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Please fill in all applicable fields. The more information we receive the quicker we will be able to process your request.
Contact Info
First Name:
Last Name:
Address:
City:
State:
Home Phone:
Cell Phone:
Email Address:
Best Time to Contact:
Urgency of Investigation:
--Urgency--
Low
Important
Urgent
Critical
Location Information
Type of Location:
--Location--
Home
Commercial
Historical/Landmark
Open Land
Other
If Other Location Explain:
Year Built:
Square Footage:
Length Occupied:
Number of Occupants:
Children in the House:
Yes
No
Recent Remodeling:
Yes
No
Cemeteries Nearby (Within 100 Yards):
Yes
No
Do You Know Property History:
Yes
No
If Yes, Give as Much History as Possible in Detail:
Activity Information
When did Activity Start:
How Often is There Activity:
Rarely
Daily
Weekly
Monthly
Random
Any Witnesses (Other than Yourself):
Yes
No
Do Pets or Children Notice or React:
Yes
No
If Yes, Explain:
Relevant Factors (Check All That Apply):
Odd Smells
Nightmares
Periodic Waking
Electrical Disturbances
Equipment Malfunctions
Movement of Objects
Tapping Noises
Scratching Noises
Growling Noises
Insomnia
Whispering
Mists
Being Touched
Shadows
Doors Or Cabinets Slamming
Sensation of Hair on the Back of Your Neck Standing Up
Feeling of Someone Watching You
Apparitions
Unexplained Lights
Hot Spots
Cold Spots
If Not on This List, Please Describe:
Do You Feel Threatened:
Yes
No
Has Anyone Else Been Called in to Investigate:
Yes
No
List Any Other Information You Feel May Be Relevant:
Would All Occupants of This Location Agree to an Investigation:
Yes
No
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