Counseling Services of Barbara Reade, L.C.P.C.
Bel Air, Maryland 21014
Phone: 410-803-1510
Email: reade.lcpc@yahoo.com
This test can help you evaluate how you are dealing with grief or loss of any kind. If you find yourself scoring in the mid to high range it could be valuable to you to seek a counselor's help with your healing process. Because grief can cause severe emotional, social, and even physical problems. Therefore, taking care of yourself well at this time can be one of the most important decisions you can make!
Grief Testing
Barbara Reade, M.S., L.C.P.C.
The Grief Scale Self-Evaluation
The Grief Scale:
Rank Your Feelings:None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
1.Feelings of sadness
I feel overwhelmed by sadness.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
2.Loss of appetite
I don't feel hungry and I don't want to eat.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
3.Weight Gain
I can't get enough to eat. I eat to stop the gnawing pain in my stomach.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
4.Nervousness
I feel restless, can't settle down to do one thing. I feel jittery and I don't really know why.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
5.Sleep Problems
I wake up at 3 or 4 AM and can't go back to sleep. I sometimes feel sleepy all the
time, but, can't sleep for long.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
6.Anger
I feel irritable for no reason, or, angry at anyone and anything. Sometimes, my anger is rage and directed toward people I love and care about. Sometimes my anger is at God.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
7.Confusion
I sometimes forget what I am doing, or, can't concentrate on anything for long.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
8.Constant thoughts of the death
I can't stop thinking about how (s)he died, and/or, what happened the day (s)he died.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
9.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.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
10.Guilt
I feel guilty about the the feelings I have about my loved one's death. I feel guilty about being angry with people or God. I try to find ways to blame myself for the death or the way I acted on the day of my loved one died.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
11.Disbelief
I refuse to believe this has really happened.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
12.Dreams
I keep having dreams that are the same or similar.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
13.Exhaustion
I am so tired. It is difficult to even get out of bed in the morning. I feel physically weak and emotionally drained.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
14.Depression
I feel a sence 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.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
15.Self Confidence
I don't have the confidence I used to have. I don't feel good about myself
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
16.Communication
I have trouble expressing my feelings to others. I sometimes say things that I don't mean, or, don't understand what I said.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
17.Humor
I can laugh at things once in a while. It is getting easier to laugh without feeling like I shouldn't be having too good a time.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
18.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.
None - Moderate - Severe
1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10
Take this test periodically. Your results will change, sometimes without your conscious awareness.
|
