Grief and Loss Questionnaire for Children
What losses have you experienced?
- Did you move from one community to another one or more times?
- Did you ever have a pet die or run away?
- Are your parents divorced or living in different homes?
- Have either of your parents re-married?
- Do you live with someone other than your mom or dad?
- Have you experienced the death of a close family member or friend?
- Have you ever been bullied?
- Have you been to more than one school?
- Have you ever experienced the loss of function of a part of your body?
- Have you ever experienced a series of illnesses or accidents?
- Have you ever had a hard time making or keeping friends?
- Have one of your family members ever had a long illness or injury?
- Have you ever lost a really special toy, blanket, or special object?