Date of interview_________________ Interviewer____________________
Address of Location______________________________________________
History of location________________________________________________
______________________________________________________________
Documentation of any previous paranormal accounts____________________
______________________________________________________________
Occupant Information
Number of occupants____
Names ages of all occupants________________________________________
Contact information
Phone:______________________ E-mail:____________________________
How long have occupants lived in location______________________
Have any of the occupants encountered any of the following? (Check all that apply)
Voices____ Smells____ Shadows___ Orbs____ Smoky Forms_____
Strong random thoughts______ cold/hot spots_____ Recent death______
Rappings or knockings____ mood changes____ conversing with spirits____
Doors opening or closing____ moving of objects____ misplaced items____
Electrical disturbances___ family member puberty___ renovations___
Did former home have paranormal activity?_____
What?___________________________________________________________