Grief Management Survey "*" indicates required fields Email* First Name* Last Name* On a scale of 1-10 rate how well you agree or disagree with each statement. I’m comfortable discussing my feelings of grief with others.* 1 2 3 4 5 6 7 8 9 10 CommentsI can maintain my daily responsibilities while dealing with my grief.* 1 2 3 4 5 6 7 8 9 10 CommentsI keep myself overly busy to numb the pain.* 1 2 3 4 5 6 7 8 9 10 CommentsI try to ignore problems, hoping they’ll go away.* 1 2 3 4 5 6 7 8 9 10 CommentsI feel guilty if I’m too happy.* 1 2 3 4 5 6 7 8 9 10 CommentsI think about my grief even when I’m relaxing or in social situations.* 1 2 3 4 5 6 7 8 9 10 CommentsI think about my grief even when I’m relaxing or in social situations.* 1 2 3 4 5 6 7 8 9 10 CommentsI am always tired, sad and/or irritable.* 1 2 3 4 5 6 7 8 9 10 CommentsMy sleeping patterns have been significantly affected by grief.* 1 2 3 4 5 6 7 8 9 10 CommentsI have trouble either binge eating or skipping meals.* 1 2 3 4 5 6 7 8 9 10 CommentsI often suppress my anger and frustration.* 1 2 3 4 5 6 7 8 9 10 CommentsI believe time will eventually alleviate the intensity of my grief.* 1 2 3 4 5 6 7 8 9 10 CommentsOn a scale of 1-10, I would rate my overall grief level at…* 1 2 3 4 5 6 7 8 9 10 Comments
