Soul Fire Paranormal — Client Intake

Thank you for reaching out. Please complete this form as fully and honestly as you can — leave anything blank that doesn't apply. Everything you share is kept strictly confidential and is used only for your investigation. Sensitive questions (medical, mental-health, and trauma history) help us rule out ordinary explanations and support you well.

1. Household & Occupants

Primary contact

Full name

Phone

Property address

Best time / method to reach you Relationship to property Would you be more comfortable working with a particular investigator?

Male investigator Female investigator No preference

Occupant roster

List everyone living at or frequently staying at the home, including children.

Full name	Age	Relationship	Years at home	Experiences activity?

Household details

How long has the current household lived at this property? Who spends the most time in the home, and during what hours? Frequent visitors, guests, or caregivers not listed above?

Work & background

Certain professions bring frequent exposure to trauma, death, or crisis.

What do the working adults in the home do for a living? Does anyone work (currently or in the past) in any of these? Check all that apply.

Medical / healthcare Law enforcement Fire / rescue Other first responder / 911 / dispatch Funeral / coroner Military (active or veteran)

If military — branch, years of service, and any combat/deployment history (as comfortable)

Relationships within the home

How would you describe the relationships between the people living here? Any current conflict, tension, separation, or major change (relationship, financial, job, health)? Changes in anyone's behavior, mood, or personality since the activity began?

Pets & animals

Have any animals behaved unusually? Describe.

Home safety

Asked for the safety of everyone present during an on-site visit.

Are there firearms or other weapons in the home?

Yes No

If yes — type(s), and where/how they are secured Anything else on the property to know about for safety?

Religious & spiritual background

What background were members of the household raised in? (optional) Current religious or spiritual beliefs and practices, if any? Practices you would like — or would prefer we avoid — during the investigation?

Paranormal practices & equipment

Please be candid — this helps us understand what may have been introduced to the home.

Describe what was used, by whom, and approximately when

Spiritual sensitivity

Does anyone in the home feel they may have spiritual abilities or heightened sensitivity?

Yes No Unsure

If yes or unsure — who, and how does it show?

Recent losses & remains

Any recent death in the family or among people close to the household? Who, and when? Are any cremated remains (ashes) kept in the home?

Yes No

If yes — whose remains, and where in the home?

Consent

All adult occupants consent to an investigation of the property. Minors in the home will have a parent/guardian present during any on-site visit.

Signature (type your full name)

Date

2. Medical & Mental Health History

Used only to distinguish medical or environmental causes from unexplained activity. Kept strictly confidential.

Name of occupant

Age

General & neurological health

Migraines or frequent headaches Seizures or epilepsy Fainting, dizziness, or vertigo Hearing or vision impairment Sleep disorders (insomnia, apnea, sleep paralysis, night terrors) Head injury, concussion, or neurological condition Carbon monoxide exposure or known air-quality issue Chronic illness or condition

Details for anything checked above

Mental & emotional health

Asked without judgment. You can record two people side by side (for example, an occupant and their partner).

Person 1 — name

Person 2 — name

Please check any that apply	Person 1	Person 2
Diagnosed anxiety, depression, PTSD, or mood disorder
Condition involving hallucinations or altered perception (e.g., schizophrenia, severe bipolar)
Recent major stress, grief, trauma, or life change
Currently under the care of a mental-health professional

Anything you'd like us to understand — Person 1 (optional) Anything you'd like us to understand — Person 2 (optional)

Current emotional state

How would this person describe their emotional state over the past few weeks? How is the activity affecting this person's mood, sleep, or sense of safety? Is this person currently in therapy or counseling?

Yes No

If yes — for how long, and is it related to the activity in the home?

Changes in behavior or personality

Have others noticed recent changes? When did they begin, and do they seem tied to the activity?

Substance use & addiction history

Confidential and without judgment — some substances affect sleep, perception, and memory.

Current or past history of addiction Currently in recovery or treatment Regular alcohol use Recreational or non-prescribed drug use

Details you're comfortable sharing

Trauma history

Only share what you are comfortable sharing.

Traumatic brain injury (TBI), concussion, or significant head trauma Physical or emotional abuse Sexual trauma or assault Near-death experience (NDE) Serious accident, combat, or other life-threatening event Prefer not to disclose specifics

Anything about the above you'd like us to be aware of (optional)

Current medications & prescriptions

Include prescriptions, OTC medicines, and regular supplements.

Medication / supplement	Dose	Reason / condition	Started

Any recent changes in medication (new, stopped, or dose change) in the last few months?

Experience & perception

Does this person personally experience the activity, or hear about it from others? Does the activity occur when this person is alone? Around falling asleep or waking?

3. Property & Area History

The property

Property type

Approx. year built

Number of floors / levels

Square footage (approx.)

How long have you owned/rented it, and did you get it new or from a previous occupant? Who lived here before you? List prior owners/occupants if known.

Building history

Any known deaths, serious illness, violence, or tragedy connected to the property?

Recent renovation, remodeling, or construction New additions or structural changes Digging, excavation, or landscaping Recently moved in (within 12 months) Brought in antique, second-hand, or inherited items

Describe anything checked above, including approximate dates

Environmental factors

Old or faulty wiring / frequent electrical issues Known drafts, temperature swings, or HVAC quirks Plumbing noises, settling, or structural noises Nearby high-voltage lines, cell towers, or heavy machinery History of mold, water damage, or gas/CO concerns

Details

The land & surrounding area

What was on this land before the building (farmland, cemetery, hospital, business, undeveloped)? Is the property near a cemetery, church, battlefield, hospital, or historic site? Have neighbors or previous occupants reported anything similar?

4. Activity / Experience Report

Onset & timeline

When did the activity first begin? (date or approx.) What was happening in your life or the home when it started? Has the activity changed over time — more frequent, more intense, new types?

Personal paranormal history

When was your (or the primary experiencer's) very first paranormal experience — at any point in life? Have you experienced paranormal activity in previous homes or other locations?

Yes No

If yes — where, when, and does it seem similar to what is happening now?

Frequency & timing

How often does it occur? Time(s) of day it most often occurs Is it tied to a season, weather, anniversary, or specific date? Describe.

Type of activity

Other / anything not listed

Location within the home

Which rooms or areas are most active? Is there a focal point (person, object, or room)?

Prior investigations & interventions

Has another team, group, or individual investigated this property before?

Yes No

Name of team / group / individual

Approx. date(s) they came out

Their contact info (phone, email, website, or social) What were their findings, conclusions, or anything they did while here? Any blessings, cleansings, or religious/spiritual interventions performed here? By whom, and did activity change?

Witnesses & evidence

Who has witnessed the activity? Have guests or visitors experienced it independently? Do you have pictures, video, or audio recordings of the activity?

Photos Video Audio None

Describe what you captured, when, and whether you can share copies

What you believe is happening

Your own read on the situation is valuable — there are no wrong answers here.

What do you think it is? Who in the home do you feel it is focused on or targeting? Why do you believe that person is the focus?

What you would like us to do

Anything else about what you're hoping we can help with

Individual event log

Record specific incidents. Add a row per event.

Date / time	Location	Who was present	What happened

Anything else

Is there anything else you feel we should know?

Confidential — Soul Fire Paranormal