Grief Workshop Registration
Grief Workshops will be conducted in small groups to encourage a sense of community and connection. They also allow participants to share their experiences openly, foster mutual support, and feel less isolated in their journey of healing in an empathetic environment.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date of Workshop
*
-
Month
-
Day
Year
Date
Are you part of a group?
*
YES
NO
Are you a group leader?
*
YES
NO
Beliefs About Grief
Please rate your experience in each of these beliefs:
1. My heart will always have this wound.
Not At All
1
2
3
4
Very Much
5
1 is Not At All, 5 is Very Much
2. My grief and mourning should be focused on my departed. Self-care is selfish.
Not At All
1
2
3
4
Very Much
5
1 is Not At All, 5 is Very Much
3. I must do grief alone because no one can possibly understand the pain I am going through.
Not At All
1
2
3
4
Very Much
5
1 is Not At All, 5 is Very Much
4. I will never be happy again.
Not At All
1
2
3
4
Very Much
5
1 is Not At All, 5 is Very Much
5. Even seeing a grief therapist is not going to help me feel better.
Not At All
1
2
3
4
Very Much
5
1 is Not At All, 5 is Very Much
6. My departed is gone. If I stop longing for them, I may forget him/her.
Not At All
1
2
3
4
Very Much
5
1 is Not At All, 5 is Very Much
7. If I move forward, that is dishonoring my departed.
Not At All
1
2
3
4
Very Much
5
1 is Not At All, 5 is Very Much
8. Loss is a part of life. Grief is a natural consequence of loss.
Not At All
1
2
3
4
Very Much
5
1 is Not At All, 5 is Very Much
9. I am not broken. I am broken open to feel emotions, heal through the guidance of the body and discover Integrated wellbeing.
Not At All
1
2
3
4
Very Much
5
1 is Not At All, 5 is Very Much
10. Grief is a gateway to growth.
Not At All
1
2
3
4
Very Much
5
1 is Not At All, 5 is Very Much
Diving Deep
Please complete or answer in your own words:
1. When grief overwhelms me it feels like...
2. The one thing I wish would change is...
3. My biggest fear is...
4. What I would like to have happen is...
5. What is working to release your grief?
6. Is there a ray of hope in all of this? If so, what is it?
7. What is not working to release your grief?
8. Where is grief in your body?
9. What would you like to have happen as an outcome of us working together?
10. By when?
Save
Submit
Should be Empty: