First Name

Last Name

Email Address

Phone Number

Message

Is this a home or business? Is this a home or business? Home Business

If this is a home, please provide all names and ages of occupants.

How long have you lived or worked at this location?

How old is the house or business, if known?

History of the location (tragedies, deaths, previous complaints etc).

Has there been any recent remodeling done to the location? If so, please describe what and how long.

Please list all occupants who witnessed the activity.

When did the activity first begin?

Please describe the very first occurrence of the activity.

Has there been any unexplained odors (i.e. perfumes, flowers, sulfur, ammonia, excrement, etc.)? If so, please explain.

Has there been any unexplained sounds (i.e. footsteps, knocks, banging, etc.)? If so, please explain.

Has there been any unexplained voices (i.e. whispering, yelling, crying, speaking, etc.)? If so, please explain.

Has there been any unexplained odors (i.e. perfumes, flowers, sulfur, ammonia, excrement, etc.)? If so, please explain.

Do any of the occupants feel the activity is threatening? Do any of the occupants feel the activity is threatening? Yes No

Has there been any unexplained movement of objects? Has there been any unexplained movement of objects? Yes No

Has there been any problems with electrical items (i.e. TV's, doorbell, lights, kitchen appliances)? If yes, please explain including frequency.

What do the occupants believe is happening (i.e. supernatural, natural, unsure, etc.)?

Do all of the occupants agree on what is happening? Do all of the occupants agree on what is happening? Yes No

Please provide any additional information not covered by our form that you feel is relevant.

What would you like to see accomplished by our investigation?

How did you hear about us? How did you hear about us? Google/Yahoo/Etc Facebook Instagram Previous Client Friend/Family Word of Mouth Other