Quick Anger Survey

Please consider a time when you become angry. Recall it as clearly as possible. Then, answer our quick 8 item survey about your anger.

What led you to become angry?

What led you to become angry? Something done by a person I know and dislike

Something done by a person I know and like

Something done by a person I know and love

Something done by a person I did not know

I don't know what led me to become angry

Something done by a group of people

Other (please specify)

When did the event that led you to become angry occur? More than 12 months ago

1 to 11 months ago

8 to 30 days ago

1 to 7 days ago

Today

Other (please specify)

	Almost no anger	Mild Anger	Moderate Anger	Strong Anger	Fury and Rage
At the time the event occured	How angry were you, and are you, about the event? At the time the event occured Almost no anger	Mild Anger	Moderate Anger	Strong Anger	Fury and Rage
Right now	Right now Almost no anger	Mild Anger	Moderate Anger	Strong Anger	Fury and Rage

What fits the most? My anger was personally controlled. I was able to calm myself down in a short period of time.

My anger was felt internally. Others did not know I was angry.

My anger was external. Others could HEAR me raise my voice, yell, or shout,

My anger was external. Others could SEE that I threw or broke something, or hit a wall.

My anger was shown externally as aggression against a person. I slapped, pushed, shoved, or hit another person

Other (please specify)

With regard to the idea of getting even, I had no thoughts about getting even or getting revenge

I wanted to get revenge, but no longer do

I wanted to get revenge, and still do

How did you want to get revenge?

	Yes	No	Unsure
I consider myself to be a generally angry person, since I am quick to fly off the handle.	Please consider your general tendency to become angry. I consider myself to be a generally angry person, since I am quick to fly off the handle. Yes	No	Unsure
My family or friends consider me to be a generally angry person, since they think I am quick to fly off the handle.	My family or friends consider me to be a generally angry person, since they think I am quick to fly off the handle. Yes	No	Unsure

Please tell us about yourself Age:
Gender:
Race:
Religion:
State/Province:
Country:

Thank you for your responses. You may add comments below.

1. Anger Episode Report