Registration

Please complete the form below to register your interest in Facing the Future.

(If you are a healthcare professional who believes a group would suit your client, please encourage them to register themselves).

Please note that all Facing the Future groups are only offered via Zoom.

If you have any questions, please take a look at our 'FAQ's' page. If this does not answer your query, you can email us at ftf@cls.org.uk - we will respond as soon as we can.

All fields marked with an * are mandatory.

Title*
First name*
Surname*
Email*
Where are you located?*
Contact Phone Number (if this is not a UK number, please provide the full international dialing code)*
If you are unavailable, is it OK to leave a voicemail?*
Full name of the person you have lost*
Their relationship to you*
Length of time since bereavement*
How did you hear about this service?*
Preferred Group*

Pre-group survey questions
We collect demographic information from everyone who uses our service in order to understand better who attends our group.
Please enter your date of birth*
How would you describe your gender?*
What is your ethnic group?*
What is your national identity?*
What do you hope to gain from the group?*

Please rate the extent from 1-10 (with 1 the lowest value, 10 the highest) to which you have experienced the following, thinking about how you have felt over the last week.
How able to think about the future do you feel right now?*
How able do you feel to cope in your life now?*
To what extent do you feel other people have heard you and understood your feelings about your loss?*
I have felt I have someone to turn to for support when needed*
I have felt able to cope when things go wrong*
Talking to people has felt too much for me*
I have had difficulty getting to sleep or staying asleep*
I have felt despairing or hopeless*
Unwanted images or memories have been distressing me*
I have been feeling optimistic about the future*
I have been dealing with problems well*
I have been thinking clearly*
I have been feeling close to other people*
I have been interested in new things*

Please tick this box to indicate you have read and agree to our Terms and Conditions and Privacy Policy*

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