Name

Email

Phone

Address

What type of service are you seeking?

Where is the phenomenon occuring? (Please check all that apply)

Does this case involve children?

When did activity begin?

Please list ALL of the individuals living with you. Additionally, let us know if they HAVE had any experiences.

Is there anyone in the home NOT having experiences? Please list names and why you/they believe they aren't experiencing anything.

For those believed to be haunted - Have you had a paranormal team already investigate your situation?

Have you consulted with any psychics/mediums/ mystics regarding your situation?

For example, did you get a psychic reading, did you get a house blessing by a medium/mystic,.. etc?

Have you contacted, or been contacted by any form of media about your situation?

Whatis is your primary religious faith? - Pick the one that best describes you.

Have you contacted anyone within your faith (such as a priest, healer, shaman)? If so, please list names and orgainzations they belong to (such as a church name in the town)

Be as specific as possible. Why do you believe the phenomenea is happening?

Does there appear to be anyone who is the focus of the activity? If so, who?

Who was the first person to experience activity? Also, please explain what happened.

Has anyone associated with this phenomenon experienced this activity elsewhere? If so, who and a brief description of what happened:

Have any guests/visitors witnessed the phenomena?

To the best of your ability, when was the last time the phenomena occured?

Please describe to us the last experience you or anyone else had regarding this

How frequent is the activity right now?

On a scale of 1-10 (10 being the highest), How frightened are you?

On a scare of 1-10 (10 being the highest), how frightened are others?

Do you believe this phenomenon is a threat to you or those around you?

Do you know the history of the property?

Overall, what do you want as a result of CPI being there?

Have you captured any physical evidence of the phenomena such as EVP's, pictures, video?