Hello!

Thank you for your interest in The Share My Grief Project - below is a small questionnaire to help us match you with another sibling who is walking the same path as you.

If there are any questions or answers that you feel uncomfortable with, simply skip the question box. However, the more detail you give, the easier it will be to match you up with a similar sibling.

NB: Although we will try and match you to your preferences as closely as possible, it might not always be entirely possible. Should this be the case, you will be contacted before a pairing is arranged.

All information given in this survey is strictly confidential and will not be shared with anyone nor your pairing. You will be able to decide how much or little of your story you would like to share.

Thanks!

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* 1. First things first (a nice easy one to start with), what's your name?

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* 2. (Another easy one to get going!) How old are you?

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* 3. Where do you live?

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* 4. What is your sibling/s name?

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* 5. How old was your sibling/s when they passed away?

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* 6. When did your sibling/s pass away?

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* 7. What were the circumstances around your sibling/s passing?

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* 8. Please rank the following statements in terms of importance of who you are matched with:

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* 9. Finally, what email address would you like to be used for future contact?

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