DOMESTIC VIOLENCE LETHALITY SCREEN FOR FIRST RESPONDERS ee matically riggers the Flas he/she ever used.a weapon agninst you or Iireniened you with weapon? Cl¥es ONO O Na Ars “TI >| 5 FHax felshe threatened Killyou or jour chirea? DYs GNo Nol Aw. Doyen think hee waght ry w Kil you? DYe ONO ONoiAns I> Nepative responses fo Questions #13, bet pouive responses oat east four of Owestons RET, trigger the protoco, Does feishe faves gun or can RST SL OnE CTY? Dye GN ONovAns Tiss Relsho ever a TO CHO jour D¥s GNo ONot An: Ty hohe viclenly oF corstanlly Jealous or Gos hedshe conral maet YS GNo Not Ans DNe ONoiAm Des Flave you kit hinvher or separuied alr living wogeter or Being manned? Ts ielshe unemployed? Des GNe UO NotAns las bose ever ea fo Kall HimseTO Hers? Dyes GNo GO NolAns P TO, Do you fave a Chi hat vse knows sol Riv evs? Dyes GNe GO NotAns [7 Dees bee Tollow or spy on you o ave Ibrewening mawagex Des Ne No Ans An alficer may tigger Che protocol referrak Uf not already triggered above, at areru ofthe vicin's eto the blow or whenever the officer bdieres the victim isin apotentiallylthal situation. fiethere mylhing-cse hat wortes you ubout your saleyy? (ver) Wha worries you feck ore: Victim screened In according to the protoc G Victim screened in based on the bebef of officer 1G Victim di not screen: [F victim screened inz Afler advising her/him of a high danger assessnemi, Cl Yes (No did the victim speak with the hotline counselor? Nae: The gaconsabow and zhcriteria for decminiug the lel of 8k perso fects Pasa one fest ata research feewrs sssockual wi kaha iokaceby acerrntor form tae pene, Hower, eh sbastion mas present niga firs thay iach Jor eth vce thaw enpracty this sere. Although mca iri wo xr “porte” or “igh dase” would ee beeapased se beh there vss fice mach ip ik hte tha erher vie of eine panne oka MNADY exams