Maternal Group for Grief & Liberation Part II

Your Name

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What is your vocation?

Ethnicity/Cultural Background?

What is your intention for joining our group?

Please choose the option that best describes you

How would you describe your take on collective liberation at this time?

How do you believe our roles as mothers to be intertwined with the liberation of marginalized and oppressed peoples?

Tell us a little bit about yourself and your motherhood journey

Do you currently work with a therapist and/or mentor?

Other

Have you ever received mental health support? Below, please provide as much information as you feel comfortable sharing with regards to your mental health history

Have you been a part of a group container previously? If so, please describe your experience; what were your likes and dislikes as to how the group was facilitated?

What are you looking for in a support group?

Are you willing to participate in all six sessions and commit to maintaining the privacy and confidentiality of other participants' shares?

Please share a bit about your spiritual and/or religious beliefs. This will help me get to know the participants ahead of time as I prepare for the course curriculum, according to everyone's identities.

These group sessions will be largely informed by a decolonization framework, which stands by the dismantling of all systems of oppression and harm. This includes Palestine, Congo, Haiti, Sudan, occupied Indigenous territories, and beyond. Is this a framework that you are interested in partaking in, as it relates to our maternal experiences of grief and love?

Do you have any other needs that can be supported by the facilitator and/or fellow group participants?

Do you have any physical, emotional, or other types of limitations that I should be aware of?

What attributes do you look for in a facilitator to help you feel safe and engaged in the process?

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Billing Address

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My Products

Online Support Group- 7 sessions

$750.00

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