Pre Visit Survey

Pre Visit Survey

All answers are held in the strictest of confidence and are not judgmental in any way. They are purely to assess the viability of a home visit as part of a risk assessment under our strict code of conduct. The safety of everyone concerned with the visit is of our utmost importance. Thank you.
Name of Homeowner*

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

DayMonthYear
Date

If you are completing this form on behalf of the homeowner, please state your name and date of birth below.

First NameLast Name
Date of Birth

MonthDayYear
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?*

YesNo
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?

YesNo
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). *
Do you have any animals at the property?*
If Yes please state what animals, their breeds and how many?
As part of our risk assessment, this information is needed to assess any risk to allergies or phobias of the investigators.

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.*

I agree

7. Spirit Team UK and any of its members may require access to all parties who have witnessed the phenomena (if possible). We will also need access to all parts of the property where any of the reported phenomena or activity has taken place. If there are 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).*

YesNo
9. Would you like us to use aliases in any reports we write or share as per Q8*

YesNo

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 agreeI disagree

11. Is there anything else at your property that you feel may affect the viability of our visit? (Eg Building works) If not sure, then please list them below and we can check to see if they are relevant or not.
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.
Please state whom is signing this form.*

HomeownerPerson responsible for this form.
Signature*

Clear
Should be Empty: