Grief and Loss Processing Journal Entry — Form Fields
This personal template includes 8 fields. Provide a structured journal form to process grief, loss, and emotional healing. Free to customize and use on ZenBuild.
Date (text, required)
Type of Loss (dropdown selection, required) — options: Bereavement, Relationship End, Job Loss, Health Diagnosis, Life Transition, Pet Loss, Other
Grief Stage You Feel Today (dropdown selection, required) — options: Denial/Shock, Anger, Bargaining, Sadness/Depression, Acceptance, Moving Between Stages
What You Are Feeling Right Now (long text, required)
A Memory or Thing You Miss (long text, optional)
One Kind Thing You Did for Yourself Today (long text, optional)
Overall Emotional State Today (rating, required)
Have You Reached Out to Support Today? (multiple choice, optional) — options: Yes, Not Today, Don't Want To
