Help for widowed people

① How long ago did your spouse pass?*

Less than 12 months ago.

13-24 months ago.

2-3 years ago.

3+ years ago.

② Which best describes you?*

Barely functioning – getting out of bed, showering and other basic functions are difficult for me.

Functioning – I’m able to get day to day things done, but I'd like to be doing better.

Doing pretty well for the most part, but I’d like to be doing even better.

③ My #1 biggest struggle lately is.....*

My brain doesn't work the way it once did.

Relationships: friends and family don't understand me or don't support me as I'd like.

I've lost my confidence/ it's hard to make decisions

I'm overwhelmed and can't get things done.

I'm lonely.

I'm dreading an upcoming day or holiday.

I feel stuck in my grief/ I think I should be doing better by now.

I don't know my purpose/ who I am.

Something else.

④ My second biggest struggle lately is.....*

My brain doesn't work the way it once did.

Relationships: friends and family don't understand me or don't support me as I'd like.

I've lost my confidence/ it's hard to make decisions

I'm overwhelmed and can't get things done.

I'm lonely.

I'm dreading an upcoming day or holiday.

I feel stuck in my grief/ I think I should be doing better by now.

I don't know my purpose/ who I am.

Something else.

⑤ A third struggle for me lately is....

My brain doesn't work the way it once did.

Relationships: friends and family don't understand me or don't support me as I'd like.

I've lost my confidence/ it's hard to make decisions

I'm overwhelmed and can't get things done.

I'm lonely.

I'm dreading an upcoming day or holiday.

I feel stuck in my grief/ I think I should be doing better by now.

I don't know my purpose/ who I am.

Something else.

⑥ The #1 thing I want for myself is....*

To make important decisions.

To have better relationships with family and/or friends.

To find friends who will understand/support me.

To feel that my life has purpose.

To figure out who I am, now.

To feel confident.

To find companionship and/or a relationship.

I have no idea.

Something else.

⑦ Something else that I want for myself is....

To make important decisions.

To have better relationships with family and/or friends.

To find friends who will understand/support me.

To feel that my life has purpose.

To figure out who I am, now.

To feel confident.

To find companionship and/or a relationship.

I have no idea.

Something else.

Widows, get real help.

You don't have to do this alone.

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