Paranormal Activity Questionnaire

Paranormal Activity Questionnaire

Please complete the following questions regarding activity at your property.
Name*

First NameLast Name
What is your age?*
Email*
example@example.com
Type of Property*
Who Lives at the Property?*
When did you move to your current property (approx)?*

DayMonthYear
Date
Do you know the approximate age of the property?
Town/City*
When did the activity start? (Approx)?*

DayMonthYear
Date
Has there been any physical or emotional event that has happened around the start date? Eg Someone dying, illness, someone moving in or out, change to person or property, neighbours etc. (Please leave as much information as possible that may help us)
Type of Activity witnessed.

Please fill in the details for each type of activity. If you haven’t witnessed this type of activity, then please leave blank.
1. PHYSICAL ACTIVITY - When did this type of activity start?

DayMonthYear
Date
Please describe the activity and what you have experienced in as much detail as possible?
How often does this activity take place?

MonthlyWeeklyDailySeveral times a day
2. VISUAL ACTIVITY - When did this type of activity start?

DayMonthYear
Date
Please describe the activity and what you have experienced in as much detail as possible?
How often does this activity take place?

MonthlyWeeklyDailySeveral times a day
3. AUDIO ACTIVITY (Noises, Voices etc) - When did this type of activity start?

DayMonthYear
Date
Please describe the activity and what you have experienced in as much detail as possible?
How often does this activity take place?

MonthlyWeeklyDailySeveral times a day
4. OLFACTORY ACTIVITY. (Smells/tastes) - When did this type of activity start?

DayMonthYear
Date
Please describe the activity and what you have experienced in as much detail as possible?
How often does this activity take place?

MonthlyWeeklyDailySeveral times a day
Any other activity not covered above. Please provide as much information as possible.
WITNESSES. Please state if anyone else has seen any of the above activity. Please state which type, when and what happened. (You do not need to give names at this point if you don’t wish to). Please provide as much info as possible.

ATMOSPHERIC FEELINGS. How does the activity feel and what effect is it having on the residents?

Rows	None	Occasional	Often	Constant
Oppressive or feeling of dread
Being watched
Sadness
Happiness
Normal

Please upload any evidence you may have. Includes photos, videos or audio.

Cancelof
Please upload any evidence you may have. Includes photos, videos or audio.

Cancelof
Please upload any evidence you may have. Includes photos, videos or audio.

Cancelof
Please upload any evidence you may have. Includes photos, videos or audio.

Cancelof
Is there anything else you wish to add at this point?
Finally, What type of help are you looking for?
If other, please state what you would like from us?
…and finally, Why do you think the activity is paranormal and not something normal? *
Should be Empty:

Paranormal Activity Questionnaire

Type of Activity witnessed.