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GENDER: ________________________ EDUCATION: ___________________________

CITY/VILLAGE: _____________________ AGE: ___________________________

1. In which year you got married?ANS: __________________________________________________

2. Do you have love marriage?a. Yes b. No

3. Is there anything which irritates you and which force you to beat your wife/ or there is anythingwhich force your husband to fight and beat you?

a. Yes b. No c. dont know4. Are you satisfied with your married life?

a. Yes b. No c. 50/505. Do you know the women rights given by the Islam?

a. Yes b. No c.50/506. Do you got control on your emotion if your wife do something wrong / or your husband got

control on his emotion if you do something wrong?

a. Yes b. No c.50/507. Do you ever slapped your wife/ or you ever slapped by your husband?

a. Yes b. No8. Does your wife ever done any type of blunder / or you have done a blunder according to your

husband?

a. Yes b. No c. dont want to answer9. Do you ever have serious fight with your wife / or husband?

a. Yes b. No10.Do you ever lose talk with your wife / or your husband ever lose talk with you?

a. Yes b. No11.Do you know the authority of husband according to Islam?

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a. Yes b. No12.Does your wife obey you according to your religious teachings?

a. Yes b. No13.Do you know the women protection bill passed by National assembly in 2006?

a. Yes b. No14.What are the duties you gave to your wife / or what are the duties which your husband want

from you?

a. HOUSE KEEPING b. TO EARN MONEY BY DOING SOME JOB c. WHATEVER WANT TO DOd. ONLY ENJOY THE LIFE NO WORK

15.Sometime if you cannot keep house clean then your husband beat you? Or you beat your wife ifshe cannot keep house clean?

a. YES b. NO C. SOMETIME16.Do your husband beats you if you try to convince him that you want to do some job / or you

beat your wife if she tries to convince you for job?

a. yes b. no c. sometimed. only refuse with explaining the reasons17.Do you ever physically abuse your wife / or you have ever been physically abused by your

husband?

a. YES b . no18.Does your husband/ or do you ever physically abuse you/wife only if you/she spend much time

in market for shopping?

a. YES b. NO19.Do you ever beat your wife due to cooking/ or you ever physically abused by your husband?

a. Yes b. NO20.What do you think the major reasons due to which women of our society physically abused by

her own securer?

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THANKS