Today's Date:
Location Information
History of the location (date built, previous occupants, battles or other confrontations near location, other .
List documentation of any previous accounts (newspaper clippings, witness testimony, etc. ):
If possible, send a drawing or map of the location to us and mark areas that show paranormal activity. Click here to send email.
Occupant Information
Names, gender and birth dates of occupants:
Number of Occupants at location:
Contact Information
Name:
Phone:
Email:
Mailing Address :
Street:
City:
State:
Zip Code:
How long have you lived at the location?
Have any of the occupants encountered any of the following? (Check all that apply)
Voices (if yes, explain)
Smells/Odors (if yes, explain)
Shadows/Aparations (if yes explain)
Orbs Smoky Forms
Strong Random Thoughts
Cold or Hot Spots (if yes, explain)
Recent Death of Loved Ones (if yes, explain)
Recent Anniversary of Loved One's Death, Birthday, Anniversary, etc.
Rappings or Knockings
Mood Changes, especially in one room (if yes, explain)
Conversations with Spirit (if yes, explain)
Door(s) opening/closing
Moving/Disappearing Objects
Electrical Disturbances (frequent light bulb burnouts, etc.)
Puberty of Family Member or Emotional Stress of Adolescents in the location
Renovations in location (if yes, explain )
Problems with Appliances:
Computer
Radio/Stereo
TV
Clock Microwave
Other:
Any accounts of paranormal phenomena at previous residence? If so, please explain .
Is there anything else you would like to tell us about this location that you feel would
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