|
Grief Scale |
None
Moderate Severe |
|
Sadness:
I
feel overwhelmed by sadness |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Loss of
appetite:
I don't feel hungry and I
don't want to eat. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Weight
gain:
I can't get enough to eat.
I eat to stop the gnawing
pain in my stomach.
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Nervousness:
I feel restless, can't
settle down to do one
thing. I feel jittery and I
don't know why. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Sleep
problems:
I wake up at 3 or 4 am and
can't get back to sleep. I
sometimes feel sleepy all
the time, but can't sleep
for long. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Anger :
I feel irritable for no
reason, or angry at anyone
and anything. It is
sometimes directed toward
people I love and care
about. Sometimes my anger
is at God. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Confusion:
I sometimes forget what I am
doing, or can't concentrate
on anything for long. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Constant thoughts:
I can't stop thinking about
how the death or loss
happened. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Fear:
I am afraid of things I
never used to be afraid of.
I am afraid of being alone,
afraid of the dark, afraid
of silence,
etc.
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Guilt:
I feel guilty about my
feelings & my anger. I blame
myself for the loss or the
way that I acted when it
happened |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Disbelief:
I refuse to believe that
this has really happened |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Exhaustion
I am so tired. It is
difficult to even get out of
bed in the morning. I feel
physically weak and
emotionally drained.
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Depression:
I feel a sense of
helplessness and/or
hopelessness. I don't care
about the things I used to.
I don't want to do the
things I used to do.
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Self
Confidence:
I don't have the self
confidence I used to have.
I don't feel good about
myself. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Communication:
I have trouble expressing my
feelings to others.
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Humour:
I can laugh at things once
in awhile. But I feel
guilty, like I shouldn't be
having a good time.
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Hopefulness:
I am beginning to know that
there will be new meaning in
my life and I am beginning
to look forward to my new
life.
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
Hopefulness
I am
beginning to know that there
will be new meaning in my
life and I am beginning to
look forward to my new
life.
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
