Spirit Of The Earth Carry Me Home Project
During these times of Covid-19 our regular way of life has been interrupted, and this is especially felt in our death rituals. If you are here, I offer you my deepest condolences. We hope to be of service in a way that makes you feel supported and loved in your grief and loss, and that our presence in your life lifts some of the burden. You're not alone in this beloved. Please take the time to fill out this questionnaire so we can begin the process of preparing the sacred vessel for our dearly departed.
We will respond to you within 12-24 hours. (Requests will be filled based on availability of funds)
* Required
Email
*
Your email
City and Zip code
*
Your answer
Name of person seeking support
*
Your answer
Phone Number
*
Your answer
Address
*
Your answer
Name and pronoun of the deceased
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Date of Death
*
MM
/
DD
/
YYYY
Where is the deceased currently located?
*
Your answer
Religious/Spiritual Affiliation
*
Your answer
Would you be interested in adorning your own coffin or do you prefer one completed by a community artist?
*
I prefer to do it myself
I would prefer for it be done by a Community Artist (with personal items included if desired)
Not sure
Where will the deceased be transported to?
*
Cemetery
Crematorium
Not Sure
Do you need support with cremation/burial costs? (We do not cover burial plot or headstones costs)
*
Yes
No
Do you have any questions ?
Your answer
Submit
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy