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DASH-DF (Digital Format)

To complete the DASH-DF, please follow the instructions shown below:

  • Respond to each question with either ‘Yes,’ ‘No,’ or ‘Don’t Know’, etc.
  • If a question is not applicable, you can leave it unmarked, or use N/A in the text area to make the question still appear in the summary.
  • After completing the DASH-DF, use the submit button at the bottom of the page.
  • You'll be able to view the risk level and the created summary.
  • You can save the summary for your records. From the 'Save/Print' button select 'Save as PDF' and to include graphics, select 'More settings' and check 'Background graphics'.

Question One: Has the current incident resulted in injury? Please state what and whether this is the first injury.

Please select your answer below:





Question Two: Are you very frightened?

Please select your answer below:





Question Three: What are you afraid of? Is it further injury or violence? Please give an indication of what you think [name of abuser(s)] might do and to whom, including children.

Please select your answer below:





Question Four: Do you feel isolated from family/friends? Ie, does [name of abuser(s)] try to stop you from seeing friends/family/doctor or others?

Please select your answer below:





Question Five: Are you feeling depressed or having suicidal thoughts?

Please select your answer below:





Question Six: Have you separated or tried to separate from [name of abuser(s)] within the past year?

Please select your answer below:





Question Seven: Is there conflict over child contact?

Please select your answer below:





Question Eight: Does [name of abuser(s)] constantly text, call, contact, follow, stalk or harass you?

Please select your answer below:





Question Nine: Are you pregnant or have you recently had a baby (within the last 18 months)?

Please select your answer below:





Question Ten: Is the abuse happening more often?

Please select your answer below:





Question Eleven: Is the abuse getting worse?

Please select your answer below:





Question Twelve: Does [name of abuser(s)] try to control everything you do and/or are they excessively jealous? For example: in terms of relationships; who you see; being ‘policed’ at home; telling you what to wear. Consider ‘honour’-based violence (HBV) and specify behaviour.

Please select your answer below:





Question Thirteen: Has [name of abuser(s)] ever used weapons or objects to hurt you?

Please select your answer below:





Question Fourteen: Has [name of abuser(s)] ever threatened to kill you or someone else, and you believed them?

Please select your answer below:





Question Fifteen: Has [name of abuser(s)] ever attempted to strangle / choke / suffocate / drown you?

Please select your answer below:





Question Sixteen: Does [name of abuser(s)] do or say things of a sexual nature that make you feel bad or that physically hurt you or someone else?

Please select your answer below:





Question Seventeen: Is there any other person who has threatened you or who you are afraid of? If yes, please specify whom and why. Consider extended family if HBV.

Please select your answer below:





Question Eighteen: Is there any other person who has threatened you or who you are afraid of? Consider HBV. Please specify whom, including the children, siblings or elderly relatives:

Please select your answer below:





Question Nineteen: Are there any financial issues? For example, are you dependent on [name of abuser(s)] for money/have they recently lost their job/other financial issues?

Please select your answer below:





Question Twenty: Has [name of abuser(s)] ever mistreated an animal or the family pet?

Please select your answer below:





Question Twenty One: Has [name of abuser(s)] had problems in the past year with drugs (prescription or other), alcohol or mental health leading to problems in leading a normal life? If yes, please specify which and give relevant details if known.

Please select your answer below:





Question Twenty Two: Has [name of abuser(s)] ever threatened or attempted suicide?

Please select your answer below:





Question Twenty Three: Has [name of abuser(s)] ever broken bail/an injunction and/or formal agreement for when they can see you and/or the children?

Please select your answer below:





Question Twenty Four: Do you know if [name of abuser(s)] has ever been in trouble with the police or has a criminal history?

Please select your answer below:





For consideration by professionals:

Additional Information: Is there any other relevant information (from victim or professional) which may increase risk levels? Consider victim’s situation in relation to disability, substance misuse, mental health issues, cultural / language barriers, ‘honour’- based systems, geographic isolation and minimisation. Are they willing to engage with your service? Describe.

For consideration by professionals:

Abuser's Background: Consider abuser’s occupation / interests. Could this give them unique access to weapons? Describe.

For consideration by professionals:

Victim/Survivor Safety: What are the victim’s greatest priorities to address their safety?

Results

STANDARD RISK

Currently evidence does not indicate likelihood of serious harm.

The survivor has indicated the following:

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