Is Your Anger Out of Control? This questionnaire is designed to help identify the main symptoms of anger. It is not a diagnostic instrument. Answer YES or NO to each of the questions below, if you have questions regarding your symptoms, or want to be assessed further, please call Peninsula at (865) 970-9800. Do you: Anger Inventory Physical ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Grit your teeth? Get a headache? Get sweaty palms? Get dizzy? Get red-faced? Get a stomachache? Emotional ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Feel like running away? Get depressed? Feel guilty? Feel resentment? Become anxious? Feel like lashing out? Behavioral ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Cry/yell/scream? Use substances? Get sarcastic? Lose sense of humor? Become abusive? Withdraw? [rate 1-5] Rank your anger in the following situations. 1-no annoyance 2-little irritated 3-upset 4-quite angry 5-very angry 0901-0527 Does your anger: ❑ Yes ❑ No Last too long? ❑ Yes ❑ No Become too intense? ❑ Yes ❑ No Lead to aggression? ❑ Yes ❑ No Impair relationships? ❑ Yes ❑ No Interfere with major roles (parent, worker, student)] ❑ Yes ❑ No Contribute to physical problems? ❑ Yes ❑ No Manifest itself in other ways? ❑ Yes ❑ No Flare up too quickly? ____ You’ve overheard people joking about you or your family. ____ You’re not being treated with respect or consideration. ____ You’re singled out for corrections while the actions of others go unnoticed. ____ You’re hounded by a salesperson from the moment you walk into a store. ____ You’re trying to discuss something important with someone who isn’t giving you a chance to talk or express your feelings. ____ Someone offers continual, unsolicited advice. ____ You’re in a discussion with someone who persists in arguing about a topic that he or she knows very little about. ____ You’ve had a busy day and the person you live with greets you with complaints about what you haven’t finished. ____ Someone is given special consideration because of his or her popularity, good looks, financial position, or family status. ____ Someone comments on your being overweight/underweight. ____ TOTAL If your total score was 30 or more, or if you answered 'yes' to 10 or more questions, please consider seeking professional help to deal with your anger. Anger can distort your view of situations and can lead to self-defeating behaviors. If not managed, anger can cause serious physical health concerns including headaches, sleep problems, digestive trouble, high blood pressure and/or heart damage. Call Peninsula at (865) 970-9800 for more information about controlling anger. 865.970.9800