SUPERIOR COURT OF CALIFORNIA, COUNTY OF INYO PEOPLE OF THE STATE OF CALIFORNIA VS. DEFENDANT: CASE NUMBER: ANGER MANAGEMENT PROGRAM PROGRESS REPORT 1. ATTENDANCE _____Satisfactory ____Unsatisfactory Classes attended: _______________ Excused absences: _______________ Unexcused absences: _______________ 2. 3. PAYMENT OF FEES Current_____ Past Due_____ Amount per session $________________ ITEMS EVALUATED: INDICATORS OF PROGRESS 1. Recognizes own problematic thinking 2. Takes personal accountability 3. Indicates compassion for self-partner-victim 4. Understands emotional impact of thinking 5. Reports successful resolution of issues without escalating into anger or withdrawal. 6. Takes responsibility for actions even when “provoked” 7.Expresses regret for past violence and has intent and a plan to do better in the future 8. Makes positive contributions in group: listens respectfully; makes relevant comments, offers support, and stays positive and aware of self and others. 9. Follows directions. INDICATOR OF LACK OF PROGRESS 1. Just “making time” 2. Denial and/or justification of abusive behaviors 3. Omits his role in relationship problems 4. Blames others for abusive action taken 4. Unknown Unknown Never Never Sometimes Sometimes Always Always PROGRESS (since last evaluation) ____Satisfactory 5. Amount past due $_________________ ____Unsatisfactory (explain below): _____Termination form being submitted THIS COMPLETED FORM MUST BE RETURNED TO THE COURT OR PROBATION DEPARTMENT AS SPECIFIED ON THE DEFENDANTS ENROLLMENT VERIFICATION FORM. _________________________________ Program Provider Name _________________________________ Program Provider Signature Date: ___________________________ ___________________________________________________________________________________________________________________________ ANGER MANAGEMENT PROGRAM PROGRESS REPORT IC-CR-AM 101 (04-30-08) American LegalNet, Inc. www.FormsWorkflow.com