Ambiguous Grief Assessment Tool Question Title * 1. Have you ever experienced the loss of a loved one, who is still alive, and this created a major change in or ended the relationship? (Required.) Not at all Somewhat Moderately A lot OK Question Title * 2. Did/do you experience difficulties accepting the fact that your loved one is no longer in your life as he/she once was? Not at all Somewhat Moderately A lot OK Question Title * 3. Does it feel as if this loss has made it difficult for you to move forward and live yourlife? Not at all Somewhat Moderately A lot OK Question Title * 4. Do you still have memories, good or bad, of this person that can distract you, or even occupy your thoughts at times? Not at all Somewhat Moderately A lot OK Question Title * 5. Did/do you feel disconnected from yourself or others as a result of the loss of this loved one in your life as your relationship once was? Not at all Somewhat Moderately A lot OK NEXT