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The dissertation of Kelley, IHM, MS_________________ entitled ...

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PART I: PAST BEHAVIOR<br />

Grief in Women Religious 63<br />

Think back to the time this person died and answer all <strong>of</strong> these items about your feelings<br />

and actions at that time by checking whether each item is Completely True, Mostly True,<br />

Both True and False, Mostly False, or Completely False as it applied to you after this<br />

person died. Check the best answer.<br />

1. After this person died I found it hard to get along with certain people.<br />

____Completely True ____Mostly True ____Both True and False<br />

____Mostly False ____Completely False<br />

2. I found it hard to work well after this person died.<br />

____Completely True ____Mostly True ____Both True and False<br />

____Mostly False ____Completely False<br />

3. After this person's death I lost interest in my family, friends, and outside activities.<br />

____Completely True ____Mostly True ____Both True and False<br />

____Mostly False ____Completely False<br />

4. I felt a need to do things that the deceased had wanted to do.<br />

____Completely True ____Mostly True ____Both True and False<br />

____Mostly False ____Completely False<br />

5. I was unusually irritable after this person died.<br />

____Completely True ____Mostly True ____Both True and False<br />

____Mostly False ____Completely False<br />

6. I couldn’t keep up with my normal activities for the first 3 months after this person<br />

died.<br />

____Completely True ____Mostly True ____Both True and False<br />

____Mostly False ____Completely False<br />

7. I was angry that the person who died left me.<br />

____Completely True ____Mostly True ____Both True and False<br />

____Mostly False ____Completely False<br />

8. I found it hard to sleep after this person died.<br />

____Completely True ____Mostly True ____Both True and False<br />

____Mostly False ____Completely False

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