Bereaved by suicide: In this brief survey we are trying to understand how Covid-19 has impacted those bereaved by suicide.

Question Title

1. How would you describe your gender

Male (including transgender men)

Female (including transgender women)

Prefer to self-describe (please tell us below)

Prefer not to say

Prefer to self-describe

Question Title

2. Please tell us your age

18 and under

19-25

26-29

30-39

40-49

50-59

60-69

70+

Question Title

3. The person I lost to suicide was

Mother

Father

Daughter

Son

Sibling

Friend

Colleague

Partner

Other (please specify)

Question Title

4. Are you currently in receipt of bereavement support?

Yes

Previously

Other (please specify)

Bereaved by suicide: In this brief survey we are trying to understand how Covid-19 has impacted those bereaved by suicide.

Question Title

* 1. How would you describe your gender

Question Title

* 2. Please tell us your age

Question Title

* 3. The person I lost to suicide was

Question Title

* 4. Are you currently in receipt of bereavement support?

Question Title

* 5. Please tell us your email address (optional)

1. How would you describe your gender

2. Please tell us your age

3. The person I lost to suicide was

4. Are you currently in receipt of bereavement support?

5. Please tell us your email address (optional)