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Questionnaire on bereavement for pet's death
Posted by meow-yee on March 31, 2003 at 19:13:18:
How does a pet's death affect one in acquiring a new pet in the future?
I'm a university student majoring in psychology. Being a 14 year old cat owner myself, I am currently carring out a research on pet owner's grief over their pet's death. If you or someone you know has this experience, please help me out and do the following questionnarie(It takes about 8-10 minutes). I shall post my analysis and results after the research is done.
(Please note: It requires your effort to reply the answers to me. eg. Part I: 1F, 2B, 3A... Part II A1, B2a etc.)
Thank you very much for your time!
Part I
1. Owner's gender: (M/F)
2. My pet was: A) Dog B) Cat C) Other (please specify)
3. My pet's death was: A) Given an euthanasia B)A natural death
4. I acquired a new pet after this pet died: (Y/N)
5. My new pet is a : A)Dog B) Cat C) Other (please specify)
6. How old was your pet when it died? (months/years old)
7. How long did you have your pet before it died? (months/years)
8. My pet died:
A) Within the past 3 months B)3-6 mos ago C)6-9 mos ago
D) 9-12 mos ago E)1-2 yrs ago F)2-5 yrs G) 2-5 yrs ago H)5-10 yrs ago I)10-20 yrs ago
J) more than 20 yrs ago___
9. My pet died becasue of: A) Illness B)Accident C)Aging
Part II (If possible, please do the following assessment as well, thank you!)
Read over the statements grouped with each letter, A through T. Pick out the statement within each group that best describes the way you feel after your pet died, i.e. the bereavement period for your pet. Type in the number next to the statement that you have chosen in each group. If two or more statements in a group describe the way you feel equally well, type in both.
A. (Sadness)
0 I didn・t・ feel sad about my pet・s death.
1 I felt blue or sad about my pet・s death.
2a I was blue or sad all the time and I couldn・t snap out of it.
2b I was so sad or unhappy that it is quite painful.
3 I was so sad or unhappy that I can・t stand my pet・s death.
B. (Pessimism)
0 I was not particularly pessimistic or discouraged about the future.
1 I felt discouraged about the future.
2a I felt I have nothing to look forward to.
2b I felt that I won・t ever get over my troubles.
3 I felt that the future is hopeless and that things cannot improve.
C. (Sense of failure)
0 I did not feel like a failure.
1 I felt I have failed more than the average person.
2a I felt I have accomplished very little that is worthwhile or that means anything.
2b I felt that I won・t ever get over my troubles.
3 I felt that the future is hopeless and that things cannot improve.
D. (Dissatisfaction)
0 I was not particularly dissatisfied.
1a I felt bored most of the time.
1b I didn・t enjoy things the way I used to.
2 I didn・t get satisfaction out of anything anymore.
3 I was dissatisfied with everything.
E. (Guilt)
0 I didn・t feel particularly guilty for my pet・s death.
1 I felt bad or unworthy a good part of the time due to my pet・s death.
2a I felt quite guilty for my pet・s death.
2b I felt bad or unworthy practically all the time due to my pet・s death.
3 I felt as though I was very bad or worthless due to my pet・s death.
F. (Expectation of punishment)
0 I didn・t feel I was being punished.
1 I had a feeling that something bad may happen to me.
2 I felt I am being punished or will be punished.
3a I felt I deserve to be punished.
3b I wanted to be punished.
G. (Self-dislike)
0 I didn・t feel disappointed in myself.
1a I was disappointed in myself.
1b I didn・t like myself.
2 I was disgusted with myself.
3 I hated myself.
H. (Self-accusations)
0 I didn・t feel I was any worse than anybody else.
1 I was critical of myself for my weaknesses or mistakes.
2 I blamed myself for my faults.
3 I blamed myself for everything bad that happens.
I. (Suicidal ideas)
0 I didn・t have any thoughts of harming myself.
1 I had thoughts of harming myself but I would not carry them out.
2a I felt I would be better off dead.
2b I felt my family would be better off if I were dead.
3a I had definite plans about committing suicide.
3b I would have killed myself if I could.
J. (Crying)
0 I didn・t cry any more than usual.
1 I cried more than I used to.
2 I cried all the time. I couldn・t stop it.
3 I used to be able to cry but I couldn・t cry at all even though I want to.
K. (Irritability)
0 I was no more irritated than I ever were.
1 I got annoyed or irritated more easily than I used to.
2 I felt irritated all the time.
3 I didn・t get irritated at all at the things that used to irritate me.
L. (Withdrawal)
0 I had not lost interest in other pets.
1 I was less interested in other pets that I used to be.
2 I had lost most of my interest in other pets.
3 I had lost all my interest in other pets and didn・t care about them at all.
M. (Indecisiveness)
0 I made decisions about as well as ever.
1 I tried to put off making decisions.
2 I had great difficulty in making decisions.
3 I couldn・t make decisions at all anymore.
N. (Work retardation)
0 I couldn・t work about as well as before.
1a It took extra effort to get started at doing.
1b I didn・t work as well as I used to.
2 I had to push myself very hard to do anything.
3 I couldn・t do any work at all.
O. (Insomnia)
0 I couldn・t sleep as well as usual.
1 I woke up more tired in the morning than I used to.
2 I woke up 1-2 hours earlier than usual and found it hard to get back to sleep.
3 I woke up early every day and couldn・t get more than 5 hours sleep.
P. (Fatigability)
0 I didn・t get any more tired than usual.
1 I got tired more easily than I used to.
2 I got tired from doing anything.
3 I got too tired to do anything.
Q. (Anorexia)
0 My appetite was no worse than usual after my pet・s death.
1 My appetite was not as good as it used to be after my pet・s death.
2 My appetite was much worse after my pet・s death.
3 I had no appetite at all anymore after my pet・s death.
R. (Weight loss)
0 I hadn・t lost much weight after my pet・s death.
1 I had lost more than 5 pounds after my pet・s death.
2 I had lost more than 10 pounds after my pet・s death.
3 I had lost more than 15 pounds after my pet・s death.
S. (Somatic preoccupation)
0 I was no more concerned about my health than usual.
1 I was concerned about aches and pains or upset stomach or constipation.
2 I was so concerned with how I felt or what I felt that it・s hard to think of much else.
3 I was completely absorbed in what I felt.
T. Looking back, my relationship with this pet was:
0 Not very close at all.
1 About as close as most of my relationships with other pets.
2 Closer than most relationships I・ve had with other pets.
3 Closer than any relationship I・ve ever had before or since.
Thank you very much for answering all of these questions!