Puffins Presentation FDAS I am comfortable telling people my love partner has died Almost Always Usually Sometimes Seldom Almost Never I am physically and emotionally exhausted from morning until night Almost Always Usually Sometimes Seldom Almost Never I am constantly thinking of my former love partner Almost Always Usually Sometimes Seldom Almost Never I feel rejected by many of the friends I had when I was in the love relationship Almost Always Usually Sometimes Seldom Almost Never I become upset when I think about my former love partner Almost Always Usually Sometimes Seldom Almost Never I like being the person I am Almost Always Usually Sometimes Seldom Almost Never I feel like crying because I feel so sad Almost Always Usually Sometimes Seldom Almost Never I can communicate with my former love partner in a calm and rational manner Almost Always Usually Sometimes Seldom Almost Never There are many things about my personality I would like to change Almost Always Usually Sometimes Seldom Almost Never It is easy for me to accept my becoming a single person Almost Always Usually Sometimes Seldom Almost Never I feel depressed Almost Always Usually Sometimes Seldom Almost Never I feel emotionally separated from my former love partner Almost Always Usually Sometimes Seldom Almost Never People would not like me if they got to know me Almost Always Usually Sometimes Seldom Almost Never I feel comfortable visiting my former love-partner's gravesite Almost Always Usually Sometimes Seldom Almost Never I feel like I am an attractive person Almost Always Usually Sometimes Seldom Almost Never I feel as though I am in a daze and the world doesn't seem real Almost Always Usually Sometimes Seldom Almost Never I find myself doing things just because my former love-partner would have like my doing those things Almost Always Usually Sometimes Seldom Almost Never I feel lonely Almost Always Usually Sometimes Seldom Almost Never There are many things about my body I would like to change Almost Always Usually Sometimes Seldom Almost Never I have many plans and goals for the future Almost Always Usually Sometimes Seldom Almost Never I feel I don't have much sex appeal Almost Always Usually Sometimes Seldom Almost Never I am relating and interacting in many new ways with people since my partner's death Almost Always Usually Sometimes Seldom Almost Never Joining a singles group would make me feel I was a loser like them Almost Always Usually Sometimes Seldom Almost Never It is easy for me to organize my daily routine of living Almost Always Usually Sometimes Seldom Almost Never I find myself making talking about my former love-partner all the time Almost Always Usually Sometimes Seldom Almost Never Because my love relationship has passed, I must not enjoy life Almost Always Usually Sometimes Seldom Almost Never I feel like unloading my feelings of anger and hurt upon my former love partner Almost Always Usually Sometimes Seldom Almost Never I feel comfortable being with people Almost Always Usually Sometimes Seldom Almost Never I have trouble concentrating Almost Always Usually Sometimes Seldom Almost Never I think of my former love partner as related to me rather than as a separate person Almost Always Usually Sometimes Seldom Almost Never I feel like an okay person Almost Always Usually Sometimes Seldom Almost Never I hope my former love partner is feeling as much or more emotional pain than I am Almost Always Usually Sometimes Seldom Almost Never I have close friends who know and understand me Almost Always Usually Sometimes Seldom Almost Never I am unable to control my emotions Almost Always Usually Sometimes Seldom Almost Never I feel capable of building a deep and meaningful love relationship Almost Always Usually Sometimes Seldom Almost Never I have trouble sleeping Almost Always Usually Sometimes Seldom Almost Never I easily become angry at my former love partner Almost Always Usually Sometimes Seldom Almost Never I am afraid to trust people who might become love partners Almost Always Usually Sometimes Seldom Almost Never Because my love-partner passed away, I feel I am being punished Almost Always Usually Sometimes Seldom Almost Never I either have no appetite or eat continuously which is unusual for me Almost Always Usually Sometimes Seldom Almost Never I don't want to accept the fact that my love-partner has passed away Almost Always Usually Sometimes Seldom Almost Never I force myself to eat even though I'm not hungry Almost Always Usually Sometimes Seldom Almost Never I have decided to join the living; my dead love partner can no longer satisfy my needs Almost Always Usually Sometimes Seldom Almost Never I feel very frightened inside Almost Always Usually Sometimes Seldom Almost Never It is important that my family, friends, and associates share my feelings about my former love-partner Almost Always Usually Sometimes Seldom Almost Never I feel uncomfortable even thinking about dating Almost Always Usually Sometimes Seldom Almost Never I feel capable of living the kind of life I would like to live Almost Always Usually Sometimes Seldom Almost Never I have noticed my body weight is changing a great deal Almost Always Usually Sometimes Seldom Almost Never I often feel that if I had done things right, my love-partner wouldn't have died Almost Always Usually Sometimes Seldom Almost Never My abdomen feels empty and hollow Almost Always Usually Sometimes Seldom Almost Never I have feelings of romantic love for my deceased love-partner Almost Always Usually Sometimes Seldom Almost Never I can make the decisions I need to because I know and trust my feelings Almost Always Usually Sometimes Seldom Almost Never I sometimes wish my dead partner was alive and I were dead so that he/she could know what it is like to hurt this way Almost Always Usually Sometimes Seldom Almost Never I avoid people even though I want and need friends Almost Always Usually Sometimes Seldom Almost Never I have really made a mess of my life Almost Always Usually Sometimes Seldom Almost Never I sigh a lot Almost Always Usually Sometimes Seldom Almost Never I believe I have accepted the death of my spouse Almost Always Usually Sometimes Seldom Almost Never I perform my daily activities in a mechanical and unfeeling manner Almost Always Usually Sometimes Seldom Almost Never I become upset when I think of my dead spouse having a peace I cannot share Almost Always Usually Sometimes Seldom Almost Never I feel capable of facing and dealing with my problems Almost Always Usually Sometimes Seldom Almost Never I blame my former love-partner for dying on me Almost Always Usually Sometimes Seldom Almost Never I am afraid of becoming sexually involved with another person Almost Always Usually Sometimes Seldom Almost Never I feel adequate as a fe/male love partner Almost Always Usually Sometimes Seldom Almost Never I often think about the day I will be able to join my dead partner Almost Always Usually Sometimes Seldom Almost Never I feel detached and removed from activities around me as though I were watching them on a movie screen Almost Always Usually Sometimes Seldom Almost Never I often imagine having sex with my former love-partner Almost Always Usually Sometimes Seldom Almost Never Life is somehow passing me by Almost Always Usually Sometimes Seldom Almost Never I feel comfortable going by myself to a public place such as a movie Almost Always Usually Sometimes Seldom Almost Never It is good to feel alive again after having felt numb and emotionally dead Almost Always Usually Sometimes Seldom Almost Never I feel I know and understand myself Almost Always Usually Sometimes Seldom Almost Never I feel emotionally committed to my former love partner Almost Always Usually Sometimes Seldom Almost Never I want to be with people but I feel emotionally distant from them Almost Always Usually Sometimes Seldom Almost Never I am the type of person I would like to have for a friend Almost Always Usually Sometimes Seldom Almost Never I am afraid of becoming emotionally close to another love partner Almost Always Usually Sometimes Seldom Almost Never Even on the days when I am feeling good, I may suddenly become sad and start crying Almost Always Usually Sometimes Seldom Almost Never I can't believe my partner has passed away Almost Always Usually Sometimes Seldom Almost Never I become upset when I think my dead partner can no longer share my feelings or my life Almost Always Usually Sometimes Seldom Almost Never I have a normal amount of self-confidence Almost Always Usually Sometimes Seldom Almost Never People seem to enjoy being with me Almost Always Usually Sometimes Seldom Almost Never Morally and spiritually, I believe it is wrong for our love relationship to end Almost Always Usually Sometimes Seldom Almost Never I wake up in the morning feeling there is no good reason to get out of bed Almost Always Usually Sometimes Seldom Almost Never I find myself daydreaming about all the good times I had with my love partner Almost Always Usually Sometimes Seldom Almost Never People want to have a love relationship with me because I feel like a lovable person Almost Always Usually Sometimes Seldom Almost Never If it were possible, I'd get satisfaction out of letting my dead partner know how much I'm hurting Almost Always Usually Sometimes Seldom Almost Never I feel comfortable going to social events even though I am single Almost Always Usually Sometimes Seldom Almost Never I feel guilty about my being alive when my love-partner is dead Almost Always Usually Sometimes Seldom Almost Never I feel emotionally insecure Almost Always Usually Sometimes Seldom Almost Never I feel uncomfortable even thinking about having a sexual relationship Almost Always Usually Sometimes Seldom Almost Never I feel emotionally weak and helpless Almost Always Usually Sometimes Seldom Almost Never I think about ending my life with suicide Almost Always Usually Sometimes Seldom Almost Never I no longer feel the need to understand why my partner passed away Almost Always Usually Sometimes Seldom Almost Never I feel comfortable that my friends know my partner died Almost Always Usually Sometimes Seldom Almost Never I am angry about the things my former love partner has been doing Almost Always Usually Sometimes Seldom Almost Never I feel like I am going crazy Almost Always Usually Sometimes Seldom Almost Never I am unable to perform sexually Almost Always Usually Sometimes Seldom Almost Never I feel as though I am the only single person in a couples-only society Almost Always Usually Sometimes Seldom Almost Never I feel like a single person rather than a married person Almost Always Usually Sometimes Seldom Almost Never I feel my friends look at me as unstable now that I'm separated Almost Always Usually Sometimes Seldom Almost Never I daydream about being with and talking to my former love partner Almost Always Usually Sometimes Seldom Almost Never I need to improve my feelings of self-worth about being a wo/man Almost Always Usually Sometimes Seldom Almost Never What is your gender? Female Male Prefer not to say Do you have kids? None 0-5 years old 6-12 years old 13-18 years old 19 or older What do you do during normal work hours? Stay at home parent Physical/Active type of job Managerial job Desk Job Not currently working/Other How long were you married? Please select your answer 0 to 5 years 6 to 10 years 11 to 15 years 16 to 20 years 21 years or more How long ago did your former love-partner pass away? Please select your answer 0 to 1 year ago 1 -2 years ago 2-5 years ago 6 or more years ago Please tell us a little bit about your story (optional) Did you/do you have many friends or family to talk to and support you? (optional but very helpful) Please select your answer Yes No Is there anything else you would like to share with us that might be helpful? Email address Name Phone Number Time's up Leave a Reply Cancel replyYou must be logged in to post a comment.
