Investigation Request

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West Virginia Paranormal Response Team

Investigation Request

Name: ________________________ Address: ______________________

Age: ___________ Phone: _______________________

Occupation: ____________________ E-mail: _______________________

Location/Address of Investigation:
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Do you own this residence/business?

Yes / No

Please give a general description of the occurrences.


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What was the most recent incident?


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Are the occurrences frequent?

Yes / No

Do the occurrences happen with any apparent regularity?

Yes / No
Explain:
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Is there a pattern of any kind to these disturbances that you have noticed?
(Examples: when the events occurred, what sorts of objects were affected, what locations were
involved, who was around at the time, etc.)

Yes / No

Explain:
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Please list any know history of the location.


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Are you aware of any deaths that have taken place at this location?

Yes / No

Please explain and provide dates if possible.


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Are the entity/entities here violent or physically abusive?

Yes / No

What would you like done to help you?


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