1 – Not at all
2 – A little
3 – Moderately so
4 – Fairly much
5 – Very much
¹
1
2
3
4
5
1
I found myself getting angry at people or situations.
2
When I got angry, I got really mad.
3
When I got angry, I stayed angry.
4
When I got angry at someone, I wanted to hit them.
5
My anger interferes with my ability to get my work done.
6
My anger prevented me from getting along with people as well as I'd have liked to.
7
My anger has had a bad effect on my health.
The presented answer sheet is not an original form and is not intended for printing or use as a handout.
The answer numbers are used only to label response columns. They are NOT scores and should not be used for calculating results.