Safety and Sobriety Manual
Best Practices in Domestic Violence and Substance Abuse
(Note: The form can be found on page 15 of the Appendix Resource (pdf))
Answer YES or NO for each question as it applies.
NOTE: A YES to any of the questions would indicate that a more formal assessment be completed by a qualified professional.
A list of warning signs to indicate a possible abuser:
(Note: The list can be found on page 16 of the Appendix Resource(pdf))
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
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