February 18, 2020 Comment: 0 Quizzes Step 1 of 3 - Part 1 33% What is your age?*Please enter a value between 16 and 150.Your Gender*FemaleMaleOther1. Memories of the person who died or left upset me.NeverRarelySometimesOftenVery Often/Always2. I think about this person so much that it’s hard for me to do the things I normally do.NeverRarelySometimesOftenVery Often/Always3. I feel I cannot accept the loss of the person who died or left.NeverRarelySometimesOftenVery Often/Always4. I feel myself longing for the person who died or left.NeverRarelySometimesOftenVery Often/Always5. I feel drawn to the places and things associated with the person who’s gone.NeverRarelySometimesOftenVery Often/Always6. I can’t help feeling angry about his/her death or leaving.NeverRarelySometimesOftenVery Often/Always7. I feel disbelief over what happened.NeverRarelySometimesOftenVery Often/Always8. I feel stunned or dazed over what happened.NeverRarelySometimesOftenVery Often/Always9. Ever since he/she died or left, it is hard for me to trust people.NeverRarelySometimesOftenVery Often/Always10. 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.NeverRarelySometimesOftenVery Often/Always 11. I feel lonely a great deal of the time ever since the loss.NeverRarelySometimesOftenVery Often/Always12. I have pain in the same area of my body or have some of the same symptoms as the person who died.NeverRarelySometimesOftenVery Often/Always13. I go out of my way to avoid reminders of the person who’s gone.NeverRarelySometimesOftenVery Often/Always14. I feel that life is empty without the person who died or left.NeverRarelySometimesOftenVery Often/Always15. I hear the voice of the person who’s no longer in my life speak to me.NeverRarelySometimesOftenVery Often/Always16. I see the person who’s gone stand before me.NeverRarelySometimesOftenVery Often/Always17. I feel that it is unfair that I should live when this person died or left.NeverRarelySometimesOftenVery Often/Always18. I feel bitter over this person’s death or leaving.NeverRarelySometimesOftenVery Often/Always19. I feel envious of others who have not lost someone close.NeverRarelySometimesOftenVery Often/Always Test ResultPlease enter your personal information to receive the test results.Your Name* First Last Your Email* This iframe contains the logic required to handle Ajax powered Gravity Forms.
