(519)-209-1986
tdadams@rogers.com
Tammy Adams Certified Grief Recovery Specialist
Login
Username
Password
Remember Me
Forgot?
Forget your password?
Username or E-mail
Remembered Password?
About Me
Our Method
Services
Grief Recovery
Reiki
Access Bars
Personality Dimensions
Career and Personal Transformation Packages
The One Command Meditation Technique
Events
Success Stories
Blog
Contact
Easy Payment Form
The Grief Recovery Method Questionnaire
Resources
Bring Yourself to Work
The Sun Will Rise Again
Find Your Way Back To Happiness
About Me
Our Method
Services
Grief Recovery
Reiki
Access Bars
Personality Dimensions
Career and Personal Transformation Packages
The One Command Meditation Technique
Events
Success Stories
Blog
Contact
Easy Payment Form
The Grief Recovery Method Questionnaire
Resources
Bring Yourself to Work
The Sun Will Rise Again
Find Your Way Back To Happiness
The Grief Recovery Method Questionnaire
Home
/
The Grief Recovery Method Questionnaire
DOWNLOAD THE GRIEF RECOVERY PDF HERE
THE GRIEF RECOVERY METHOD QUESTIONNAIRE
Our time-proven method is based in part on helping those needing grief therapy recover a new level of awareness. Part of that process is helping you to better understand all of the different life experiences that produce grief.
Name
*
First
Last
Email
*
Enter Email
Confirm Email
Phone
*
Did you move more than twice before the age of 10?
*
Yes
No
Did you ever have a pet die?
*
Yes
No
Did you have early childhood religious training?
*
Yes
No
Have you experienced a major change in financial conditions? (positive or negative)
*
Yes
No
Have you ever quit a job?
*
Yes
No
Have you ever been fired?
*
Yes
No
Have you ever been married or divorced?
*
Yes
No
8. Did you graduate from high school?....from college?....from university?
*
Yes
No
Have you experienced the death of a close family member?
*
Yes
No
Have you experienced the death of a distant family member?
*
Yes
No
Were you physically abused during childhood?....as an adult?
*
Yes
No
Were you sexually abused during childhood?….as an adult?
*
Yes
No
Have you ever been involved with a miscarriage, still birth, or abortion?
*
Yes
No
Do you harbour any resentments or ill-feelings toward a deceased parent(s), friend, or relative?
*
Yes
No
Have you ever experienced the loss or the use or function of any part of your body?
*
Yes
No
Have you ever experienced the death of a spouse?
*
Yes
No
Are there long stretches of your childhood that you cannot remember?
*
Yes
No
Have you experienced a series of illness or accidents?
*
Yes
No
Have you been involved in long series of unsuccessful relationships?
*
Yes
No
Please use the below area to enter any information you want to add.
These questions are only a partial list of the possible LOSSES we can experience. If you answered YES to ANY of the above questions, there is a strong probability that you were also indoctrinated with a whole host of MISINFORMATION about dealing with the pain caused by loss.
Quick Contact
Send us an email and we will get back to you, asap. TA
Not readable? Change text.
I consent to Intuitive Understanding collecting my details through this form.
Send
