Pre Visit Survey

Pre Visit Survey

All answers are held in the strictest of confidence and are purely to assess the viability of a home visit as part of a risk assessment under our strict code of conduct. Thank you.
Name *

First Name Last Name
Date of Birth. (Must be over 18) *

Day Month Year
Date

5. Do you have any children under 18 that have either experienced any phenomena and/or will be present at the time of the visit? *

Yes No
5a If you have answered YES to question 5, do you give your written permission for them to be present at the time of the visit and also potentially be interviewed?

Yes No
Please state how many under 18s will be present. Ideally we would not like to have any minors present unless stated above.
Please state how many over 18s will be present. (Please keep to a minimum). *

6. To ensure safety and accuracy, our visit will be recorded via either audio or video. This is to protect both ourselves and yourself. All data is securely stored under GDPR rules and will not be passed on to any third party without your written permission. *

Yes

7. Spirit Team UK and any of its members will require access to all parties who have witnessed the phenomena as well as all parts of the property where phenomena has taken place. If there any exceptions then please state them below. Please leave blank if full access is granted.

8. All evidence will be recorded and kept on file in a safe and secure manner in compliance with GDPR. Please state if you are happy for us to share this information with ASSAP for research purposes? (We will always ask your permission for data to be shared with any third parties first). *

Yes No
9. Would you like us to use aliases in any reports we write or share as per Q8 *

Yes No

10. All information between you and Spirit Team UK is confidential. As such, you must agree to keep any conversations, interviews, opinions, advice and evidence confidential and private. Unauthorised use of any of the above will be classed as a breach of GDPR and Spirit Team UK will deny any knowledge of your case and it’s details. *

I agree I disagree

Finally by signing the box below you are giving Spirit Team UK the authorisation to proceed with a home visit and that you agree with all of the above statements and answers above. This classes as an electronic signature by the person named above who has completed this questionnaire.
Signature *

Clear

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