Unlock hundreds more features
Save your Form to the Dashboard
View and Export Results
Use AI to Create Forms and Analyse Results

Sign UpLogin With Facebook
Sign UpLogin With Google

Anger Management Evaluation Form Template

Streamline your anger assessments for better outcomes

Feeling overwhelmed by managing anger issues, whether for yourself or others? This anger management evaluation form template is designed to help you effectively assess emotional triggers, identify coping strategies, and track progress in treatment. You can improve communication between clients and practitioners, streamline reporting for therapy sessions, and create a reliable resource for personal reflection. This easy-to-use, customizable form is compliant with WCAG accessibility standards, making it suitable for all users. Get started with the live template today.

Full name
Email address
Phone number
Preferred contact method
Phone call
Text message
Email
No preference
Age range
Under 18
18-24
25-34
35-44
45-54
55-64
65+
Gender
Woman
Man
Non-binary
Prefer to self-describe
Prefer not to say
What brings you to seek support with anger right now?
How often do you experience anger that feels hard to control?
Very rarely
Rarely
Sometimes
Often
Very often
When you feel angry, how intense does it usually feel?
Mild
Moderate
Strong
Very strong
Overwhelming
Varies
What situations or triggers tend to precede your anger?
Please Specify:
How do you commonly react when you feel angry?
Please Specify:
What physical signs do you notice when angry?
Please Specify:
In the past 6 months, anger has negatively affected my relationships.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
In the past 6 months, anger has negatively affected my work or school.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Have you had any legal or disciplinary issues related to anger?
Yes
No
Have you ever hurt yourself or someone else during an angry episode?
Yes
No
Do you currently feel at risk of harming yourself or others?
Yes
No
Do you have a safety plan or steps you use to stay safe when very angry?
Yes
No
What strategies help you calm down when angry?
Please Specify:
How often do you use coping strategies when you notice anger?
Very rarely
Rarely
Sometimes
Often
Very often
Do you use alcohol or drugs to cope with anger?
Yes
No
In the past month, how often did alcohol or drugs make your anger worse?
Never
Rarely
Sometimes
Often
Always
Who can you reach out to for support?
Partner or spouse
Family
Friends
Co-worker
Counselor or therapist
Support group
Faith leader
No one currently
Other
Please Specify:
Have you previously received counseling or anger management support?
Yes
No
If yes, what approaches or tools were most helpful?
Any mental health diagnoses you are aware of?
What are your top goals for anger management?
How likely are you to try new anger management strategies in the next 30 days?
Very unlikely
Unlikely
Neutral
Likely
Very likely
Do you consent to be contacted about this evaluation?
Yes
No
I understand this form is not for emergencies. If I am in immediate danger, I will contact local emergency services.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I acknowledge I have read and understand the privacy notice.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Preferred appointment times
Weekday mornings
Weekday afternoons
Weekday evenings
Saturday
Sunday
Flexible
Type your full name as signature
Date
How did you hear about this service?
Search engine
Social media
Friend or family
Healthcare provider
Employer or EAP
Court or probation
Other
Please Specify:
{"name":"Full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Full name, Email address, Phone number","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration related to anger management evaluation form template with abstract design elements.

When to use this form

Use this template when you need a structured intake to understand anger patterns quickly. It helps counselors, probation officers, EAP coaches, school staff, and adults starting a program after a workplace or family incident. Use it at the first session, before group classes, or to document progress for court or HR. You will capture triggers, severity, and risk so you can set clear goals and choose next steps, including referrals. To track day-to-day triggers between visits, pair it with the Mental health journal form. If trauma may be driving irritability, the PTSD Checklist - civilian version (PCL-C) form helps you screen and plan care.

Must Ask Anger Management Evaluation Questions

  1. What situations most often trigger your anger, and how do you usually respond?

    This pinpoints high-risk contexts and automatic reactions so you can tailor coaching and boundaries. It also reveals interpersonal patterns that inform role-plays and practice plans.

  2. How often have angry episodes led to verbal threats, property damage, or physical aggression in the past 30 days?

    Time-bounded behavior data quantifies severity and establishes a baseline for progress. It supports clear documentation for treatment planning and any court or workplace reporting.

  3. What thoughts, body sensations, or warning signs do you notice before you lose control?

    Early cues make it possible to deploy de-escalation skills before escalation. You can turn these signals into a simple, step-by-step safety and coping plan.

  4. Have recent losses or major life changes increased your anger or irritability?

    Grief and adjustment stress can fuel anger, and naming them guides the right supports. If loss is present, the Grief assessment form can deepen insight and referrals.

  5. Do you have current safety concerns, such as thoughts of harming yourself or others?

    Immediate risk changes priorities and requires a safety plan and possible crisis steps. Use the Suicide risk assessment form when self-harm risk is indicated.

More Forms

Copy/Edit Form Send to Recipients Make a Form w/AI Form Builder Must Ask Questions
  • 100% Free - No Catches
  • Collect Responses Today
  • Tailor to your Look & Feel