Which of these symptoms are you experiencing since losing a loved one? Check the ones that happen to you, and write down how often in the line next to it. ***This download is a fillable worksheet which allows the option to type or click directly into the document using an electronic device. A PDF Reader (Adobe, Foxit, etc.) is required in order to use fillable features. Worksheet can be saved on the device or sent electronically without the need to print. Learn more about fillable worksheets here! Worksheet can also be printed for in-person use with clients.