Sexual abuse (without violence) Menaces against own life and family Simulate execution Total number of Psychological torture YES YES YES WITNESSING VIOLENCE, ILL TREATMENT OR TORTURE: Assaults: YES NO If "yes", circle by number: 1. Slapping, kicking or punching 2. Blows with rifle butt, sticks, whips, or irons 3. Hanging or suspension 4. Prolonged standing or crouching 5. Submarine, immersion, asphyxiation or strangling 6. Burnings 7. Electrical shocks 8. Rape 9. Other forms, specify:.............................. Executions: YES NO If "yes", circle by number: 1. Beating 2. Shooting 3. Stabbing, cutting 4. Hanging, strangling 5. Burning 6. Other forms, specify:.............................. Total number of Witnessing:............ NO NO NO