Home > Grief in Pieces Support Group Outcome Measures

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Please copy and paste. This is a combination of letters and numbers provided by your facilitator. It looks like this: 0064J00000JdBoe
Please copy and paste. This is a combination of letters and numbers provided by your facilitator. It looks like this: 0064J00000JdBoe

Over the last week, how often have you been bothered by any of the following problems?

Feeling nervous, anxious or on edge
Not being able to stop or control worrying
Feeling down, depressed, or hopeless
Little interest or pleasure in doing things

People's problems sometimes affect their ability to do certain day-to-day tasks in their lives. To rate your problems look at each section and determine on the scale provided how much your problem impairs your ability to carry out the activity. This assessment is not intended to be a diagnosis. If you are concerned about your results in any way, please speak with a qualified health professional

0 1 2 3 4 5 6 7 8
Not at all Slightly Definitely Markedly Very severely

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Below several grief reactions are listed. Please indicate how often you have experienced each reaction in the past month in response to the death of your loved on.

1 2 3 4 5
Never Rarely Sometimes Frequently Always

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