Sarah's Sibling Survey

GENERAL INFORMATION

Your Name:
(Only for my Use)



Your email address: Optional but appreciated.
Where you're from? City State 
or Country
How many siblings you have lost: M F
Your Age now:
How old you were when you lost them:
How old was your sibling when they died?

What did they die from?

ANGER

 

Did you ever experience anger at the death of your sibling? Yes No

If you answered yes: At who? If other: who?

At what time was the worse? If other:

GUILT

Did you ever experience guilt during your grief? Yes No
If you answered yes:

At what time was it the worse? If other:

Has it gone away or changed in intensity?


DENIAL

Did you ever experience denial during your grief? Yes No
If you answered yes: How long did it take you to accept
that you would never see your sibling again and not pretend
that they were just away somewhere, etc?

REGRETS

What is your biggest regret?

SUPPORT

Did your friends support you at the beginning
of your grief journey?
Yes No
If so, for how long did they give support?

Did many back away from you?

Did your extended family support you at the beginning
of your grief journey?
Yes No
Is so, for how long did they give support?


Did many back away from you and/or your parents?

Where have you gotten the most support?

THERAPY/DEPRESSION

Have you ever received therapy for help/support
getting through your grief?

Yes No
If yes: How many different therapists have you seen?
For how long did you see a therapist?
Do you think they helped you?

Have you ever suffered from depression: Yes No
If so, were you on antidepressants: Yes No

What kind: For how long:

Have you ever thought about committing suicide
to get away from the pain:
Yes No

Have you ever tried to commit suicide: Yes No

SIGNS FROM YOUR SIBLING

Do you believe that those of us left behind can receive signs
from our siblings that they're alright, watching over us, etc: Yes No

If so: Have you ever received signs from your sibling?

QUESTIONS

What is one thing you wish everyone could know about losing a sibling?

What is the best thing someone can do/say when they find out
that you have lost a sibling or are grieving?

What is the worst thing:

Do you believe that grief is a process like in the text books,
that we're in one certain stage for a certain amount of time,
get through it and move to the next:

Do you worry about losing other siblings and/or family members:
Yes No

Any additional comments?

Contact Sarah if you have any questions: Sarah Davis

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This site is dedicated In Loving Memory of my sister, Ashleigh
© Sarah Bruner 2005
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