Trauma & Faith Impact Assessment (T-FIA)

SoulDocs Trauma & Faith Impact Assessment (T-FIA)

For Law Enforcement, Fire/EMS, ER & Trauma Medical Staff, and Military / Veterans.

Purpose & About This Assessment

This assessment was developed by Dr. Paul R. Belcher, D.Min, adapting a spiritual-impact assessment tool originally created for military chaplaincy use. It helps emergency responders, law enforcement, ER/trauma medical staff, and military members and veterans reflect on how traumatic experiences have affected them physically, emotionally, and spiritually, and connects those who want it with support through SoulDocs. This is a self-reflection and screening tool, not a diagnostic instrument, and is not a substitute for evaluation or treatment by a licensed professional.

Voluntary Participation & Privacy

Participation is completely voluntary and you may stop at any time. No name, email, or other identifying information is required. Only demographic information is collected, and only in de-identified, aggregate form. At the end you may optionally share contact information if you’d like to learn more about SoulDocs’ support program.

If You Are in Crisis

If you are having thoughts of suicide or self-harm, or are in immediate crisis, please reach out right now: call or text 988 (Suicide & Crisis Lifeline; veterans and service members press 1), or text HOME to 741741 (Crisis Text Line). If you are in immediate danger, call 911 or go to your nearest emergency room.

This field is required.

Section 1 — About You

Demographic information only. No name is collected in this section.

Occupation / Role
This field is required.
Age Group
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Gender
Years of Service in this field
This field is required.
Current Status
This field is required.

Section 2 — Trauma Exposure & Impact

For each category: enter the number of traumatic events you have personally experienced, then select the level of impact that best matches the statement.

Spiritual Traumatic Events

Examples: loss of faith, doubt, spiritual betrayal, change of faith background, spiritual crisis.

These spiritual traumatic events have impacted my spiritual growth.
This field is required.

Physical Traumatic Events

Examples: domestic violence, sexual abuse, substance abuse, line-of-duty violence or combat, serious accidents or injury.

These traumatic physical events have impacted my daily activity levels.
This field is required.

Emotional / Psychological Traumatic Events

Examples: death or loss, abuse, bullying, feelings of non-acceptance, loneliness, hopelessness.

These emotional/psychological traumatic events have impacted me through the years.
This field is required.

Societal / Occupational Traumatic Events

Examples: natural disasters, mass-casualty incidents, active-shooter events, war, civil unrest, large-scale loss of life.

These societal traumatic events have impacted my ability to connect with my community.
This field is required.

Overall Impact

Add up the numbers from the four categories above.

These traumatic experiences continue to impact my life today.
This field is required.

Section 3 — Faith & Spirituality

Spirituality is a sense of connection that gives meaning and purpose to a person’s life — the deepest part of you that gives a sense of who you are, why you are here, and what your purpose is. Religious means participation in organized denominational gatherings (e.g. Protestant, Catholic, Muslim, Jewish, Hindu, Buddhist, or other faiths) with traditions and rituals that strengthen faith. Select your level of agreement with each statement. If you feel conflicted, choose the answer that best reflects your overall view.

I am a person of faith. (My faith affirms a higher power that interacts with and sustains me.)
This field is required.
My faith sustains me during a traumatic event.
This field is required.
I no longer practice my faith because of a traumatic event.
This field is required.
I am spiritual but not religious.
This field is required.
I struggle when faced with a traumatic event.
This field is required.
I draw strength from a strong community support system.
This field is required.
I have never lost my faith.
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Section 4 — Support & Next Steps

I am willing to speak with a chaplain or counselor about my experience.
This field is required.

Optional — Stay Anonymous or Share Contact Info

The section below is completely optional. Leave it blank if you prefer to remain anonymous.

Would you like information about SoulDocs' support program for PTSD, Moral Injury, and faith restoration?
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Preferred contact method

Thank You

Thank you for your honesty and for your service. Your willingness to reflect on these experiences takes courage.