Grief Assessment

5) Since the death of your loved one, do you find it difficult to accept your loved one died?
Not at allSlightlyNeutralQuite a bitOverwhelmingly

6) Since the death of your loved one, do you feel you have given yourself permission to grieve?
Not at allSlightlyNeutralQuite a bitOverwhelmingly

7) Since the death of your loved one, do you feel you have given yourself permission to heal?
Not at allSlightlyNeutralQuite a bitOverwhelmingly

8) Since the death of your loved one, or as a result of their death, do you fear being judged by others on how you grieve?
Not at allSlightlyNeutralQuite a bitOverwhelmingly

9) Since the death of your loved one, or as a result of their death, do you fear that you will not be able to live without your loved one?
Not at allSlightlyNeutralQuite a bitOverwhelmingly

10) Since the death of your loved one, do you fear forgetting your loved one and/or others will forget them?
Not at allSlightlyNeutralQuite a bitOverwhelmingly

11) Since the death of your loved one, or as a result of their death, do you question if you will ever experience peace, joy, and happiness again?
Not at allSlightlyNeutralQuite a bitOverwhelmingly

12) Since the death of your loved one, or as a result of their death, are you experiencing increased physical illness, aches and pains, and new health diagnosis?
Not at allSlightlyNeutralQuite a bitOverwhelmingly

13) Since the death of your loved one, or as a result of their death, are you experiencing increased stomach issues, difficulty sleeping and problems with eating?
Not at allSlightlyNeutralQuite a bitOverwhelmingly

14) Since the death of your loved one, or as a result of their death, do you have difficulty focusing on day-to-day tasks?
Not at allSlightlyNeutralQuite a bitOverwhelmingly

15) Since the death of your loved one, or as a result of their death, do you feel depressed?
Not at allSlightlyNeutralQuite a bitOverwhelmingly

16) Since the death of your loved one, or as a result of their death, has your usage/consumption of alcohol/drugs increased?
Not at allSlightlyNeutralQuite a bitOverwhelmingly

17) Since the death of your loved one, or as a result of their death, have you lost interest in activities you once enjoyed?
Not at allSlightlyNeutralQuite a bitOverwhelmingly

18) Since the death of your loved one, or as a result of their death, have you withdrawn from family/friends and tell yourself no-one understands what you are going through?
Not at allSlightlyNeutralQuite a bitOverwhelmingly

19) Since the death of your loved one, or as a result of their death, has your relationship with your higher power (God, Universe, etc. - the something that you believe in that explains the unexplainable) changed?
Not at allSlightlyNeutralQuite a bitOverwhelmingly

20) Since the death of your loved one, have you felt your loved one’s presence?
Not at allSlightlyNeutralQuite a bitOverwhelmingly