Anger Self Test Name * First Name Last Name Email * Do you get angry often? Yes No Sometimes When you feel angry, are you quick to react? Yes No Sometimes Do you withdraw or isolate when you get angry? Yes No Sometimes Do you get loud or aggressive when you get angry? Yes No Sometimes Have you experienced rage or violence in your relationships? Yes No Sometimes Do you use the same anger behaviors you witnessed as a child? Yes No Sometimes As a child, was it bad or wrong for you to be angry? Yes No Sometimes Do you feel successful? Yes No Sometimes Do you assume others should act in a certain way? Yes No Sometimes Do you often want to be in charge? Yes No Sometimes Do you usually put others first in your life? Yes No Sometimes Do you believe you are put down often, even when people are, “only kidding”? Yes No Sometimes Do you often feel interrupted when you try to speak? Yes No Sometimes Did you have to behave a certain way to receive your parent’s approval? Yes No Sometimes Does the fear of change keep you stuck in certain relationships? Yes No Sometimes Do you find you are in the same or similar situations over and over? Yes No Sometimes Do you worry a lot and are you unable to stop worrying? Yes No Sometimes Do you cut yourself off from someone for long periods of time if you feel hurt or angry? Yes No Sometimes Thank you for completing this self-test. We know it takes time and its also thought provoking. We look forward to going over your test with you during your 30 minute free consultation. Your follow-up email is on its way!
