Thank you for giving your time to fill in this brief survey that will help us make sure the service meets the needs of those bereaved by suicide like yourself.

Please note that the six statements are written twice below. The first set relate to how much you agree with that statement in terms of how it relates to you as an individual. The second are the same statements but relate to how much you agree with that statement from a broader whānau/family perspective. Please feel free to answer from just an individual perspective (Q 3-9), just a whānau/family perspective  (Q 10-16), or from both (Q3-16).

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* 1. Your name

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* 2. Your session provider's name:

Please click on the lines below where it best reflects how much you agree with each statement from your perspective

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* 3. I feel able to manage my grief

Not at all A lot
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 4. I am open about and feel confident to talk about my grief and my loved one/the person who died

Not at all A lot
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 5. I have a good understanding of grief and suicide

Not at all A lot
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 6. I feel connected to and supported by others

Not at all A lot
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 7. I feel able to participate in usual activities (e.g. chores, work, leisure)

Not at all A lot
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 8. I know where I can go for support

Not at all A lot
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 9. Any other comments

Please click on the lines below where it best reflects how much you agree with each statement from a broader whānau/family perspective

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* 10. My whānau/family feel able to manage our grief

Not at all A lot
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 11. My whanau/family are open about and feel confident to talk about our grief and our loved one/the person who died

Not at all A lot
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 12. My whanau/family have a good understanding of grief and suicide

Not at all A lot
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 13. My whanau/family feel connected to and supported by others

Not at all A lot
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 14. My whanau/family feel able to participate in usual activities (e.g. chores, work, leisure)

Not at all A lot
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 15. My whānau/family know where we can can go for support

Not at all A lot
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 16. Any other comments

T