Let’s Make Sure This is the Right Fit—

for You and for Me
This isn’t just about signing up. It’s about building a space that truly supports your growth and healing.

Before we book a call, I want to hear a bit about what’s going on for you—so I can guide you toward the support that fits best.

This short form will help us both get clarity.

First Name *

Last Name *

Email *

Phone *

Where are you in your dementia journey? *

Recently received a diagnosis

In the midst of caring for a loved one

Processing grief or anticipatory loss

Feeling stuck, lost, or unsure what to do next

Which best describes what you're looking for? *

Tools to manage my emotions and build steadiness

A supportive community that gets it

A guided path—I don't want to figure this out alone

I’m not sure—I just know I need help

On a scale from 1 to 5, how emotionally ready do you feel to engage in a supportive group space? (There are no right or wrong answers—this helps me guide you to the right level of support.) *

I’m feeling very raw right now. I’m not sure I’m ready to share or hear others’ stories.

I’m open, but I’d need a lot of support and may prefer to listen more than talk.

I’m somewhere in the middle—I want support but worry it may feel like too much some days.

I’m mostly ready and would appreciate structured, guided support in a gentle environment.

I feel emotionally ready and eager to be part of a group that understands and uplifts each other.

Do you have 1–2 hours per week to dedicate to this kind of support? *

Yes

Maybe, Depends on the week

Are you open to exploring support options that may include a financial investment in yourself? (This helps us direct you to the right option—some are free, others are low-cost, and some are more intensive.) *

Yes, I'm ready

I need to understand the options

I'm not sure/ not at this time

What else would you like me to know about your situation?

If we’re a good fit, would you be open to joining a support or program space designed for family members of someone with dementia? *

Yes

Maybe- I'd like to know more

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