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Are you experiencing Domestic Violence?
Domestic Violence and Intimate Partner Violence are more than physical bruises. There are many other indicators a woman and child(ren) may be experiencing abuse. Please go through the questionnaire and answer yes or no to each question and follow the prompts for further instructions.
Safety & Fear
1. Do you ever feel afraid of your partner or their reactions?
*
Yes
No
Sometimes
2. Do you change your behavior to avoid upsetting them?
*
Yes
No
Sometimes
3. Do they, (or have they) ever threatened to hurt you, themselves, an animal, or someone you care about?
*
Yes
No
Sometimes
Emotional & Psychological
4. Do they insult, belittle, or humiliate you (in private or in front of others)?
*
Yes
No
Sometimes
5. Do they blame you for their anger or problems?
*
Yes
No
Sometimes
6. Do they make you feel guilty for things that aren’t your fault?
*
Yes
No
Sometimes
7. Do they deny things that happened or make you question your memory (gaslighting)?
*
Yes
No
Sometimes
Control & Isolation
8. Do they try to control who you see, where you go, or what you do and when you do it?
*
Yes
No
Sometimes
9. Do they monitor your phone, messages, or social media?
*
Yes
No
Sometimes
10. Do they limit your access to money, transportation, or basic needs?
*
Yes
No
Sometimes
11. Do they, or have they tried to, isolate you from friends or family?
*
Yes
No
Sometimes
Physical Harm
12. Do they, or have they, ever pushed, grabbed, slapped, hit, or otherwise physically hurt you?
*
Yes
No
Sometimes
13. Do they, or have they, ever blocked you from leaving or trapped you somewhere?
*
Yes
No
Sometimes
14. Do they, or have they, thrown things at you or damaged property during arguments?
*
Yes
No
Sometimes
15. In relation to question 14, did you experience reactive abuse (emotional manipulation of a victim) where you reacted as a response to prolonged abuse?
*
Yes
No
Sometimes
Sexual Boundaries
16. Do they pressure or force you into sexual activity you don’t want?
*
Yes
No
Sometimes
17. Do they ignore your boundaries or consent?
*
Yes
No
Sometimes
18. Do you feel obligated to have sex with your partner?
*
Yes
No
Sometimes
Patterns & Impact
19. Do arguments escalate quickly or unpredictably?
*
Yes
No
Sometimes
20. Does your partner use their drug or alcohol as an excuse for their behaviour?
*
Yes
No
Sometimes
21. Do they apologize and promise to change, but the behavior keeps happening?
*
Yes
No
Sometimes
22. Do you feel like you’re “walking on eggshells” around them?
*
Yes
No
Sometimes
23. Has this relationship affected your mental health, confidence, or sense of safety?
*
Yes
No
Sometimes
24. In regard to question 23, has the relationship circumstances identified above affected you positively or negatively?
*
Positively
Negatively
25. Do you stay in the relationship out of fear that the abuse may escalate if you leave the situation?
*
Yes
No
Sometimes
Scoring & Risk Levels
Low Risk
Mostly “No” answers
Few or no “Yes,” and no physical/sexual violence indicators
Still worth paying attention to any discomfort or patterns
Moderate Risk
Several “Yes” or many “Maybe” answers
Signs of control, fear, or emotional harm
Patterns may be escalating—support could help
High Risk
Any “Yes” to
physical harm (12–14)
or
sexual coercion (15–16)
Or multiple “Yes” in fear, threats, and control (1–3, 8–11)
Feeling unsafe, trapped, or afraid is a strong indicator on its own
You are not at fault for the abuse. Our priority is your safety and well-being - no matter your demographic. Everyone will be treated with dignity, respect, equality and without judgement.
If you believe you are at high risk of domestic violence, speak to a nurse, social worker or doctor in the hospital for immediate assistance, contact the
National Domestic Violence Hotline at 1-800-799-7233
, or reach out to YEG Built For Life Foundation through the contact form below for additional resources.
If this is an emergency, contact 9-1-1.
RCMP Non-Emergency number at 310-RCMP (7267).
Edmonton Police Service Non-Emergency Number at 780-423-4567.
Family Violence Info Line at 318-1818 (toll free, 24/7)
City of Edmonton (211) to be connected with a social worker
Crime & Trauma Informed Support Services (EPS) 780-421-2217
Emergency Resources
Financial support
Leaving an abusive relationship benefit 1-877-644-9992
Emergency Financial Assistance 1-866-644-5135
Housing
Civida (Capital Region Low Income Housing) 780-420-6161
Alberta Council of Women Shelters 780-456-7000
Counselling
Aboriginal Counselling Services of Alberta 780-242-4357
Access 24/7 (Emergency Counselling) 780-424-2424
Additional Supports
Sexual Assault Center of Edmonton (SACE) 780-423-4102
The Today Center (Family Violence Center) 780-455-6880
Contact YEG Built For Life Foundation
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
What is the safest way to contact you, via email or text?
*
What is the best time of day to contact you?
*
What is your age?
*
Less than 13
13-18
19-25
26-35
36-50
Over 50
Prefer not to say
Additional Information about your current situation situation (if none, put NA)
*
Submit
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Are you experiencing Domestic Violence?
YEG BUILT FOR LIFE FOUNDATION EST. 2024