Grief Coaching Registration

First Name

Last Name

How well do you feel you understand your personal experience of grief?

1 (not very well)
2
3
4
5 (very well)

How confident do you feel in managing your grief so that it doesn't overwhelm you?

1 (not at all confident)
2
3
4
5 (very confident)

How well are you able to balance grief focussed activities with life focussed activities?

1 (not very well)
2
3
4
5 (very well)

How confident do you feel in maintaining ongoing connections with your child?

1 (not at all confident)
2
3
4
5 (very confident)

How comfortable are you in your sense of identity after loss?

1 (not at all comfortable)
2
3
4
5 (very comfortable)

How hopeful are you for the future?

1 (not at all)
2
3
4
5 (pretty hopeful)

What do you hope to gain from these sessions?

Is there anything you would like me to know before the course?

Please confirm you are a UK resident and you live in (or near) Sheffield

As a small charity, every penny you are able to donate or fundraise for us makes a huge difference and goes directly to supporting bereaved parents.

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