Does your boyfriend or girlfriend… Look at you or act in ways that scare you?YesNoAct jealous or possessive?YesNoPut you down or insult you?YesNoTry to control where you go, what you wear or what you do?YesNoText or IM you excessively?YesNoAlways seem angry?YesNoSay that no one else can “have” you?YesNoBlame you for the hurtful things they say and do?YesNoThreaten to kill or hurt you or themselves if you leave them?YesNoTry to stop you from seeing or talking to friends and family?YesNoTry to force you to have sex before you’re ready?YesNoHit, slap, push, choke or kick you?YesNoYou answered "yes" to one or more of the questions above, which means you may be in an abusive relationship. For immediate help, please call Safe Harbor at 1.800.291.2139. Although you answered "no" to all of the questions above, you may still know someone in an abusive relationship. To see how you can help, please call Safe Harbor at 1.800.291.2139.NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
