Anger Log Template

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HANDOUT 3- ANGER LOG
Use this form to describe a situation that brought up any type of angry feeling. An angry
feeling may be anything from mild annoyance to rage.
Date:______________ Time:_________________ Day of Week: _________________
A. Where were you? _____________________________________________________
B. Who were you with? __________________________________________________
Briefly describe what happened:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
How intense was your anger in this situation?
0
15
30
40
50
65
80
90
100
None
Mild
Moderate
Strong
Overpowering
How long did your anger last? ____ minutes ____ hours ____ days
BEHAVIORS
EMOTIONS
_______________________________
______________________________
_______________________________
______________________________
SENSATIONS
THINKING
_______________________________
______________________________
_______________________________
______________________________

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