Investigation Interview/Preliminary Questionaire

- SOUTHERN STATES PARANORMAL RESEARCH SOCIETY (S.S.P.R.S)-

- INVESTIGATION QUESTIONAIRE

Case #:

Date:

Client Name:

Address:

City, State & Zip:

Contact Phone Numbers:

Email:

Please answer all questions, write in ‘DNA’ on ones that do not apply to you.

Try to answer in detail the best you can and please carefully read and answer each question.

PART I - INITIAL QUESTIONS (to help determine whether an investigation is warranted)

Please give a general description of the occurrences.

Please list the names and ages of all those living/working in the situation where the disturbances have taken place.
Please list the relationships of all those in the household/business to one another. (their place in the family relation to everyone else; positions in the business and who works with whom; etc.)
Are there any pets? (If so, list types.)
What are the occupations of those in the location who are or have been working?
Please give educational background of all those in the location.
Where have the occurrences taken place? Address and specific locations within the premises, please. Describe the premises, please.
How long have you lived/worked there?
Any disturbances noted at previous addresses?
When did the current disturbances begin?
What sorts of things went on at the beginning?
What did you think of them?
When was the most recent incident?
Would you say the occurrences are frequent? Are they occurring with any apparent regularity?
Have the disturbances been increasing in frequency and severity since they first began?
Who are those people directly involved? What did they experience?
Any witnesses from outside the household/office? Please give their names, occupations, and phone numbers. What did they experience, as far as you know? Is there a pattern of any kind to these disturbances that you've noticed (i.e., when the events occurred, what sorts of objects were affected, what locations were involved, who was around at the time, etc.)?
Have you looked for ordinary, normal explanations? What makes you sure the events are paranormal?
Have you or any of the others involved had any psychic experiences in the past?
Have you (or anyone else who witnessed the events) been interested in psychic phenomena for a while? Has your family discussed psychic phenomena in the past? If so, in what context?
Does anyone involved have a theory as to what may be going on?
Have you contacted any "experts"? (such as, obviously, a parapsychologist, or psychologist, police, priest, rabbi, psychic, etc.)
If so, what did/do they have to say?
What kinds of books or articles have you read about psychic phenomena or the occult/supernatural/unsolved mysteries?
Have you seen films like Ghostbusters, Poltergeist, The Entity, The Amityville Horror, Dreamscape, Resurrection, The Exorcist, The Fury, Carrie, etc.? Which ones? (Name ones that more so may compare to your experiences)
What did you think of them (in terms of how they portrayed psychic experiences/disturbances)?
How about others involved? Reading? Films? TV shows?
What are your feelings/beliefs regarding psychic phenomena or the spiritual world? Religious background (both family and your present religious status)?
Have you ever taken any courses on parapsychology, the occult, or any self-development or psychic-development courses? The others?
Have you or any of the others ever been to see a psychic?
Have you or anyone else within the home/business used any device such as an Ouija Board, Scrying Mirror, Tarot Cards or other such devices on the premises or elsewhere? (If so, please list each and when & where last used.)
Have any séances or rituals been performed in the home/business or on the associated property that you are aware of? (If so, please explain.)
Has there been any publicity of these events? In other words, has the press found out about what's going on? If so, which members of the media, and how can we contact them? If not, can you be sure there won't be any publicity (can you keep this quiet... the press tends to disrupt investigations)?
What would you like done to help you?
Would you allow me and perhaps some colleagues to do a serious investigation of the occurrences in your home/office?

PART II - Who/What/When/Where/How (These questions will help us narrow down the general patterning of the disturbances/experiences).

Have you connected the disturbances with any particular people witnessing or living/working in the location? With any particular visitors?
If there is an apparition seen, does the apparition represent anyone identifiable (does anyone know "who" the apparition represents)?
Are there particular activities going on when the incidents occur (such as eating, watching TV, arguments, etc.)? Explain.
Are there certain times during the day or night when the incidents appear to be more frequent? If so, when are they?
Are the events seen to occur more in one spot (or in more than one place) than in others (certain rooms or parts of the room)? Where are these places?
Are certain people seemingly more affected than others? Who? What reactions do the people in the situation have when confronted by one of the disturbances?
Do all witnesses to the events have to be around for anything to happen? If not, give examples of such incidents where not everyone was around, and who was there.
Have any disturbances been noted to have occurred when no one was around (i.e., has anyone noted the aftereffects of a disturbance that may have occurred with no witnesses, perhaps by objects having been moved)?
Has any one person appeared to be very close to the starting points of moving objects? Do you think there's any chance that that person could have physically thrown or pushed the objects to simulate a paranormal event?
Is there any reason to think that someone in the home/office might fake the events?
Have you thought about normal explanations for some or all of the events? Have you taken note of outside sounds, vibrations, etc. (such as a truck rumbling down the street) when the occurrences happen?

PART III - The Phenomena (These questions will help us get a good picture of the actual goings-on.)

Please describe the disturbances/experiences in terms of what you actually observed. (Note: this should be asked of everyone involved, both in separate interviews and later in the presence of all witnesses.)
Were there any unusual feelings or emotions associated with the disturbances/experiences?
How often do they occur?
Who first noticed them? When were they first noticed? Under what circumstances?
Please describe the experiences/observations of the others to the best of your knowledge.
In terms of movement of objects, describe the movements and what was unusual about them. Did objects seemingly take flight or visibly move by themselves? Were there unusual flight patterns (in other words, did they move like someone had pushed or thrown them, or did they make unusual curves in the air or on a surface, such as making right-angle turns)?
Could someone have been near enough to an object to move, push, or throw it, either purposely or by accident?
Did objects hit their final resting point with unusual force?
Did they make unusually loud noises when they struck something?
Were breakable objects seen to move and strike something without breaking?
Were heavier objects seen to move or rearrange themselves (such as furniture being piled up, especially in such a way that one person could not have done it)? Describe, please. Were these objects seen in motion, or were they simply discovered in rearranged fashion after they had been moved?
Has anyone seen an object start its motion? In other words, have there been any witnesses to an object disturbance beginning with the point just before it took flight or began to move?
What were the objects affected? Any particular kind of object affected more than others? Any particular single objects affected more than others? If yes to either one, are there any relationships between the object(s) and any of the people in the household/office?
Have you noticed any metal objects particularly affected? Bent silverware, for example? If yes, are you certain no one could have had access to the pieces and bent them normally? Any chance that the pieces of metal/ silverware could have already been bent through normal use (and that you simply never noticed the bends)?
Have there been any unusual electrically related effects? Have appliances, TVs, stereos, lights, or computers been affected? If so, to what extent and how frequently? When any particular person(s) were around?
If certain persons were associated with the appliances/ devices, what are their attitudes towards the function of those devices (i.e., if a vacuum cleaner, does the person hate housework? If a computer, does the person dislike computers)?
Have mere been any occurrences of unusual noises? Have these sounds been found to have a cause connected with them, or have they occurred with no seeming cause? Describe the sounds and why you think them unusual.
Have any of the sounds been connected in any way with the movement/disturbance of physical objects?
When the others who have witnessed the events had their first experiences, were they aware of previous encounters or observations or experiences by those who first noticed them? What did they know about them, if anything?
Have there been instances where one or more persons saw an apparition (ghost)? If yes, please describe what was seen.
If nothing was seen, yet you (and others) are sure there is something there (a presence or "entity" or "force"), what makes you so sure?
Have voices been heard, either with or without the appearance of an apparitional form? Were attempts made to see if the voices had a (living or mechanical) source?
Have unusual smells been noticed? What was unusual about them? Have they appeared at only certain times or only in certain areas? Have they been localized, yet mobile (confined to a specific area in the air, yet that area has been observed to move about)? Were attempts made to find a natural source of the smell?
Who has been around in each instance of a visual apparition? Of voices? Of unusual smells?
Have you or anyone else gotten unusual feelings in a particular place or at particular times (example, do you sense a "presence" or get "cold chills" under certain conditions/in certain locations)?
Has the temperature of the location been affected unusually? Have normal causes been looked at as being behind such effects?
Have there been times when apparitions/ghosts, smells, voices, footsteps, or odd noises have been experienced by only some of the people (or just one person) and not by others at the same time? Please describe these instances.
Have the images been associated with particular people or events? Have they been associated with particular people who are witnesses to the events or whom you know (example, maybe the ghost is that of your Uncle Harry from Cincinnati)? Were these images connected with the past (the past of the people present or of the house) or with the present (could the images represent living persons or current/future events)?
How about the noises or the smells (if present)? Could they be connected with persons not present (living or dead)? Or can they be connected with the house or building (past or present)?
Did the witnesses who had the experience of seeing hearing a ghost know about that person (whom the ghost represents) before the experience?
In the case of images seen, did everyone who saw something see the exact same thing, or were there the kinds of differences one would expect if the apparition had been a living person, there in the flesh? (In other words, if one person stood in front of where the apparition appeared, and another behind it, did the people see the figure from the proper perspective [front and back] or not?)
Describe the behavior of the apparition(s). Does the apparition repeat the same activity every time it appears? Or does it seem as if it is aware of your presence as well?
Is there attempted communication on the part of the apparition? Have you or anyone else who has experienced the apparition tried to communicate with it? Any results (like communications back, reactions on the part of the apparition, changes in behavior of the phenomena, etc.)?
Would you say the apparition seems to be one that is conscious or aware of its surroundings, that it is an intelligent "entity"?
If not, would you say that the experience may represent a past event repeating itself like a video "instant-replay"?
What is known about the house/building? Year Built? Previous owners/tenets? History of the location it stands on?
How did you feel just before the experience(s) (physically, mentally, and emotionally)? Any common factors between each of the experiences?
How did you feel while the experience was actually happening?
How did you feel/react after the experience(s) was completed?
Did you discuss the experiences with anyone (witness or not) just after it happened? Describe the discussions.

(The above questions should give a fairly complete picture of the phenomenon itself, what may be going on, paranormally or otherwise. Keep in mind that all witnesses and others connected should be asked their opinions and given the chance to answer all relevant questions, so as to help form that complete picture).

PART IV - Interactions and Symbols

Do you see the events as representing any emotions or tensions that you or others may have at the moment?
Have there been any changes in the daily routine/ lives of the people involved (such as new job, new school, divorce, marriage, death of relative or friend, etc.)? If so, what are they? When did they happen in relation to the disturbances?
Do you see the way the disturbances/experiences are happening as being symbolic of anyone's emotional state or thought processes?
Are the events perhaps symbolic of any problems that may be going on between people in the affected group (here, not just direct witnesses, but all those with relationship to the people having the experiences)?
If you were to pretend this were all happening in a dream, what would you make of it (the "dream," that is)?
Are there any visible problems between the people having the experiences and anyone else?
Is anyone particularly tense or frustrated or under some stress? What do you think this may be related to (job, friendships, housework, sexual relationships, school, lack of leisure time, etc.)?
Have you or anyone else in the home/business experienced sleeping difficulties and/or unusual dreams/nightmares? (If so, please explain.)
What would you say your overall health (both physical and mental) was before the experiences began?
What would you say your overall health (both physical and mental) has been since the disturbances started?
Are you taking any medication or non-prescription drugs? What are they?
Are you drinking alcohol, drinks with caffeine, or taking in a lot of sugar, or smoking tobacco? Which one(s), and how much?
Have you ever had a ‘bad trip’ on taking a hallucinogenic drug like LSD? IF so describe the experience.
Was there any change in your diet or use of the above substances before the initial experiences?
Has there been any change in your diet or use of the above substances since the disturbances began?
Are you or any of the others currently under the care of a doctor or psychological counselor/therapist?
Do you practice: yoga, meditation, self-hypnosis, biofeedback, relaxation exercises, or physical exercises?
Would you be willing to work on any social, psychological, or physical problems that may be related to the incidence of the disturbances?
Would you be willing to see a counselor, therapist, or doctor if that is the most positive way to help deal with the experiences?

You’ve reached the end of the Questionnaire! Please email to a_milhorn@ssprstn.com

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