Grief and Work
This survey is designed to collect perceptions of how the loss of a loved one affects people at work. The goal of collecting this data is to help provide better support to employees who are grieving. Please reflect on your personal experiences while taking the survey whether or not you are currently employed.

Mother's Backyard Garden is a non-profit organization working to help individuals and families build better communities. Our organization strives to work with individuals and organizations by equipping them with the information, tools, resources and practical experiences necessary to better manage the grieving process.

Mother's Backyard Garden is committed to maintaining your privacy. Compiled survey data will be anonymously presented. All data key data and information collected from the survey will be published at https://mothersbackyard.org/ and used to shape tools and solutions for individuals and clients working with our organization.

A valid email address is required to complete the survey. If you decide to "opt-in" after completing the survey, a link to the survey results will be emailed to you. Your email will not be used for marketing, future solicitation, advertisements, or promotional purposes. We require your email to ensure each respondent completes the survey once.

The survey should take less than 3 minutes to complete. Thank you in advance for your candid responses and feedback.
Email *
In which region do you reside? *
Please select your age group from the drop-down list below:
How long have you been in your current Role? *
Which item below best describes the Department in which you work? *
Please select one item below that best describes your Employer: *
Which item below best describes your Level in the organization? *
How recently have one of your work colleagues (Immediate Supervisor, Peer or Direct Employee) lost a loved one? *
What was your colleague's relationship to the deceased? *
How was the survivor affected at work? Please select all behavioral observations you can recall from the list below: *
Required
What did you or the organization do in order to support the grieving individual? Please select ALL that apply:
How long SHOULD it take this person to become fully engaged at work? *
How long DID it take this person to become fully engaged at work? *
Please estimate how engaged and productive the employee you were thinking of in response to the previous items? *
How recently have you lost a loved one? *
What was your relationship to the deceased? *
How long did it take you to become fully engaged at work? *
What did your organization do in order to support you during the grieving process? Please select ALL that apply:
How did the grieving process affect your work? Please select all behavioral observations you can recall from the list below: *
Required
To what degree has grief challenged your faith? Please respond using the 5-point scale below. *
No Degree
High Degree
How significant has your faith played a role in helping you grieve? Please respond using the 5-point scale below. *
Not At All Significant
Highly Significant
Have you heard of the "Grief Cycle"? Please respond using the drop-down menu below. *
Please indicate your level of understanding of the "Grief Cycle" using the scale below. *
No Understanding at All
High Degree of Understanding
Please review the list below: it represents emotions and "stages" of grief some people experience. Please indicate the amount of time you spent (if any) during each stage regarding your last grieving experience. *
The LEAST amount of time
A MODERATE amount of time
The MOST amount of time
NO TIME spent
Shock
Denial
Joy
Bargaining
Depression
Relief
Acceptance
Solution Seeking/Testing
Happiness
Anger
Would it be helpful for people to have a way to identify where they are on their grief journey? *
How helpful would it be if people had a way of identifying where they are on their grief journey and a strategy to progress forward? *
Not helpful
Very helpful
Please indicate which resources you found MOST and LEAST helpful when grieving: *
MOST Helpful
LEAST Helpful
DID NOT Consider
Faith / Religion
Support Group
Work Colleagues/Peers
Immediate Supervisor
Counselling
Family
Human Resources
Self-Study
What is the best advice you have received that you would want to pass along to others that are grieving? *
Would you like to be notified via email when the survey results are available? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy