Psychic Kid Questionnaire

Home
About Beth
Services, Rates & Booking
MADAME MEDIUM BOOK
Psychic Development Resources
Psychic Development Circles
Haunting & Paranormal Investigations
Psychic Kids Resources
What to Expect
Testimonials
Madame Medium Boutique
FAQs
Blog
COLLABORATIONS
MAILING LIST
YOUTUBE LINKS

Psychic Kid Questionnaire

Questionnaire

This form will allow me to better understand your child’s psychic experiences thus far. Please do not worry if they haven’t experienced everything listed and/or they are unable to answer every question.

* Indicates required field

Child’s first name/gender *

Child’s age now *

Parent/Guardian Name *

Parent/Guardian Email *

Do you consider your child to be: *

Mature for their age Immature for their age Similar in maturity to their peers

Age at which psychic abilities first presented themselves *

Did a traumatic event (injury, illness, death of a loved one, etc.) precipitate their experiences? *

Yes No

Has anyone else in the family had similar experiences/does it run in the family? *

Yes No

Does your child see, hear, feel or communicate with spirits? *

Yes No

Does your child predicted future events? *

Yes No

Does your child communicate with animals? *

Yes No

Are your child’s abilities affecting their sleep? *

Yes No

Does your child refuse to sleep alone or in their room? *

Yes No

Are your child’s abilities affecting their ability to focus? *

Yes No

Is your child frightened by their experiences? *

Yes No

Has your child expressed feeling different, isolated or lonely because of their abilities? *

Yes No

How comfortable does your child feel talking about their psychic experiences? *

Very comfortable Kind of comfortable Totally uncomfortable or unwilling

What do you hope to gain from a psychic mentoring session or sessions? (fear management, more control of abilities, etc.) *

Is there anything else you would like to share about your child before we meet? *

Submit

HOME PAGE

READINGS, RATES & BOOKING

Home
About Beth
Services, Rates & Booking
MADAME MEDIUM BOOK
Psychic Development Resources
Psychic Development Circles
Haunting & Paranormal Investigations
Psychic Kids Resources
What to Expect
Testimonials
Madame Medium Boutique
FAQs
Blog
COLLABORATIONS
MAILING LIST
YOUTUBE LINKS