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Questionnaire for Surviving Co-Multiples

Your name and contact information will be kept Confidential and never given out without your consent. Your feedback may be used to support other Surviving Co-Multiples and/or to educate professionals regarding the unique situation of co-multiple loss.
  1. Please provide your name, address and e-mail address.

     
  2. Did you lose a multiple brother(s), sister(s). Please be specific (e.g. I lost two triplet brothers).

     
  3. At what age did the loss occur (e.g. in utero, car accident at age 10 years). If losses occurred at different times (e.g. as with higher order multiples), please advise.

     
  4. Did you look for appropriate bereavement support? If yes, where did you look for support?

     
  5. Was it difficult to find appropriate support?

     
  6. Were 'they' (e.g. grief counsellor, doctor) open to your type of loss?

     
  7. Did your friends and/or family support you with your feelings? Please explain.

     
  8. What is the most difficult thing for you in being without your co-multiple? Be as detailed as you would like.

     
  9. What do you think would help you by way of support?

     
  10. Anything else you might like to add?

     

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