This is where we begin…

This brief intake helps me understand how grief is showing up in your body, your health, and your daily life.

Grief is not just emotional…it affects your nervous system, hormones, sleep, and overall physiology. The more clearly I understand your experience, the more precise and supportive our work together can be.

Please answer thoughtfully, but don’t overthink. There are no right or wrong answers.

We work with a limited number of clients to provide highly personalized care. This form helps determine if this approach is the right fit for you.