Take this brief questionnaire to see if you might be experiencing complicated grief. You will receive feedback when you click "Submit".The deceased was my:*Select oneWifeHusbandMotherFatherDaughterSonSisterBrotherGrandmoherGrandfatherGranddaughterGrandsonOther relativeSignificant other/partner/fianceClose friendOtherHow did they die?*Select oneCOVID-19Other Terminal IllnessAccidentSuicideHomicideDrug overdoseOtherWhen did the death occur?*Select oneLess than 6 months ago6-12 months agoGreater than 12 months ago1. How much are you having trouble accepting death of your loved one? Not at all Somewhat A lot 2. How much does your grief still interfere with your life? Not at all Somewhat A lot 3. How much are you having images or thoughts of the person who died, either of when they died or other thoughts about the death that really bother you? Not at all Somewhat A lot 4. Are there things you used to do when your loved one was alive that you don’t feel comfortable doing anymore, that you avoid? Like going places you went with them, or doing things you used to enjoy together? Or avoiding looking at pictures or talking about the person who died? How much are you avoiding these things? Not at all Somewhat A lot 5. How much are you feeling cut off or distant from other people since this person died, even people you used to be close to like family or friends? Not at all Somewhat A lot NameThis field is for validation purposes and should be left unchanged.