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Investigation Request Form

Fields with an asterisk (*) are required.

Contact Information

First Name: * Last Name: * E-mail *
Telephone:    Street City * State * Zip *


The interview questionnaire below is optional but can be very helpful.
Please fill out this part as best you can.

Occupants

How many occupants live at location:



Occupants names and ages:




Any occupants on medication:




Any occupants drink alcohol heavily or use illegal drugs:




Any occupants interested in the occult: (ouija boards, séances, spells):


Property

Age of the property



How many rooms in the site:



History of site:





Has there been any recent remodeling (brief explanation):






Phenomena


When was the first occurrence of the phenomena:





How long was the duration of the phenomena:





Have there been any uncommon cold or hot spots:





Have there been any voices: (whispering, yelling, crying, speaking)




Have there been any sounds: (footsteps, knocks, banging)




Have there been any odors: (perfumes, flowers, smoke)





Have there been any physical attacks:





When was the first occurrence of the phenomena:





Who first witnessed the phenomena:





How often does the phenomena occur:





Do the occupants feel the phenomena is threatening:



        Additional Comments: