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Assessment Questionnaire

Please respond to each of the 16 questions below. When you have checked the appropriate boxes, click the "Submit" button. Your name and email address are optional. If you enter your name and email address, your responses will be forwarded to our office and we will contact you to make arrangements for a formal anger management assessment.
1: I withdraw when I am angry  
2: When I am angry I say things I wish I had not  
3: Others tell me I have an anger problem  
4: I am not concerned about the feelings of others  
5: My beliefs and values are more important than others  
6: I have a problem listening to others different from me  
7: Most days of the week I feel stressed  
8: I feel tension in my body most days  
9: I am easily agitated  
10: I am confrontational in disagreement  
11: Others have told me I am intimating  
12: Others have told me that I need to slow down  
13: I have difficulty sharing my feelings  
14: I have difficulty understanding my own feelings  
15: I have broken or thrown objects in anger  
16: Others avoid me because of anger  
 
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Disclaimer: This questionnaire is not meant to replace the advice of a qualified mental health professional and should not be used as the basis to treat any problem. Please seek the help of a licensed mental health professional with special training in anger management for a formal assessment and to determine an adequate course of treatment.
 
 
 
 
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