediate Danger b) High-Risk – Requires Follow-Up 11) Survivor reports occasional arguments over finances but no threats or intimidation. a) High-Risk – Requires Follow-Up b) Low Risk / No Immediate Danger 12) Partner accompanies survivor to parenting classes with her consent. a) Low Risk / No Immediate Danger b) High-Risk – Requires Follow-Up 13) Survivor states her partner reminded her to bring medical paperwork she requested help with. a) High-Risk – Requires Follow-Up b) Low Risk / No Immediate Danger 14) The couple recently began budgeting together and agreed on shared access to accounts. a) Low Risk / No Immediate Danger b) High-Risk – Requires Follow-Up

4B

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