This quiz is designed to help give you understand whether you may be affected by complicated grief due to the death or loss of a loved one.

Instructions: For each item, indicate how much you agree or disagree with the statement. This takes most people about 5 minutes to complete. Take your time and answer truthfully for the most accurate results.

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I am a year old / /

1. Memories of the person who died or left upset me.




2. I think about this person so much that it’s hard for me to do the things I normally do.




3. I feel I cannot accept the loss of the person who died or left.




4. I feel myself longing for the person who died or left.




5. I feel drawn to the places and things associated with the person who’s gone.




6. I can’t help feeling angry about his/her death or leaving.




7. I feel disbelief over what happened.




8. I feel stunned or dazed over what happened.




9. Ever since he/she died or left, it is hard for me to trust people.




10. Ever since he/she died or left me, I feel as if I have lost the ability to care about other people or I feel distant from people I care about.




11. I feel lonely a great deal of the time ever since the loss.




12. I have pain in the same area of my body or have some of the same symptoms as the person who died.




13. I go out of my way to avoid reminders of the person who’s gone.




14. I feel that life is empty without the person who died or left.




15. I hear the voice of the person who’s no longer in my life speak to me.




16. I see the person who’s gone stand before me.




17. I feel that it is unfair that I should live when this person died or left.




18. I feel bitter over this person’s death or leaving.




19. I feel envious of others who have not lost someone close.




 

 

 


All rights reserved. For personal, educational or research use only; other use may be prohibited by law. Based upon Prigerson et al. (1995). Inventory of Complicated Grief: A scale to measure maladaptive symptoms of loss. Psychiatry Research, 59.