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Grief Recovery Support Application 
Please take a few minutes to complete this application.
This is a sacred space for those who are navigating grief and looking for community, healing, and support. Your responses will help me understand where you are in your journey and determine if this is the right fit for you. All answers are kept completely confidential and will be read with care and compassion.
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First and Last Name  *
Phone Number  *
Email *
Mailing Address  *
How did you hear about the group?
 *
Tell me a little about your grief story. (Don't let this be overwhelming-- just share with me what you feel comfortable sharing) 
 *
When did this loss occur?
 *
Have you done any grief work previously (therapy, support groups, journaling, etc.)?
 *
On a scale of 1–10, how ready do you feel to take an active step in your healing?
(1 = not ready, 10 = completely ready)
 *
What are you hoping to get out of this support group?
 *
Required
This support group includes a financial commitment. Are you open to investing in your healing?
 *
Will you be doing this with a friend or loved one? If so, type their name so I can make sure and send you both a gift if you decide to move forward. 
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