CIA QUESTIONNAIRE

FIRST AND LAST NAMES..................................................................................................................................

COURSE : ..................................... AGE : ........................................ DATE ...............................................

INSTRUCTIONS :

This questionnaire is designed to find out about your mood. Using the scale below, select your answer
by marking with an "x" one of the boxes located in the right column, using the following criteria

N= NEVER
RV= RARELY
AV= SOMETIMES
AM= A MENUDO
S= ALWAYS

Remember that your honesty is very important, there is no right or wrong answer, be sure to answer
all of them.

N RV AV AM S
1. I am a renegade
2. I can't help but be a little rude to the person I don't like.
3. I feel like my blood boils when someone makes fun of me.
4. I spend a lot more time being annoying than people think.
5. When I am upset I feel like I have something heavy on my
shoulders.
6. It bothers me when people get too close to me.
7. I get annoyed easily but it goes away quickly.
8. I am often very upset and on the verge of exploding.
9. I do not get upset if someone does not treat me well.
10. I am very understanding with all people
11. I do not allow unimportant things to bother me.
12. It is very common to be very bitter about something and then
quickly feel calm.
13. I quickly change from being able to control my bitterness to not
being able to control it.
14. When I am upset I can't stop shouting; while at other times I
don't shout at all
15. Sometimes I feel fine, and the next minute anything bothers
me.
16. There are times when I am so upset that I feel my heart beating
fast, and after a while I feel quite relaxed.
17. Normally I feel calm and suddenly from one moment to the
next, I become enraged to such an extent that I might be able to hit
anything.
18. There are times when I have been so upset that I have
exploded all day in front of others, but then I become calmer.
N RV AV AM S
19. I think people who constantly nag are looking for a punch
or a slap.
20. I fight with almost everyone I meet.
21. If someone raises his voice at me, I insult him so that he
will shut up.
22. Sometimes I can't control my need to hurt other people.
23. When I'm bitter I may be able to slap someone.
24. I think that anyone who insults me or my family is looking
for a fight.
25. I usually have a good reason to hit someone.
26. If someone hits me first, I hit back in kind.
27. I can use strikes to defend my rights if necessary.
I hit another when he/she insults me first.
29. I find it difficult to have a conversation with a person to
solve a problem.
30. I can't help arguing with people who disagree with me.
If someone bothers me, I am able to tell him/her what I think
about him/her.
32. When people yell at me, I yell back.
33. When I get angry I say mean things
34. I usually make threats or say ugly things that I do not
follow through with.
35. When I argue I quickly raise my voice
36. Even when I am angry, I do not swear or curse.
37. I'd rather agree with a person a little than argue.
38. When he/she is angry I sometimes bang on the door.
I could get so upset that I could grab the nearest object and
break it.
40. Sometimes I express my anger by pounding on the table.
41. I get annoyed enough to throw objects.
42. When I get very upset I throw things away

CATEGORY DIAGNOSIS
C
I
A

RESPONSIBLE PROFESSIONAL:

STEPS FOR CIA QUALIFICATION

1. The adolescent's answers are scored against the answer key sheet.
2. The scores from number 1 to 11 corresponding to the area of Irritability will be added,
from question 12 to 18, referring to the area of Anger, and the sum of 19 to question 42
corresponding to the area of Aggressiveness will be added.
3. The scores obtained are taken to the category table of each area to obtain its category.
4. Remember that scores that fall in the average category in any of the areas will be
interpreted as responses from people who may tend to respond with certain out-of-control
irritability, Anger or Aggressiveness. People who score in the high and very high levels in
any of the areas will be considered as people with low emotional mechanisms to control
their irritability, anger and aggressiveness. On the other hand, people who score in any of
the areas as low and very low will be considered as people who present adequate control
mechanisms and management of Irritability, Anger or Aggressiveness.

ANGER, IRRITABILITY AND AGGRESSION

QUESTIONNAIRE (CIA)
ANSWER KEY
N RV AV AM S
16. I am a renegade 1 2 3 4 5

17. I can't help but be a little rude to the person I don't like. 1 2 3 4 5

18. I feel like my blood boils when someone makes fun of me. 1 2 3 4 5

19. I spend a lot more time being annoying than people think. 1 2 3 4 5

20. When I am upset I feel like I have something heavy on my 1 2 3 4 5

shoulders.
21. It bothers me when people get too close to me. 1 2 3 4 5

22. I get annoyed easily but it goes away quickly. 1 2 3 4 5

23. I am often very upset and on the verge of exploding. 1 2 3 4 5

24. I don't get upset if someone doesn't treat me well *. 5 4 3 2 1

25. I am very understanding with all people *. 5 4 3 2 1

26. I don't allow unimportant things to bother me *. 5 4 3 2 1

27. It is very common to be very bitter about something and then 1 2 3 4 5

quickly feel calm.

28. Rapidly changing from being able to control my bitterness to not 1 2 3 4 5

being able to control it.

29. When I am upset I can't stop shouting; while at other times I don't 1 2 3 4 5
shout at all

30. Sometimes I feel good, and the next minute anything bothers me. 1 2 3 4 5

16. There are times when I am so upset that I feel my heart beating fast, 1 2 3 4 5
and after a while I feel quite relaxed.

17. Normally I feel calm and suddenly from one moment to the next, I 1 2 3 4 5
become enraged to such an extent that I might be able to hit anything.

18. There are times when I have been so upset that I have exploded all 1 2 3 4 5
day in front of others, but then I become calmer.

N RV AV AM S
19. I think people who constantly nag are looking for a punch or a slap. 1 2 3 4 5

20. I fight with almost everyone I meet. 1 2 3 4 5

21. If someone raises his voice at me, I insult him so that he will shut 1 2 3 4 5
up.

22. Sometimes I can't control my need to hurt other people. 1 2 3 4 5

23. When I'm bitter I may be able to slap someone. 1 2 3 4 5

24. I think that anyone who insults me or my family is looking for a 1 2 3 4 5

fight.
25. I usually have a good reason to hit someone. 1 2 3 4 5

26. If someone hits me first, I hit back in kind. 1 2 3 4 5

27. I can use strikes to defend my rights if necessary. 1 2 3 4 5

I hit another when he/she insults me first. 1 2 3 4 5

29. I find it difficult to talk to someone to solve a problem. 1 2 3 4 5

30. I can't help arguing with people who disagree with me. 1 2 3 4 5
31. If someone annoys me, I am able to tell him what I think about him. 1 2 3 4 5
( her)
32.When people yell at me, I yell back. 1 2 3 4 5

33.When I get angry I say ugly things 1 2 3 4 5

34. I usually make threats or say ugly things that I do not follow through 1 2 3 4 5
with.
35. When I argue I quickly raise my voice 1 2 3 4 5

36. Even when I am angry, I do not swear or curse *. 5 4 3 2 1

37. I prefer to agree with a person a little rather than argue *. 5 4 3 2 1

38. When I am angry, I sometimes bang on the door. 1 2 3 4 5

I could get so upset that I could grab the nearest object and break it. 1 2 3 4 5

40. Sometimes I express my anger by pounding on the table. 1 2 3 4 5

41. I get annoyed enough to throw objects. 1 2 3 4 5

42. When I get very upset I throw things away 1 2 3 4 5

NOTE : ASTERISKS ARE REVERSE-QUALIFIED ANSWERS ( * )

STUDY HABITS QUESTIONNAIRE

FORM OF APPLICATION
Group and individual.

TIME
No time limit.

CONSIGNA
This questionnaire is designed to find out about your mood using the
following scale, then select your answer by marking with an "x" one of
the boxes located in the right column, using the following criteria

N= NEVER
RV= RARELY
AV= SOMETIMES
AM=A MENUDO
 S= ALWAYS
Remember that your honesty is very important, there is no right or wrong answer, be sure to answer
all of them.

FORM OF QUALIFICATION
The score is summed following the answer key.

RESULTS
CLASSIFICATION OF ITEMS

GROUP ITEMS

IRRITABILITY 1 - 11

COLERA 12 - 18

AGGRESSION 19 -42

CATEGORY TABLES

IRRITABILITY GROUP
CATEGORY DIRECT SCORE

VERY HIGH 40 A + -----------------

ALTO 33 A -------------------39

AVERAGE 27 A--------------------32

UNDER 22 A -------------------26

VERY LOW 0 A--------------------21

COLERA GROUP

CATEGORY DIRECT SCORE

VERY HIGH 28 A + -----------------

ALTO 22A -------------------27

AVERAGE 15 A--------------------21
UNDER 11 A -------------------14

VERY LOW 0 A--------------------10

AGGRESSION GROUP

CATEGORY DIRECT SCORE

VERY HIGH 91 A +......................

ALTO 73 A ........................90

AVERAGE 53 A ........................72

UNDER 42 A ..........................52

VERY LOW 0 ---------------------- 41

CATEGORY DIAGNOSIS
VERY HIGH LOW MECHANISMS TO CONTROL THE
ALTO
AVERAGE SUSCEPTIBLE TO RESPOND WITH CIA
UNDER ADEQUATE MECHANISMS FOR CONTROL AND MANAGEMENT
VERY LOW OF CIA
DIAGNOSTIC PROFILE OF IRRITABILITY, ANGER AND AGGRESSIVENESS
QUESTIONNAIRE

Name ............................................................................................................................

Age ...................... Sex M ( ) F ( )

College ......................................................................... Year of study........................

Evaluator Name.......................................................................................................

Date ......................................................

Categories Very Und Low Average High Hig Very

low er average average h high
Areas Score
IRRITABILITY

COLERA

AGGRESSIVITY