1.
Since this person died, do you feel disconnected or detached from your friends or family?
1 out of 5
2.
To what extent is your grief causing problems in your life?
2 out of 5
3.
Has this death stopped you from doing things that you used to do before they died?
3 out of 5
4.
Are there thoughts regarding the death that you are finding particularly bothersome?
4 out of 5
5.
How difficult are you finding it to accept this person’s death?
5 out of 5