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1. My anger is impacting on my relationships with those closest to me. (Required.)

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2. Others have commented that I can't control my anger. (Required.)

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3. The focus from others is on my reactions rather than why I am upset. (Required.)

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4. My body goes into a fight or flight response when I am triggered. (Required.)

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5. If I feel disrespected, even if it's unintentional, I get really upset. (Required.)

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6. It takes me longer than I would like to calm down after getting upset. (Required.)

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7. My anger escalates so quickly that I usually do not see it coming. (Required.)

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8. After I react in anger, I feel guilty. (Required.)

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9. I need assistance to handle my anger better. (Required.)

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10. How would you like to be contacted by myself to talk?

Please identify your email address and/or phone number below. (Required.)

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