Psychic Kid Questionnaire

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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

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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
Grief Support Resources