preferred_name: Screen for risk factors associated with domestic abuse (e.g., history of domestic violence, abuse, rejection, excessive criticism, or feelings of being worthless and unloved; difficulty trusting others or feeling disliked by others; feeling that asking for help is an indication of personal incompetence; high physical care needs; intense family care responsibilities; substance abuse; depression; major psychiatric illness; social isolation; poor relationships between domestic partners; multiple marriages; pregnancy; poverty; unemployment; financial dependence; homelessness; infidelity; divorce; or death of a loved one)