When somebody important in your life dies, it can have an impact on your feelings - sometimes a powerful and long-lasting impact. It can also affect your wider life, for example, at work or school, your family life, financial security or where you live.

We want to hear from people in Waltham Forest, Redbridge and West Essex who have lost someone close to them about their experiences, feelings and needs around bereavement and grief, to help us put the right support in place. If you have been bereaved or know that you are about to be, would you be willing to take our confidential survey?

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* 1. Which area do you live in?

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* 2. Is the person who is dying or who who died your...?

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* 3. How long have you been bereaved? 

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* 4. Do you or did you feel supported by friends and family following the death of the person you were close to?

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* 5. What would make or would have made the biggest difference to you from friends/family/community at the time?

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* 6. Do you or did you feel you were supported by professionals or organisations in the lead up to and following the death of the person close to you?

  Very well Quite well Not so well Not at all Not appropriate
Your GP
Other health professionals at your GP practice
Hospital/hospice doctor/s and nurses
Hospital/hospice nurse/s
Community nurses
Community grief counsellors/therapists
Local authority/council care workers
Teachers and other school/college professionals
Voluntary sector organisations such as MacMillan, Marie Curie, Age UK, Carers First, Citizen's Advice
Your faith leader and community
Funeral Director
Any other professional or organisation who gave you support

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* 7. What difference would these types of support from professionals and organisations make or have made to you?

  A lot Some Not much None Not appropriate
Listening and emotional support – sometimes called grief or bereavement counselling
Navigating your emotions – including stages of grief, reaching out for support, grief cafes, time in nature, rituals, faith etc
Support with understanding things like managing sleep, anxiety, appetite, physical pain, eating well etc. for the bereaved person
Practical everyday support such as with food or childcare
Support with putting the person’s affairs in order, such as planning funerals, wills and belongings
Being offered a place or space to get together with other people who are bereaved
Time and space away from work or school/college to grieve
Financial advice and support
Support from an organisation that works with my community

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* 8. Do you feel you have particular needs that should be considered by professionals and organisations around your bereavement? For example

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* 9. Are there especially distressing circumstances around your loss?

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* 10. What sort of information would be or have been most helpful around bereavement? Please put in order of usefulness

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* 11. There is a proposal to offer a counselling service around bereavement for people in Waltham Forest, Redbridge and West Essex. 

Some ideas about a service currently being considered include those set out below.

As someone who is currently preparing for bereavement or who has been bereaved, how much would each of these help you or have helped you?

  A lot Some Not much None Not applicable
Six sessions of one-to-one bereavement counselling for adults
Six sessions of child-appropriate bereavement support for children such as art therapy or play therapy
Six sessions of family bereavement counselling
Group activity sessions for young people
Information about wider support available during and after the sessions
Bi-memorial events offering young people the opportunity to remember a person they lost through a creative memorial event suitable for young people of all ages and cultures

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* 12. Is there was some other kind of support that could or would have made a big difference to you around being bereaved, what would it be? 

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* 13. How would you generally prefer your support to be offered?

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* 14. Would you generally prefer your support to be: 

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* 15. Would you generally prefer your support to be:

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* 16. Would you be interested in being further involved in our engagement work as we develop these plans for a new bereavement service?

This might involve something like being invited to attend a discussion group on particular aspects of your experience or being asked to comment on service proposals as they develop, either online or in person.

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* 17. If so, please provide your email address. 

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