Paranormal Investigation Request Form

 

Please fill in as much information as possible.  The more information we have, the better we can help. 
  • Any information you're uncomfortable sharing via our secure form, should be answered with "n/c". 
  • Any information that does not apply to your situation should be answered with "n/a". 
We will contact you within 2 business days of receiving your request, and may require additional information at that time.

CLIENT/LOCATION INFORMATION

Name:
Address:
Primary Phone #

Email Address:
Preferred contact method: e-mail phone
If phone, best day/time to call:
Location type: Private Residence  Commercial/Business  Public/Historic  Other
# of rooms:
# of occupants:
Names/Ages of all occupants:

PROPERTY HISTORY
Length of Occupancy:
Year Built:
How many previous owners?
Has the property been blessed/cleansed? Yes  No Have any clergy been contacted? Yes  No
Has there been any recent remodeling, renovation, or other construction on the site? Yes  No 
If yes, please explain:
Relevant history of the property (tragedies, deaths, previous complaints of activity, etc.)
 

FAMILY/WITNESS HISTORY
Family/Witness Religious beliefs:
Do any occupants have any interest in occult-related activities? (Ouija boards, seances, etc.) Yes  No 
If yes, please explain:
Have any occupants ever experienced paranormal activity before? Yes  No 
If yes, please explain:
Does anyone at the location have a history of problems with drug or alcohol abuse? Yes  No 
If yes, please describe:
Is anyone at the location taking any medications? Yes  No 
If yes, please list:

 HISTORY OF ACTIVITY EXPERIENCED
Has anyone at the location experienced any of the following (please check all that apply):
Unexplained Sounds (knocking, tapping, banging, footsteps, etc.)
 Strange/Unexplained Voices
 Strange Odors
 Movement of Objects
 Unexplained Temperature Changes		 Trouble Sleeping
 Physical Attacks
 Electrical Problems (TV, lights, appliances, etc.)
 Plumbing Problems (leaks, flooding, etc.)
 Other
If Other (please explain)
Describe activity at the location:
 
Describe the first occurrence of activity. Who was present? What was the reaction of the witness(es)? Time?
 
How long has activity been happening?
How often does the activity occur?
Do the occupants feel threatened?   Yes  No
Have there been any other witnesses to the activity? Yes  No
If yes, please provide names and relationships.
Any final thought/impressions?