Death Meditation is an important meditation that can be helpful in arousing and letting go of fears that are latent within us.. especially the fear/anxieties we all may have of death + dying and also with the Grief experience. This questionnaire will be used to get data around what death related fears are most prominent in our communities. It will also help me better cater resources and offerings for all of you!

What Is Your Email? (input N/A if you don't want to share):

What Is Your Name? (input N/A if you don't want to share):

What does your fear of death mostly center around? (Choose as many as needed). *

Please elaborate on your fears about Death/Dying or Grief: *

Does your fear of Death/Dying or Grief debilitate you (physically, mentally or spiritually) in any way? Please elaborate, if so:

Have you ever had an experience around Death that was traumatic for you? If so, please elaborate on what that experience was. This is a safe, private space (you have the choice not to include your name and email if you'd like): *