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. 2011 Feb;14(2):207–214. doi: 10.1089/jpm.2010.0291

Appendix A.

Inventory of Complicated Grief

  Never Rarely Sometimes Often Always
 1. I think about this person so much that it's hard for me to do the things I normally do 0 1 2 3 4
 2. Memories of the person who died upset me 0 1 2 3 4
 3. I feel I cannot accept the death of the person who died 0 1 2 3 4
 4. I feel myself longing for the person who died 0 1 2 3 4
 5. I feel drawn to places and things associated with the person who died 0 1 2 3 4
 6. I can't help feeling angry about his/her death 0 1 2 3 4
 7. I feel disbelief over what happened 0 1 2 3 4
 8. I feel stunned or dazed over what happened 0 1 2 3 4
 9. Ever since he/she died it is hard for me to trust people 0 1 2 3 4
10. Ever since he/she died I feel like I have lost the ability to care about other people or I feel distant from people I care about 0 1 2 3 4
11. I have pain in the same area of my body or have some of the same symptoms as the person who died 0 1 2 3 4
12. I go out of my way to avoid reminders of the person who died 0 1 2 3 4
13. I feel that life is empty without the person who died 0 1 2 3 4
14. I hear the voice of the person who died speak to me 0 1 2 3 4
15. I see the person who died stand before me 0 1 2 3 4
16. I feel that it is unfair that I should live when this person died 0 1 2 3 4
17. I feel bitter over this person's death 0 1 2 3 4
18. I feel envious of others who have not lost someone close 0 1 2 3 4
19. I feel lonely a great deal of the time ever since he/she died 0 1 2 3 4

From reference 10.