Bereavement Group for Those Who Have Lost a Loved One in the Past 3 Years

Bereavement Group for Those Who Have Lost a Loved One in the Past 3 Years

As part of VOICES Building a Resilient Community programs, we are launching a series of bereavement support groups. The group is intended for individuals who have lost a loved one in the past 3 years.

After the loss of a loved one, individuals coping with grief often feel isolated. Bereavement groups allow members to share their struggles with others who have experienced a similar loss. The support of group members, and knowing you are not alone with your thoughts and feelings, can provide hope, healing and a path forward.

Individuals are encouraged to participate in all 6 sessions. Participation is free but registration is required. Space is limited.

Name*

First NameLast Name

Email*

example@example.com

Confirm Email*

example@example.com

Street Address

Street Address Line 2

City

State/Region

Postal Code*

Country

Phone Number*

Were you impacted by 9/11 or another traumatic event?*

YesNo

Have you lost a family member due to COVID-19?*

YesNo

Have you lost a loved one recently?*

YesNo

How do you identify yourself?

Relationship to the Person Lost?*

Other

Please Specify

How long ago did you experience this loss?*

less than 6 months6-months to 1 year1-2 years2-3 years

I agree to keep information discussed and identities of other group members confidential*

YesNo

I agree to the terms stated above, and release VOICES from any liability related to my participation.*

YesNo

Are there any questions you’d like the presenter to answer as part of this workshop?