UJI 14-372. Assault; threat or menacing conduct; "household member"; essential elements.

For you to find the defendant guilty of assault against a household member [as charged in Count ______],1 the state must prove to your satisfaction beyond a reasonable doubt each of the following elements of the crime: 1. The defendant ________________ (describe unlawful act, threat, or menacing conduct);2 2. The defendant’s conduct caused ________________ (name of victim) to believe that the defendant was about to intrude on ________________’s (name of victim) bodily integrity or personal safety by touching or applying force to ________________ (name of victim) in a rude, insolent, or angry manner;3 3. A reasonable person in the same circumstances as ________________ (name of victim) would have had the same belief; 4. ________________ (name of victim) was a household member of the defendant;4 5. This happened in New Mexico on or about the __________ day of ______________, ________.