They may hear things, see a spirit, see miniature movie-type scenarios or simply feel the essence. It is very difficult to communicate and many times, pictures, symbols or themes may be used by spirit to convey an idea. Sometimes it may seem like a game of charades. Always think of all the possibilities, or you may be disappointed later, when you realize how close to fact it actually was. Some spirits may come on very strong and may be very easy to understand, while others may be very quiet, or weak and may be harder to pick up information from.
Names are very difficult for some mediums and very simple for others.
Do not always expect to get a name across perfectly. Always remember similar names may be what they are getting - it may sound like or start the same, etc. Always keep first, middle and last names in mind. They may try to communicate some name that may be easier to convey than others. Always remember they may be calling your name or that of a friend or another loved one such as a mother, brother, best friend etc.