Grief and Men Survey
Share your experiences and perspectives on grief. Your responses are anonymous and help us understand how men experience and cope with grief.
Have you ever experienced grief?
*
Yes
No
Where did or does your grief come from?
*
Death
Loss of Marriage
Loss of Career
Loss of Friendship
Loss of Pet
Other
Have you dealt with your grief?
*
Yes
No
Partially
If you have not dealt with your grief, why haven’t you?
Didn’t need support
Felt the need to deal with it on your own
Uncomfortable sharing your grief
Wouldn’t be understood
Other
What steps have you taken to deal with your grief?
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Psychologist
Counsellor
Grief Coach
Family
Friend
Internet
Other
Do you feel adequately supported?
*
Yes
No
Do you feel your grief was recognized?
*
Yes
No
What would you consider as being helpful?
*
Being asked about your loss
Being asked how you can be supported
Other
What kind of support would you want?
*
More access to one-on-one grief support
More access to group grief support
Public education on how to better support those in grief
Better access to supports for various types of loss
All of the Above
Are you still struggling with your grief?
*
Yes
No
Sometimes
Have you been given the proper tools to continue dealing with your grief?
*
Yes
No
Has your grief caused any of the following?
*
Suicidal Thoughts
Suicide Attempt(s)
Addictions
Anger
Health Issues
Depression
Self Harm or Harm towards others
Other
Have you lost any of the following due to your grief?
*
Friendships
Marriage
Family Members
Career
House
Material Possessions
Do you feel that men’s grief is not taken seriously?
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Yes
No
If yes, please explain.
Please describe what you have experienced in terms of grief.
*
Does language matter to you? How do you want to be talked to?
*
What would have better prepared you to deal with your grief?
*
What do you think others should know when it comes to approaching someone dealing with grief?
*
What advice do you have for men dealing with grief?
*
Has your grief changed who you are as a person? If so, how? (Please give details)
*
What tools are you currently using to deal with your grief?
*
Would you be more likely to join an all-male support group to help deal with your grief?
*
Online
In-Person
Both
Full Name
*
First Name
Last Name
Age
*
Contact Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Can we contact you for more information?
*
Yes
No
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