Within the last 3 months, have you ever:

1. Yelled at your child?
Yes
No

2. Criticized your child?
Yes
No

3. Argued with your child?
Yes
No

4. Tried to frighten your child with anger?
Yes
No

5. Tried to force your child to accept your ideas or opinions?
Yes
No

6. Tried to coerce a child to do something?
Yes
No

7. Raged at your child?
Yes
No

8. Tried to intimidate a child by threatening to hit?
Yes
No

9. Struck a child (other than something like a swat on the bottom)?
Yes
No

10. Been cruel to your child in some manner (physically or emotionally)?
Yes
No