This simple questionnaire is intended for anyone who are experiencing grief and loss and are concerned about the feelings and emotions they are experiencing. It will give you an idea of the level of your grief and if you may need further help from a specialist.

This questionnaire should NOT be used as a diagnostic tool in this context. Rather this assessment can be an important initial step in getting support.  Indeed, It is common for people to hesitate to seek help because they fear their concerns aren't legitimate or severe enough.

Note: We will ask for your contact at the end of the questionnaire since this questionnaire cannot be automatically scored. A counsellor has to review it before the results are sent to you by email. This also means that you will wait to have your results.  We do not use email to spam, and you can unsubscribe from any further communication if you decide so.

Take your results to your Gp or discuss them with our counsellor during your consultation.

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