GENERAL INFORMATION

* Signifies a required field

* Is this an emergency?

Yes No

* Are you interested in a serious investigation of the phenomenon at this location? (For more about our philosophy, please see our investigation FAQ.

Yes No

* Are you over 18? (Please note, our investigations are limited to working with a primary contact person 18 or older.)

Yes No

CONTACT INFORMATION

* First Name

* Last Name

* Street address

* City

* State

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* Zipcode

* County, Parrish or Providence

* Country

* Phone number ex.(555)555-5555

* Email Address

Best way to reach you

Best time to contact you

Street address where disturbances have taken place

City

State

Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming

Zipcode

County, Parrish or Providence

Country

GENERAL LOCATION INFORMATION

Do you have legal access to this location?

Yes No

If you do not have legal access, provide the name of person who does have legal access as well as contact information. (Please note, our investigations are limited to investigating locations to which we have legal access.)

Name and Contact Information

How long have you lived/worked/had contact with the location?

List the names, ages, and occupations of all those living/ working where the phenomenon has taken place.

Names, Ages, and Occupations

Describe the history of the location (if known).

History of the location

SPECIFIC PHENOMENON/LOCATION INFORMATION

Describe the phenomenon that is occurring.

Phenomenon that is occurring

When did this phenomenon begin?

Describe the most recent phenomenon that occurred at this location.

Most recent phenomenon

Who experiences the phenomenon?

Who experiences the phenomenon?

Describe the experiences of any witnesses to the phenomenon who live/work outside the location.

Experiences of any witnesses to the phenomenon

Describe any known activities conducted in the location which might contribute to the phenomenon.

Any known activities conducted in the location

When does the phenomenon occur (e.g. time of day, specific day?)

Have the phenomenon increased? Decreased? Remained the same?

Select One Increased Decreased Same

Describe any pet activity surrounding the phenomenon.

Pet activity surrounding the phenomenon

Describe any temperature changes.

Describe temperature changes

If minors are involved, describe their reaction or role in the activity.

Minors reaction or role in the activity

Describe any recent changes to the location (e.g. new construction/remodeling, introduction of new items, people, stressors, recent deaths to family members or friends). Be specific.

Describe changes to location

Describe documentation or recorded evidence of the phenomenon.

Describe recorded evidence

Describe any other known phenomenon or paranormal activity associated with the location. Be specific, including what you see, hear, feel, smell, etc.).

Describe additional paranormal activity

Describe any other suspected paranormal activity that has happened to people involved at different locations.

Suspected paranormal activity

PERSONAL INFORMATION

Describe any theories you have as to who or what might be causing the phenomenon. (For example, why do you suspect paranormal activity?)

Theories related to phenomenon

Describe any actions taken on any phenomenon or activity associated with this location (e.g. blessings, rituals, other paranormal investigations, etc.)

Activity associated with phenomenon

Describe your feelings toward the situation (e.g. do you feel scared, curious, etc.). Be sure to describe any feelings persons associated with the phenomenon have.

Feelings toward situation

Briefly describe your belief system and the paranormal (e.g. how does your religion view paranormal activity, how do you view paranormal activity, would you term this phenomenon paranormal). Be sure to describe any feelings persons associated with the phenomenon have.

Your belief of paranormal

Is anyone who is associated with this phenomenon or regularly at this location a drug or alcohol user?

Yes No

Does anyone who is associated with this phenomenon or regularly at this location have a history of mental health issues?

Yes No

Additional Comments

Any additional information you would like to provide