Preliminary Phone Interview Screening Question Set
SSPRS, 2008-2009.
DOC-002B
Location Name:
Address:
Phone Number(s):
* Home:
* Cell:
* Work:
Date Interview Conducted:
Case Number:
Spoke With:
Owners:
Other Family and Ages: (please list all who live in the residence or in the case of businesses, who has encountered
activity the most. A seperate interview will be needed for each of those witnesses if they are willing to. In the case of
children, the parents have the final say so for interview permission granting.):
Type of Structure:
(types available to use on this form are: Residential, Business, Historic Site. Please fill in the appropriate
type above.)
Please ask the following questions in order to get a general feel for the activity involved. Do not rush the
client and get as detailed of an answer as you possibly can. DO NOT RECORD THE PHONE INTERVIEW! THIS IS A FEDERAL OFFENSE
WITHOUT THE CONSENT OF THE PERSON BEING RECORDED!!)
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1.) How long has activity been going on at the location?
2.) When did you first notice the activity begining? What happened to first make you notice it?
3.) Has anyone been injured or harmed by the activity? Scratched? Slapped? Do you fear for your or your family's
safety and well being? If so, why?
4.) Specifically describe what kinds of activity are being noticed?
5.) Have you spoken to anyone else in regards to the disturbances? A nieghbor? The media?
6.) Do you know any history of the property itself? If so, what?
7.) Are there any deaths or violent events in the past of the property that you are aware of? If so, what
and when? Who?
8.) Are there any antiques or objects that someone who was once alive may have had a strong bond or emotional
connection with? For example, an hierloom, a wedding dress? A dresser, etc?
9.) Has anyone been engaged in any type of occult activity? Ouija Boards? Seances? Summoning? Dabbling? Magick
or meditation?
10.) Are stress levels normal in the house right now or higher than usual? Are any relationships strained
or any family member under more stress than usual?
11.) What is the most extraordinary event that has occured in recent memory?
12.) Does anyone in your family or does your family have a history of individual's that have exhibited psychic
power/abilities or especially sensative to paranormal phenomenon?