Investigation Request Form
CONFIDENTIAL


Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province MA
Zip/Postal Code
Home Phone
E-mail

Directions to the property:


How many residents are there and their ages:


Type:


Audible:

Footsteps
Voices
Movement
Other

If Other please describe:


Visual:

Appiration
Lights
Mist
Shadow
Other

If Other please describe:


Psychological:

Fear
At Peace
Apprenhension
Dread
Being Watched
Threat
Other

If Other please describe:


Physical:

Electrical Disturbance
Headaches
Movement
Heat
Cold
Touched
Other

If Other please describe:


History of the Location if known:


Any Other Information?


How long has this been happening?


Frequency of the occourances:


If responsive is selected what typically triggers the response?


Thank you for filling out this form.A member of the team, will be in touch with you shortly to discuss our visit
All information will be treated in the strictest of confidence.
For more information, please see here