undefined
HomeAll templatesmental health assessmentinventory of complicated grief

Inventory of Complicated Grief

Certain symptoms have been shown identify grief. Use this assessment scale to discover your grief status.

3 minutes to complete

Eligibility

The ICG is intended for use with individuals ages 18 and older who have experienced a significant loss within the past two years.

undefined

Questions for Inventory of Complicated Grief

Questions

1.

I think about this person so much that it’s hard for me to do the things I normally do

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
2.

Memories of the person who died upset me

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
3.

I feel I cannot accept the death of the person who died

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
4.

I feel mysqlf longing for the person who died

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
5.

I feel drawn to places and things associated with the person who died

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
6.

I can’t help feeling angry about his/her death

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
7.

I feel disbelief over what happened

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
8.

I feel stunned or dazed over what happened

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
9.

Ever since he/she died, it is hard for me to trust people...

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
10.

Ever since he/she died, I feel as if I have lost the ability to care about other people or I feel distant from people I care about

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
11.

I feel lonely a great deal of the time ever since he/she died

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
12.

I have pain in the same area of my body or have some of the same symptoms as the person who died

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
13.

I got out of my way to avoid reminders of the person who died

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
14.

I feel that life is empty without the person who died

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
15.

I hear the voice of the person who died speak to me

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
16.

I see the person who died stand before me

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
17.

I feel that is is unfair that I should live when this person died

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
18.

I feel bitter over this person’s death

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always
19.

I feel envious of other who have not lost someone close

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Often
  5. Always

Ideas Similar to Inventory of Complicated Grief

  • Inventory of Complicated Grief Symptoms (ICGS)
  • Inventory of Complicated Grief Experiences (ICGE)
  • Inventory of Complicated Grief Reactions (ICGR)

Here are some FAQs and additional information
on Inventory of Complicated Grief

What is Complicated Grief (CG)?

Complicated Grief (CG) is a severe and prolonged grief reaction that is characterized by intense and prolonged symptoms of distress, including deep sadness, despair, yearning, anxiety, guilt, and hopelessness. CG often leads to functional impairment, such as difficulty with work or school, and can interfere with functioning in relationships and daily life.

What are the symptoms of Complicated Grief (CG)?

Symptoms of CG can include: intense and prolonged yearning or longing for the deceased, preoccupation with thoughts and memories of the deceased, difficulty finding meaning in life without the deceased, difficulty accepting the death, avoidance of reminders of the deceased, difficulty trusting others, feelings of guilt and self-blame, difficulty moving on with life, and difficulty maintaining relationships with others.

What is the Inventory of Complicated Grief (ICG)?

The Inventory of Complicated Grief (ICG) is a self-report measure designed to assess the severity of CG symptoms in individuals who have experienced the death of a loved one. The ICG is designed to provide clinicians with a measure to assess the presence and severity of CG symptoms in individuals who have experienced loss.

Want to use this template?

Testimonials

G2 BadgesG2 BadgesG2 BadgesG2 BadgesG2 Badges

What's next? Try out templates like
Inventory of Complicated Grief

1000+ Templates, 50+ Categories

Explore more
Child Therapy Intake Form
Gather important details about a child's emotional, behavioral, and developmental background before therapy begins. This intake form helps therapists understand the child's needs, family dynamics, and mental health history. Perfect for child therapists, school counselors, and pediatric mental health professionals.
Private Practice Counseling Intake Form
Efficiently onboard new clients in your private practice with this comprehensive counseling intake form. Collect personal details, mental health history, and therapy goals to prepare for effective treatment. Ideal for solo practitioners, therapists, and small counseling practices.
Psychotherapy Intake Form
Collect essential client information, including mental health history, presenting concerns, and treatment goals. Designed for psychologists, therapists, and clinical practices offering psychotherapy. Helps streamline assessment and prepare for effective, personalized care from the very first session.
Counseling Intake Form
Gather essential client details, mental health history, and therapy goals with this counseling intake form. Ideal for counselors, therapists, and mental health professionals in any practice setting.
Therapy Intake Form
Collect essential client information, mental health history, and therapy goals with this easy-to-use intake form. Perfect for therapists, counselors, and mental health professionals in private or clinical practice.
undefined
Anxiety screening by a seven item Generalized Anxiety Disorder GAD 7 in adults
Find out if you are suffering from Generalized Anxiety Disorder (GAD) with just seven simple questions. Our GAD-7 screening tool is a quick and easy way to assess your anxiety levels. Take control of your mental health and get the help you need. Start your anxiety screening now and take the first step towards feeling better.
Youth Mental Health Survey
Discover the latest findings on youth mental health with this comprehensive survey. Explore the statistics, trends, and insights that shed light on the challenges facing young people today. Gain valuable knowledge that can help support and advocate for the well-being of our youth. Stay informed and make a difference in the mental health landscape.
undefined
Conners ADHD Rating Scale
The Conners' ADHD Rating Scale is a questionnaire used to assess the presence and severity of ADHD symptoms in children and adolescents. It is used to diagnose and measure the severity of Attention Deficit Hyperactivity Disorder (ADHD). The questionnaire is designed to be completed by parents, teachers, caregivers, and other adults who are familiar with the child's behavior.
undefined
State Trait Anxiety Inventory
The State-Trait Anxiety Inventory (STAI) is a psychological questionnaire used to measure an individual's level of anxiety. It is commonly used in both research and clinical settings to assess the severity of anxiety and to diagnose anxiety disorders. 
undefined
Camberwell Assessment of need
The Camberwell Assessment of Need (CAN) is a tool for assessing the needs of people with severe and enduring mental illness.
undefined
Depression Anxiety Stress Scale
DASS is a set of three self-report scales designed to measure the negative emotional states of depression, anxiety and stress.
undefined
Inventory of Complicated Grief
Certain symptoms have been shown identify grief. Use this assessment scale to discover your grief status.
undefined
Depression screening by a nine item Patient Health Questionnaire PHQ 9 in adults
Over the last two weeks, how often have you been bothered by any of the following problems?
undefined
Anxiety screening by a two item Generalized Anxiety Disorder GAD 2 in adults
Over the last 2 weeks, how often have you been bothered by the following problems?

Want to create secure online forms and surveys?

Join BlockSurvey.

SHARE
Scripts are blocked. This site won’t work properly. If you’re using Brave, click the Shields icon and turn off Block scripts. Otherwise disable your ad blocker for this site.