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* 1. Client Name:

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* 2. Which of the following are correct steps to taking a time out during an argument? (Mark all that apply)

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* 3. Which of the following are true regarding anger? (Mark all that apply)

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* 4. Individuals who tend to be abusive often have a “profile” which includes various personality traits and family history. Check all answers which are part of the “abuser profile.”

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* 5. Which of the following behaviors are considered to be characteristics of power and control? (Mark the correct answers)

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* 6. Of the three following behaviors, which is the most desirable?

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* 7. Of these three behaviors which is most appropriate for:

  Passive Aggressive Assertive
Women
Men

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* 8. Which of the following are true regarding “fair fighting?”

  True False
The most important thing to achieve in an argument is to WIN.
Always try to fight by mutual consent- both partners should be willing and able to deal with an argument.
Fighting under the influence of alcohol is the best time to start a fight because you’re not so inhibited.
Try as much as possible to reach a resolution to all arguments.
Swearing at your partner helps to get your point across.
Sometimes in an argument we may need to agree to disagree.

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* 9. When Alex punched the wall while arguing with Jill, what was Jill’s likely reaction? (Mark the answers below you think are most likely true)

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* 10. The relationship based on EQUALITY has what characteristics? (Mark those which are true)

T