Thank you for trusting me with your grief.

This form takes about 5-10 minutes to complete. There's no "wrong" way to fill it out—I just need enough information to find resources that truly fit YOUR situation. Share as much or as little as you like.

Everything you share is confidential. Take your time.

First name

Last name

Email

Zip Code

Are you willing to travel for the right therapist/support group?

Yes, up to 1 hour

No, I need resources within 15 minutes

I'm open to online/virtual options only

I'm open to both in-person and online

Please share the name of the person you are grieving (if you feel comfortable doing so)

Please share as much or as little about your person as you'd like. I'm honored to read any bit about them you are comfortable sharing.

How did your sibling die? (Share as much or as little as you'd like)

What is the date of their death?

Is there anything specific about the circumstances of their death that might affect what resources I recommend? For example: You witnessed it, you found them, it was on a holiday, it was connected to a specific trauma, there's a criminal investigation, th

Do you currently have a therapist or counselor?

If you DON'T have a therapist, what's stopping you?

If you are using insurance to pay for therapy what insurance do you have?

What is your realistic budget for therapy sessions?

What are you hoping to get from resources

Is there anything you definitely DON'T want in your resources?

Religious content

Stories about similar deaths (might be triggering)

Clinical/academic language

Other

Final Notes

Estimated completion time: I'll send your personalized guide within 5-7 business days from today.

What happens next:

I'll personally review your responses
I'll research resources in your area
I'll write personal notes for each recommendation
I'll create your PDF guide
I'll email it to you with instructions

Need to change something? Email me at gretchnevans@gmail.com with subject line PERSONALIZED CARE and I'll update your information.

One last thing: If you're in immediate crisis or having thoughts of harming yourself, please don't wait for this guide. Call 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room. I want you to be safe.