New Client

Welcome to the Beyond The Light Center’s

grief support application process

I understand that the grief journey is deeply personal and unique to each individual.

To ensure that I can provide you with the most personalized and effective support possible, I invite you to take a few moments to share some information about yourself.

The following questions are designed to help me better understand your experiences, needs, and goals as you navigate the challenges of grief and loss.

Your answers will assist me in tailoring our approach to meet your needs best.

I appreciate your willingness to embark on this journey with me.

Name

First Name

Last Name

Phone

(###)

###

####

When was the last time you experienced the death of a loved one or significant person in your life?

How is your grief currently impacting your life?

What are your expectations or goals for seeking support with grief work?

How do you typically cope with difficult emotions, such as sadness, anger, or guilt?

Can you describe your support system or network of people you turn to during challenging times?

Have you previously engaged in any form of grief work? If so, what was your experience like?

What are your biggest fears or concerns about engaging in grief work?

Are there any specific cultural, spiritual, or personal beliefs that influence how you approach grief and loss?

Are you willing and able to commit time and financial resources to prioritize your healing journey?

Is there anything else you'd like me to know?