Instructions: Below is a list of questions that relate to life experiences common among people who are experiencing a debilitating condition known as complicated grief. Please read each question carefully, and indicate how often you have experienced the same or similar challenges in the past few months.

Your privacy is important to us. All results are completely anonymous.

Do you experience intense sorrow and emotional pain many months after the loss?

Never

Rarely

Sometimes

Often

Very Often

Is it difficult to focus on anything other than your lost loved one?

Never

Rarely

Sometimes

Often

Very Often

Do you take measures to avoid anything that reminds you of the person you lost?

Never

Rarely

Sometimes

Often

Very Often

Do you have trouble accepting the death of your love one?

Never

Rarely

Sometimes

Often

Very Often

Do you feel numb or detached from other people or activities you once enjoyed?

Never

Rarely

Sometimes

Often

Very Often

Do you feel that life is meaningless and most activities have no purpose?

Never

Rarely

Sometimes

Often

Very Often

Do you become easily irritable or agitated?

Never

Rarely

Sometimes

Often

Very Often

Do you struggle with the belief that you could have prevented your loved one’s death?

Never

Rarely

Sometimes

Often

Very Often

Do you struggle to maintain a routine or engage in social activities after the loss?

Never

Rarely

Sometimes

Often

Very Often

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Complicated Grief Disorder Test (Self-Assessment)

Am I Suffering from Complicated Grief Disorder? The stages of grief and loss are universal to everyone faced with mourning the loss of a loved one, but if you experience prolonged grief symptoms you may be suffering from Complicated Grief Disorder (CGD)

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