Anger Management Survey

by | Oct 17, 2024

FirstLastEmailPhone1) Triggers2) Physical Reactions:3) Thought Patterns:4) Behavioral Reactions5) Escalation:6) Consequences7) Physical Harm:8) Duration:9) Regret or Guilt:
FirstLastEmailPhone1) Triggers2) Physical Reactions:3) Thought Patterns:4) Behavioral Reactions5) Escalation:6) Consequences7) Physical Harm:8) Duration:9) Regret or Guilt:

Anger Management Self-Assessment

THis form collects answers to nine questions to determine how seriois a person's anger management is.

Name(Required)

Questions

Rate yourself on a scale of 1–5 for each question in terms of how well you manage your anger. • 1 = My anger gets out of control easily • 5 = I can manage my anger well
1) Triggers(Required)
Triggers: What situations, people, or experiences tend to trigger your anger? (For example: Criticism, disrespect, frustration, etc.)
2) Physical Reactions:(Required)
What physical signs do you notice when you start to get angry? (For example: Clenched fists, fast heartbeat, tight jaw, raised voice.)
3) Thought Patterns:(Required)
What thoughts run through your mind when you are angry? (For example: “They’re doing this on purpose,” “This isn’t fair,” or “I have to make them stop.”)
4) Behavioral Reactions
ow do you typically behave when angry? (For example: Shouting, using harsh language, silent treatment, walking away, or engaging in physical confrontation.)
5) Escalation:(Required)
Does your anger escalate quickly, or can you keep it in check? (For example: Does a small frustration turn into a big outburst? Do you go from calm to enraged within moments?) "
6) Consequences(Required)
Have there been any consequences to your anger? (For example: Did you damage a relationship, hurt someone physically or emotionally, or break objects?) "
7) Physical Harm:(Required)
Has your anger ever resulted in physical harm to yourself or others? (For example: Hitting someone, pushing, throwing objects.) "
8) Duration:(Required)
How long does it take for you to calm down after getting angry? (For example: Minutes, hours, or days.) "
9) Regret or Guilt:(Required)
Has your anger ever resulted in physical harm to yourself or others? (For example: Hitting someone, pushing, throwing objects.) "