State of Grief Survey

  • State of Grief Survey

    Thank you for taking part in this important survey to gauge the state of grief in the Omaha area and surrounding areas in Nebraska.

  • Findings of this survey will be included in the annual State of Grief Report created by the Collective for Hope in Omaha, Nebraska. The Collective for Hope (CFH) is a grief center that provides groups, counseling, activities, and community for those experiencing grief.

  • We expect this survey to take 5 to 10 minutes to complete. Responses will be analyzed collectively by Collective for Hope and individuals will remain anonymous. The CFH team will then provide an annual report to the public using your invaluable feedback.

  • This survey will ask you questions about death and grief, which may be activating or cause intense feelings. If you are looking for a space to honor your loss, click below to access our free services.

  • By clicking the button to begin the survey below, you are giving your consent to participate in this survey. If you do not wish to participate for any reason, please click the exit survey link below.

  • Visit Collective for Hope: www.collectiveforhope.org

  • Demographics

    By disclosing the following demographics, you are helping us apply for grants/funding that keep our programs free and/or accessible to everyone regardless of their ability to pay. Your personal information is kept confidential and is not reported alongside the details shared in this section. Thank you for whatever information you are comfortable sharing for this purpose.

  • Death Information

  • Please consider your experience with the death of a person you selected in the previous question, the death that affected you most. Respond to these questions about that particular death.

  • Grief Information

    The following questions are about your experience with grief. Please continue to answer these questions about the death that you identified impacted you most. This survey defines grief and bereavement as the intense emotional, physical, and psychological response to a significant death loss.

  • Secondary Death

    In this survey, we use the term Secondary Death to refer to secondary stress that may arise when you care for someone who is experiencing grief. Even though you did not “directly” lose someone, watching someone you care go through grief about can affect your emotions as well.

  • When caring for the person who experienced a death loss, did you ever experience any of the following?

  • Ambiguous Loss

    Ambiguous loss is when someone is physically out of your life but still psychologically present to you (a severed relationship, divorce, incarceration, military deployment, missing persons, etc). It can be a physical presence with psychological absence (Alzheimer’s disease, dementia, traumatic brain injury, etc.) It might also be a homesickness for a home country community to a migrant or a loss of someone you never met, but meant something to your family.

  • Below, several separation distress reactions are listed. Please indicate how often you have experienced each of these reactions due to the loss of the person identified above in the past month. Note: Some questions refer to the “disappearance” of your person. This is referring to the physical or psychological loss you identified in the previous question.

  • Click the button below to submit

    If you would like to go back and change any answers, please click the back button to toggle through the pages you completed.
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