Need Compassionate Listening Care?
Are you looking for a Karuna Care companion to help journey with you as you navigate life? Please fill out the form below to have someone from our team reach out to you to schedule time to

* create a sacred space for confidential, heart-centered conversation
* receive life-cycle support
* receive grief & loss support
* have a space for self-reflection.

Individual sessions are a maximum of 50mins in length, and can last up to 6 times, as needed. If further assistance is required, persons will be referred to other counselors or professionals.

Compassionate Listening Presence, even if not therapy in the traditional sense, can be very therapeutic.

For additional support and learning, join us at

Disclaimer: Please be aware that our team members are not licensed professional psycho therapists. Should your needs go beyond our scope of practice, you may need to contact someone with those skills or we may refer you to an appropriate professional. We do not diagnose or prescribe medications. We also do not offer unsolicited advice how you should lead your life. Rather, we view ourselves as companions ready to support you while you wrestle with a current life challenge that you have identified. We are committed to providing you a confidential, safe space where you may express and explore your thoughts, feelings, and values and gain greater clarity how you might move forward in your life.

The information you provide on this form will be kept confidential by our Karuna Care Companions. Please be as detailed as possible.

If you are experiencing a mental health emergency contact a crisis counselor or the National Suicide Prevention Lifeline 1800 273 8255, or follow this link:

Please call 911 (USA) 000 (Australia) if you are in imminent danger.

To find a licensed clinical psychologist or therapist please visit the following websites:

Sign in to Google to save your progress. Learn more
Name *
Age *
Gender *
Email *
City, Country *
Preferred Time of Day *
Time Zone *
Preferred Day of the Week *
Preferred Language *
Phone number (to connect on Whatsapp)
Ethnicity *
Brief explanation of your current life Challenge. What do you hope to receive from Compassionate listening care? *
Emergency Contact Name/Phone & Relationship to you *
What is your relationship to ISKCON?
Are you currently under the care of a psychologist, psychiatrist, or other mental health professional? *
Are you currently taking medication for your mental health? *
Caring relationships are not bound by material benefits. Yet, if you are so inclined, please do offer a donation to the Karuna Care member for each session that will help to enhance training and to keep this program going.  
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.