clientinterviewquestionier.html

If you think you are having paranormal activity in your home please fill this application out and we will contact you and also if you are using a mobile device please click on desktop at the bottom of the screen or u wont be able to click the yes or no and also we will not start a investigation until we come to your home and do a home interview. Our services are free including the investigation.

Contact Name:
Address:
City:
Phone Number:
Email Address:
Number of occupants (How many Male, Female, and Children please include ages)
Occupants Occupation(s):
How long have been at this location?
History of location(Year Built,Previous Owners)
Any additional historical information?
How many rooms?
Any Recent Remodeling?	Yes No
If yes, when and what areas?
Did the activity begin during or after remodeling?	During After
Were you made aware of any activity prior to moving in?	Yes No
If yes, by who?
Do you have a religious preference?	Yes No
If yes, affiliation and place of worship:
Has anyone in the residence used a Ouija board or participated in a séance in the residence?	Yes No
If yes, who and when?
Did activity start after this?	Yes No
Do you have pets?	Yes No
Do your pets behave strangely in certain areas of the house or at specific times? Please explain.
List any witnesses who have experienced activity
What types of activity?	Banging Tapping Footsteps Shuffling All of above
What types of activity	Banging Tapping Footsteps Shuffling All of the above None of the above
If any checked above please describe in detail. (Locations, times)
Have you heard any voices?	Male Female Children None of the above
If any checked above please describe in detail. (Locations, times, what was said)
Any Odors?	Perfume Sulfur Ammonia Cigar or cigarette Flowers Other None of the above
If any checked above please describe in detail. (Locations, times)
Objects Moving?	Yes No
If yes, what was moved and where?
Objects missing, then reappear?	Yes No
If yes, what, when, where?
Do you see shadows or apparitions?	Shadows Apparitions None of the above
If yes describe in detail
Please select all that apply	Touching Physical Harm Feeling of being watched Feeling of dread None of the above
Describe any of the above..
Please check all that apply	Hot Spots Cold Spots Electrical Problems Plumbing Problems None of the above
Describe any of the above. When, where
Is anyone having nightmares or trouble sleeping?	Yes No
Does anyone have feelings of nausea at time or in certain locations?	Yes No
If yes; who, when, where?
Describe the first occurrences that happened, when and where.
Does anyone feel threatened?	Yes No
Do you feel that there is paranormal activity and why do you feel this way?
Has a member of the clergy been contacted?	Yes No
Has the location been blessed?	Yes No
If so when?
Have any media sources been contacted or made aware of the activity?	Radio Television Local Cable Local Newspaper Other Newspaper Other Paranormal Groups None
Name of media contacted, may we contact this person? (list name and phone)
Are all occupants in agreement as to what is occurring?	Yes No
Is there any occupants who use illegal mind altering drugs or prescription medication that would cause one to believe paranormal activity is at play?	Yes No
If yes, please describe.
What do you wish for D.C.P.S. to accomplish for you?
Is there any additional information you think may be helpful?