March 2021: Mondays 10-Step group

1

Name

First Name

Last Name

2

E-mail

example@example.com

3

Birth Date

4

City, State, Country

5

What time zone are you located in?

6

How do you spend your days? And/or what is your profession?

7

We are grateful you'll be joining this space with us. We're wondering, what brings you to this program? (Or, why are you joining us?)

8

What do you believe is the most pressing issue facing humanity right now?

9

Do you have children? If so, what are their ages?

10

What is your goal in working these steps?

Building community

Learning how to navigate heavy or painful emotions

Connecting to more resources (books, articles, music, poetry, documentaries)

Building personal resilience

Finding a safe place to share thoughts and feelings

11

What tools are you currently using to cope with the state of the world?

12

How did you hear about Good Grief Network?

13

What else would you like for Good Grief Network to know?

14

Payment for Program* This field is required.GGN's suggested offering is $500USD for our 10-week program, and $150 is the minimum we can accept for financially-constrained participants. (This breaks down to $15-$50 a session) We do not want finances to be an obstacle to participation, so if you cannot pay the minimum, please email info@goodgriefnetwork.org; we reserve one spot in each group for a work exchange. No one will be turned away for lack of funds. Please consider the following questions before deciding the offering that is appropriate for you: -We will help you reframe the global predicament, offer tools to help you learn emotional regulation techniques, and offer a live intimate, supportive community for 10 weeks. What do you value these offerings at? -We have teams of three to support you through GGN's 10-week program. What is the value for our team and their time, energy, and leadership that you will experience throughout the program? -What is the hourly value that your culture has assigned to your time? Please consider a minimum fee that is equal to 20 hours at your average hourly rate. -What offering covers a meaningful contribution for our 10-week journey & is also within your means to pay?

150

USD

300

USD

500

USD

750

USD

Please pay what you are able. Our suggested offering is $500.

USD

+ OR enter a custom value

15

Please note that this group must book at least six participants to launch. If we do not have six participants on the day the group is scheduled to work Step 1, we will postpone one week to allow for more participants.

See Good Grief Network's 10-Step Refund Policy.

16

Payment Methods

Debit Or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

Please click one of the PayPal options to complete payment and submit the form.