GENERAL INFORMATION
Name
Email
Phone
Site Name
Site Type
Residential
Commercial
Historical
Municipal
Address
Owner?
Yes
No
Children Involved?
Yes
No
ACTIVITY INFORMATION
What type of activity have you been experiencing?
Disembodied Voices
Physical Manipulation
Free-Floating Cold Spots
Visual Apparitions
Abnormal Shadows
Disembodied Noises
Emotional Presence
Energetic Orbs
Light Flashes
Suspended Mist
How long have you been experiencing these phenomena (in months)?
0 - 1
1 - 3
3 - 6
6 - 12
12 +
How frequently does the activity occur?
Constant
Frequent
Moderate
Occasional
Infrequent
Sporadic
Please summarize the paranormal event/occurrence.
If there are children involved, can you describe the interaction?
Are there other witnesses to this activity?
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