Report A Haunt
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Name *
Your Name
Address *
Your Address
Phone Number *
Your Phone Number
Email *
Your E-Mail Address
Best time to contact you? *
Morning
Afternoon
Evening
How many people live in the home? What Ages? *
Brief descriptioin of the occurences: *
How long has this been occuring? *
Who experiences the activites? *
Any occult media used in the home such as ouija boards, seances, etc.? *
Are you afraid *
Yes
No
N/A
How old is your home? *
Are any renovations going on? *
Yes
No
If renovations are going on, what kind? *
Has there been any major stress in the home? *
Yes
No
Any recent illnesses or deaths? *
Yes
No
Do you consider yourself "Sensitive"? *
Yes
No
Are there any electricial issues within the structure? *
Yes
No
What do you want us to accomplish by investigating? *
Religious preference? (if any)