The questions in this scale ask you about over the last two weeks, how often you have been bothered by the following problems. In each case, you will be asked to indicate by selecting the answer that correlates to how often you felt or thought a certain way.
0 = Not At All, 1 = Somewhat, 2 = A Lot
Q1: How much are you having trouble accepting the death of ______________?
Q2: How much does your grief still interfere with your life?
Q3: How much are you having images or thoughts of _____________ when s/he died or other thoughts about the death that really bother you?
Q4: Are there things you used to do when ______ was alive that you don’t feel comfortable doing anymore, or that you avoid? Like going somewhere you went with him/her, or doing things you used to enjoy together? Or avoiding looking at pictures or talking about _________? How much are you avoiding these things?
Q5: How much are you feeling cut off or distant from other people since _________ died, even people you used to be close to like family or friends?
Your Score
A score of 4 or more suggests an individual may have complicated grief
The scores on the following self-assessment do not reflect any particular diagnosis or course of treatment. They are meant as a tool to help assess your level of stress.
If you have any further concerns about your current wellbeing, you may contact us via:
- Phone (852) 2523 8979
- Email resource@counselling.org.hk
- Visit us at 23/F, Li Dong Building, 9 Li Yuen Street East, Central, Hong Kong
- Fill in Enquiry form
and talk confidentially to one of our mental health professionals.
You may press below "SEND" button to receive the result through your email.
Your Information
