Client Info Form | The Clearing

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Clearing the Negative to Bring in the Positive

Client Info Form

Tell Us About Your Situation

What are you experiencing?

What Are You Experiencing?

Unexplained noises (footsteps, knocking, voices)

A feeling of being watched

Objects moving or going missing

Sudden cold spots or temperature shifts

Lights, electronics, or appliances acting up

Shadow figures or apparitions

Heavy, oppressive, or "thick" energy in certain rooms or areas on property

Pets reacting to something unseen (barking, staring, avoiding a room)

Nightmares, night terrors, or disrupted sleep

A general sense of dread, sadness, or anger that isn't yours

Recurring bad luck or things "going wrong" since moving in

Not sure — just know something feels off

History of your home and land

History of Home & Land

A death occurred in the home

Home was built on land with a known history (battlefield, burial ground, former hospital, etc.)

Home is near a cemetery

Recent renovation or construction

Items brought into the home from an estate sale, antique store, or unknown origin

Family history of trauma tied to the property

Unknown / not sure of the history

How long has this been happening?

How Long Has This Been Happening

Just started

A few weeks

A few months

Over a year

Since I moved in

Anything else you'd like to share?

Contact Info

Once your form is submitted, we'll be in touch to schedule a phone call — a chance for us to connect and get to know one another before we begin your clearing.

*First name

*Last name

*Email

*Phone

*Address - So we know how far away you live from us.

CONTACT US

For all other inquiries please email us at theclearingkc@gmail.com

Email Us Here

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