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Buss Perry Aggression Questionnaire
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Use our readymade template to create your Buss Perry Aggression Questionnaire (BPAQ)

Create your care assessments

Physical Aggression Score Verbal Aggression Score Anger Score Hostility Score Total Score
Range: 9-45 Range: 5-25 Range: 7-35 Range: 8-40 Range: 29-145
  • navigate_next Prebuilt template with BPAQ scoring to assess the presence and severity of aggression
  • navigate_next 29-item questionnaire that scores each item as “1” (Extremely Uncharacteristic) to “5” (Extremely Characteristic)
  • navigate_next Real-time calculation of BPAQ Score and aggression severity based on the form responses
  • navigate_next Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
  • navigate_next Easily create responsive forms that allow patients to complete their assessments on any device at any time

Collect responses from your patients

Patient ID 1004
Patient Name John W
Patient Email johnw@ymail.com
Patient Phone Number 0987654321
Doctor's Name Dr. Smith
Location New York
1. Some of my friends think I am a hothead Somewhat characteristic
2. If I have to resort to violence to protect my rights, I will Somewhat characteristic
3. When people are especially nice to me, I wonder what they want Somewhat characteristic
4. I tell my friends openly when I disagree with them Somewhat characteristic
5. I have become so mad that I have broken things Somewhat characteristic
6. I can’t help getting into arguments when people disagree with me Somewhat characteristic
7. I wonder why sometimes I feel so bitter about things Somewhat characteristic
8. Once in a while, I can’t control the urge to strike another person Somewhat characteristic
9. I am an even-tempered person Somewhat characteristic
10. I am suspicious of overly friendly strangers Somewhat characteristic
11. I have threatened people I know Somewhat characteristic
12. I flare up quickly but get over it quickly Somewhat characteristic
13. Given enough provocation, I may hit another person Somewhat characteristic
14. When people annoy me, I may tell them what I think of them Somewhat characteristic
15. I am sometimes eaten up with jealousy Somewhat characteristic
16. I can think of no good reason for ever hitting a person Somewhat characteristic
17. At times I feel I have gotten a raw deal out of life Somewhat characteristic
18. I have trouble controlling my temper Somewhat characteristic
19. When frustrated, I let my irritation show Somewhat characteristic
20. I sometimes feel that people are laughing at me behind my back Somewhat characteristic
21. I often find myself disagreeing with people Somewhat characteristic
22. If somebody hits me, I hit back Somewhat characteristic
23. I sometimes feel like a powder keg ready to explode Somewhat characteristic
24. Other people always seem to get the breaks Somewhat characteristic
25. There are people who pushed me so far that we came to blows Somewhat characteristic
26. I know that “friends” talk about me behind my back Somewhat characteristic
27. My friends say that I’m somewhat argumentative Somewhat characteristic
28. Sometimes I fly off the handle for no good reason Somewhat characteristic
29. I get into fights a little more than the average person Somewhat characteristic
Physical Aggression Score 40
Verbal Aggression Score 20
Anger Score 28
Hostility Score 32
Total Score 120
  • navigate_next Pre-populate patient details such as patient id, name, email etc in the BPAQ assessment form before sharing it with the patients
  • navigate_next Send an email invitation with a secure link for patients to complete their BPAQ assessment form prior to their visit
  • navigate_next Allow patients to save their progress and complete their BPAQ assessment form at a later time without losing any responses
  • navigate_next Set up an email template for your BPAQ assessment and automatically send invitation emails to multiple patients with ease
  • navigate_next Send a confirmation email to the patients with their BPAQ score, diagnosis, next steps when they submit their BPAQ assessment

Track patient responses in Google Sheets

A B C D E
1 Name Question Answer Score Total Score
2 John W 1. Some of my friends think I am a hothead Somewhat characteristic 4 120
3 John W 2. If I have to resort to violence to protect my rights, I will Somewhat characteristic 4 120
4 John W 3. When people are especially nice to me, I wonder what they want Somewhat characteristic 4 120
5 John W 4. I tell my friends openly when I disagree with them Somewhat characteristic 4 120
6 John W 5. I have become so mad that I have broken things Somewhat characteristic 4 120
7 John W 6. I can’t help getting into arguments when people disagree with me Somewhat characteristic 4 120
8 John W 7. I wonder why sometimes I feel so bitter about things Somewhat characteristic 4 120
9 John W 8. Once in a while, I can’t control the urge to strike another person Somewhat characteristic 4 120
10 John W 9. I am an even-tempered person Somewhat characteristic 2 120
11 John W 10. I am suspicious of overly friendly strangers Somewhat characteristic 4 120
12 John W 11. I have threatened people I know Somewhat characteristic 4 120
13 John W 12. I flare up quickly but get over it quickly Somewhat characteristic 4 120
14 John W 13. Given enough provocation, I may hit another person Somewhat characteristic 4 120
15 John W 14. When people annoy me, I may tell them what I think of them Somewhat characteristic 4 120
16 John W 15. I am sometimes eaten up with jealousy Somewhat characteristic 4 120
17 John W 16. I can think of no good reason for ever hitting a person Somewhat characteristic 2 120
18 John W 17. At times I feel I have gotten a raw deal out of life Somewhat characteristic 4 120
19 John W 18. I have trouble controlling my temper Somewhat characteristic 4 120
20 John W 19. When frustrated, I let my irritation show Somewhat characteristic 4 120
21 John W 20. I sometimes feel that people are laughing at me behind my back Somewhat characteristic 4 120
22 John W 21. I often find myself disagreeing with people Somewhat characteristic 4 120
23 John W 22. If somebody hits me, I hit back Somewhat characteristic 4 120
24 John W 23. I sometimes feel like a powder keg ready to explode Somewhat characteristic 4 120
25 John W 24. Other people always seem to get the breaks Somewhat characteristic 4 120
26 John W 25. There are people who pushed me so far that we came to blows Somewhat characteristic 4 120
27 John W 26. I know that “friends” talk about me behind my back Somewhat characteristic 4 120
28 John W 27. My friends say that I’m somewhat argumentative Somewhat characteristic 4 120
29 John W 28. Sometimes I fly off the handle for no good reason Somewhat characteristic 4 120
30 John W 29. I get into fights a little more than the average person Somewhat characteristic 4 120
  • navigate_next Export patient responses including the calculated BPAQ score and aggression severity to Google Sheets for easy record-keeping
  • navigate_next Export individual points for each item to Google Sheets for data manipulation and analysis for comprehensive insights
  • navigate_next Use pre-built reports to easily keep track of patient progress over time and monitor changes in their aggression symptoms
  • navigate_next Receive a copy of the response and the calculated BPAQ score by email whenever a patient submits their BPAQ assessment
  • navigate_next Use data in Google Sheets to integrate with external EHR systems for seamless data transfer

HIPAA compliance

Patient ID: 1004
Patient Name: ******
Patient Email: ******
Patient Phone Number: ******
Doctor's Name: Dr. Smith
Location: New York
1. Some of my friends think I am a hothead: Somewhat characteristic
2. If I have to resort to violence to protect my rights, I will: Somewhat characteristic
3. When people are especially nice to me, I wonder what they want: Somewhat characteristic
4. I tell my friends openly when I disagree with them: Somewhat characteristic
5. I have become so mad that I have broken things: Somewhat characteristic
6. I can’t help getting into arguments when people disagree with me: Somewhat characteristic
7. I wonder why sometimes I feel so bitter about things: Somewhat characteristic
8. Once in a while, I can’t control the urge to strike another person: Somewhat characteristic
9. I am an even-tempered person: Somewhat characteristic
10. I am suspicious of overly friendly strangers: Somewhat characteristic
11. I have threatened people I know: Somewhat characteristic
12. I flare up quickly but get over it quickly: Somewhat characteristic
13. Given enough provocation, I may hit another person: Somewhat characteristic
14. When people annoy me, I may tell them what I think of them: Somewhat characteristic
15. I am sometimes eaten up with jealousy: Somewhat characteristic
16. I can think of no good reason for ever hitting a person: Somewhat characteristic
17. At times I feel I have gotten a raw deal out of life: Somewhat characteristic
18. I have trouble controlling my temper: Somewhat characteristic
19. When frustrated, I let my irritation show: Somewhat characteristic
20. I sometimes feel that people are laughing at me behind my back: Somewhat characteristic
21. I often find myself disagreeing with people: Somewhat characteristic
22. If somebody hits me, I hit back: Somewhat characteristic
23. I sometimes feel like a powder keg ready to explode: Somewhat characteristic
24. Other people always seem to get the breaks: Somewhat characteristic
25. There are people who pushed me so far that we came to blows: Somewhat characteristic
26. I know that “friends” talk about me behind my back: Somewhat characteristic
27. My friends say that I’m somewhat argumentative: Somewhat characteristic
28. Sometimes I fly off the handle for no good reason: Somewhat characteristic
29. I get into fights a little more than the average person: Somewhat characteristic
Physical Aggression Score: 40
Verbal Aggression Score: 20
Anger Score: 28
Hostility Score: 32
Total Score: 120
Total Score: 120
  • navigate_next Create a HIPAA compliant BPAQ assessment form to safely collect, store and access patient responses
  • navigate_next Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
  • navigate_next Automatically mask PHI fields when exporting BPAQ form responses to Google Sheets and sending them on email
  • navigate_next Prepopulate patient details in BPAQ assessments by creating secure prefill links without exposing PHI
  • navigate_next Limit access to patient data only for authorized personnel and minimize the risk of data breaches

These reviews are reproduced without modification from Google Workspace Marketplace.

July 23, 2023

5 stars

I am not tech savvy. I chose formesign to help create registration links for clients. Vipid has been great in assisting me. He goes above and beyond. My company now has moved from the stone age to modern age through the ability to use this feature. Of the many features I am impressed with, the ability to update a form without needing to regenerate a link is amazing. I often make mistakes and that ability allows me to fix mistakes without needing to change everything. Thank you!!!

— Sol Evans

February 16, 2024

1 stars

Does not work

— Myles Sicuro

October 31, 2023

5 stars

We needed a way to create forms with e-signatures and this app made it very easy. Support is also very quick and always helpful. Cannot recommend enough!

— Chris Henesy

July 12, 2023

5 stars

It very friendly to used. I love it. For my case multiple signature needed. it's supporting

— Senthil Kumar

November 27, 2023

5 stars

Yeah this is good for all

— luqman Khan

July 10, 2023

5 stars

We were looking for a way to have a signature option in our form. Formesign addon allowed us to collect signatures for the acknowledgment and consent forms. It was simple and easy to setup. Very useful addon for google forms.

— Joan S

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Aggression Care assessments
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