FACSAFoundation.org Shattering The Silence Tour Documentary Project February 2015 Volume 3 | Page 102

32) My partner and I make love more than three times a week. Circle One Strongly Agree Doesn’t Disagree Strongly Agree Disagree Apply 33) When angry, I become. Circle All That Apply Withdrawn & Hostile Verbally Self-Destructive 34) My anger last for 5 minutes Abusive Calm Down Abusive Talk Through Problem Circle One 20 minutes Hold a grudge forever 35) My partner’s anger last for 5 minutes Physically all day until I get even Circle One 20 minutes Hold a grudge forever an hour an hour all day until I get even 36) I deal with problems by Circle All That Apply Talking the problem through Sleeping Ignoring problems Walking away Drinking Taking Drugs Blaming problems on someone else 37) During busy days, I find myself needing to withdraw into bed, into a darkened room or any place where I can have some privacy and relief from stimulation. Circle One. Strongly Agree Disagree Strongly Doesn’t