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?
Is it difficult to focus on anything other than your lost loved one?
Do you take measures to avoid anything that reminds you of the person you lost?
Do you have trouble accepting the death of your love one?
Do you feel numb or detached from other people or activities you once enjoyed?
Do you feel that life is meaningless and most activities have no purpose?
Do you become easily irritable or agitated?
Do you struggle with the belief that you could have prevented your loved one’s death?
Do you struggle to maintain a routine or engage in social activities after the loss?

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Last Updated: Sep 1, 2020