Kneeling at your feet, sweet Mother of God and Queen of Peace, I, your loving child, confidently turn to you in my need, seeking your intercession for peace of mind and comfort to my troubled heart.
(Mention your petition here.)
O listen to me, dear heavenly mother. Come to my aid and refuse me not as I cry to you. For you are my mother, and you fail no one who has recourse to you, O Consoler of the afflicted, O Queen of Peace. Amen.