Living (Really Living) After Loss Assessment
* Required
Email address
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What is your experience of loss (check all that apply)?
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Loss of a loved one by death
Loss of a relationship by divorce, separation or breakup
Loss of a job or business
Loss of a home or investment property
Loss of health, due to illness or aging
Loss of financial stability
Loss of a pet
Other
Required
What are you doing to heal after your loss (check all that apply)?
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Spending time with friends and family
Going out, such as to see movies or a show, hear music or go to a museum
Exercising, such as yoga, Pilates, weights, cardio, swimming or running
Practicing self-expression, such as singing, making art or writing poetry
Going inward with activities such as journaling, meditation or breathwork
Scheduling self-care, such as massage, mani-pedis, healing bowls or spas
Spending time in nature
Other:
Required
Are you satisfied with your healing process so far (understanding that healing takes time)?
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Yes
No
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