Grief and Loss Coaching Request
Hello, and thank you for your interest in my personal coaching services!

I offer packages for 50-minute one-on-one sessions that focus exclusively on your goals and needs. We decide together if you’d like to schedule these sessions weekly or biweekly. You can learn more about this at

Once you’ve filled out this brief questionnaire, either I or someone from my team will be back with you shortly to discuss available and upcoming options.

(If you are interested in the Aftergrief Coaching Circle or Motherless Daughters Community Calls, this form is NOT needed to apply for those. Head back to the Coaching page at and click on the direct link for those group programs.)

Let’s start with a few brief questions!
Name *
Email Address *
Where do you live? (Address AND What time zone are you in?) *
Have you attended either a Motherless Daughters Retreat in the past? Did you take part in any ONLINE offering for The Aftergrief or Motherless Daughters in 2020? *
Who did you lose? *
What was the cause of death? *
How old were you at the time? *
How old are you now? *
Will you be experiencing any significant occasions in the next six months, such as a milestone birthday, a death anniversary, or a major life transition? *
Where do you feel most stuck? *
Would you like to interact with others who may share similar stories? *
What do you hope to get out of a coaching arrangement? *
What is your budget for coaching support? *
As always, if cost is an obstacle, please let us know. We can often offer price reductions for BIPOC, LGBTQ, single mothers, students, and anyone experiencing financial hardship due to an adverse health event.
Thank you for your request! Our team will follow up within 24-48 hours about next steps.
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