Name
*
First Name
Last Name
Email
*
How did you find out about Sorry For Your Loss Cards?
*
Friend
Family
Other
If you selected other, please fill in the text box below:
I'm grieving the loss of my:
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Parent
Spouse/ Partner
Child
Sibling
Grandparent
Friend
When you lost your loved one, did you feel adequate support?
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Yes
No
Other
If you selected other, please fill in the text box below:
If you answered yes in the question above, what was done that made you feel supported?
Checking in (phone calls, text messages, etc)
Acts of service- loved ones helped take daily tasks off my plate
Gifts- I received flowers or special gifts
They allowed me to come to them when I was ready to talk
Other
If you selected other, please fill in the text box below:
If you answered no to feeling adequate support, what do you wish your support system would've done?
Checked in on me more
Helped make my life easier
Sent me something special to lift my spirits
Gave me space to grieve
Other
If you selected other, please fill in the text box below:
What do you wish people understood about grief?
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It's an ongoing journey that doesn't end
Support is needed even after the services and celebration of life
It's fine to ask about my loved one
This experience has changed me and I'm not sure how to move forward
Other
If you selected other, please fill in the text box below:
What/who do you rely on the most during your grief journey?
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Therapy
Friends
Family
Myself
Grief Group
Church
Other
If you selected other, please fill in the text box below:
I Identify as
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Black
White
Hispanic
Multiracial
Choose Not to Answer
Other
If you selected other, please fill in the text box below:
I Identify as
*
Man
Woman
Non-Binary
Transgender
Prefer Not to Answer