SOCIO DEMOGRAPHIC DATA

1. Age
1. Below 20 years
2. 21 years to 30 years
3. 31 years to 40 years
4. And above
2. Religion
1. Hindu
2. Muslim
3. Christian
4. any other (specify)
2. Educational Qualification
1. Illiterate
2. primary
3. secondary (10 + 2)
4. Graduate Post Graduate
3. Occupation
1. Working
2. Non-Working

4. Type of family
1. Joint family
2. Nuclear family
3. Extended family
4. Blended family
5. Family Income
1. Below 5000 Rs monthly
2. 5001 Rs 10000 Rs monthly

3. 10001 Rs- 15000 Rs monthly

4. Above 15000 Rs monthly
6. Type of Marriage
1. Arrange
2. Love
3. Love with arrange
7. Years of marriage
1. Less than 1 years
2. 1 to 2 years
3. 2 to 3 years
4. 3 years and above
8. History of domestic Violence in family
1. Yes
2. No
9. Source of Information
1. News Paper
2. Books
3. Mass Media
4. Radio
5. Peer Group
10. Type of environment in family
1. Strict
2. Lenient
3. Friendly

MULTIPLE CHOICE QUESTIONAIRE FOR ASSESSING KNOWLEDGE

REGARDING DOMESTIC VIOLENCE.
1. Violence means
A.Any act, omission or behavior by a member of the family which causes physical/
sexual/mental injury to any other member of the family
B. Any act which gives happiness and pleasure to the family member.
C. lack of feeling any pleasure able activity
D. In ability to start or initiate anew work

2. Domestic Violence is
A. Aggressive& Violent behavior within home
B. Aggressive & Violent behavior with Friends
C.Aggressive & Violent behavior outside home
D.Aggressive & Violent behavior within School

3. Domestic Violence includes except

A Physical Harm
B Emotional Harm
C Sexual Harm
DOccupational Harm

4. Causes of Domestic violence include all except

A. Financial crisis
B. Substance Abuse
C. Low educational Status
D. Happy Family

5. Types of domestic violence are except

A. Sexual Abuse
B. Physical abuse (Violence and aggressive behavior)
C. Defamation of character
D. Conflict of interest

6. Most of the incidence of Domestic violence are with

A. Children and Men in family
B. Children and Women in family
C. Men and women in family
D. Pet animals in family

7.The signs and symptoms of an abusive relationship are

A. Fearful of your partner, appear to feel powerless, unpredictable
B. Mutual Trust & co operation
C. Long Distant Relationship
D. none of these

8. The results of domestic violence or abuse all except

A.Sleeping problems
B. Depression
C. Anxiety attacks
D Increased Self Esteem
9. The effect of domestic violence on children are except
A.likely to attempt suicide
B. likely to use drugs
C. likely to commit crimes, especially sexual assault
D. Mental ally retarded Child

10. If Mrs. X and her children are suffering from physical abuse from their family .you
will suggest them to go to
A. Police & Lawyer
B. Counsellor
C. Charter Accountant
D. Investment Banker

11. Dowry is defined as

A. Transfer of parental property from daughters parents
B. Usual transfer of parents property
C. Donation of property to orphanage
D. None Of these

12. Dowry is a
A. Legal Procedure
B. Illegal Procedure
C. Fundament Right
D. None of These

13 A child suffering from physical and sexual abuse in family has the fundamental right
of
A. Protection against abuser
B. Proper Nutrition
C. Isolation from family
D. None Of these

14. The punish under IPC (Indian Penal Court) for domestic violence against women and
children is

A. Fine of Rs 500
B Non Bail able Imprisonment for 15 year on the abuser and fine of rs 25000
C. Hang till Death
D. None of these

15. Rights of women include all except

A. To have equal rights in family law
B. To be free from sexual violence
C. To enter into legal contracts
D. To live seprate from inlaws

16. In case of any emergency a women should call

100
112
101
108

Rating Scale to assess attitude related to Domestic Violence

S.NO

STATEMENTS

1.

Do you think that in a married

couple husband can physically
force the wife for anything
Do you think that it is fair in
married couple a husband can
show his anger on wife
Do you think it is right in a
married couple that husband
can prompts wife for any work
which you dont want to do
Do you feel in a married couple
a husband should show
authoritative behavior on wife in
front of his friend & relatives

2.

3.

4.

ALWAYS
(2)

SOMETIMES
(1)

NEVER
(0)

6.

7.

8.

9.

10.

11.

12

13

14

15

Do you think in a married

couple husband critices his wife
unnecessarily
Do you think it is right to
demand for dowry from wife
and their relatives from husband
or their relatives
Do you think in a married
couple a husband shall dominate
his wife
Do you think in a married
couple a husband shall restrict
his wife in all work
Do you think in a married
couple a husband should give
equal respect to his wife
Do you think in couple a wife
should have equal right for
decision making
Do you think in a married
couple a wife should be free for
making her own investment for
assets
Do you think in a married
couple a wife should get enough
expenses to fulfill her needs
Do you share any uncertain
things with your friends and
family members
Did you get any respect from
your family members and
childrens

ANSWER KEY

QUESTION NO
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.

ANSWER
A
A
D
D
D
B
A
D
D
A
B
B
A
B
D
A