Objectives:
A questionnaire for experiencing and using violence in intimate relationships, namely, the KPDiSP, was constructed and validated to help in the diagnosis and enrich the competencies of psychotherapists working with people experiencing difficulties in intimate relationships.

Methods:
The questionnaire consists of eight statements regarding the feeling of experiencing and using violence. By responding to these statements on a five-point scale, a person can determine the level of experiencing as well as using violence. The KPDiSP measures the level of experiencing and using violence in four basic dimensions: emotional, sexual, economic, and physical.

Results:
Based on all analyses performed, the questionnaire has good reliability. The KPDiSP can be used as a tool for assessing the intensity of experiencing and using violence and analyzing one’s experiences and perceived partner’s behavior. Thus, it helps patients gain awareness of the difficulties and threats in an intimate relationship.

Conclusions:
Another advantage of this questionnaire is its short form, enabling therapists and patients to familiarize with the content easily.