Research Release Form
I, ____________________________________, have the authority to allow the (insert name of organization) members and affiliated persons to conduct an investigation at _____________________________________________ located in _______________________. Permission is being granted to the (insert name of organization) to research the history of the location and any occurrences that may be considered paranormal. All parts of the investigation process have been explained to the owners/trustees of the property. (insert name of organization) releases the owner of the property from any liability for injuries and/or damages incurred during the investigation. In addition, the investigators present assume responsibility for any damage to the property taking place during the investigation. The investigating team also assumes responsibility for proper release of information from the property owners. No information about the investigation will be released without signed copies of the current release forms.
Signed _______________________________
Date ________________________________
Witness ________________________________
Information/Evidence Release Form
The (insert name of organization) respects your right to privacy. All of your personal information will be kept confidential. The use of this form, however, grants the investigators the right to use the evidence collected (whether it be some or all) to be published on our website, newsletter, and other future communications. Please check the level of confidentiality you request:
___ (insert name of organization) may not release any part of the investigation to the public.
___ (insert name of organization) may release the information providing that the identity of the witnesses and clients are changed and the exact address of the location is excluded.
___ (insert name of organization) may release any/all of the information and evidence collected during the investigation.
In no way will our investigation be influenced by the amount of confidentiality you choose.
Other comments/requests: ________________________________________________________
____________________________________________________________________________________________________________________________________________________________
Signed _________________________________
Date __________________________________
Witness ________________________________
Interview Questionnaire
Date:___________________
Interview conducted by: ___________________________________________
Person/persons interviewed: ____________________________________________________________________________________________________________________________________________________________
1. Address: ___________________________________________________________________
2. How many occupants live at location? __________________________________________
3. List the names and ages of all occupants names: ______________________________________________________________________________
______________________________________________________________________________
4. List the occupations of all occupants: ______________________________________________________________________________
______________________________________________________________________________
5. What are the religious beliefs of the occupants? Are the practicing. ______________________________________________________________________________
6. How long have the occupants lived at this location? _______________________________
7. How old is the location?______________________________________________________
8. How many previous owners have there been?____________________________________
9. Are there any known deaths, tragedies, or previous complaints known to the occupants? ____________________________________________________________________________________________________________________________________________________________
10. How many rooms are in the location? List each room ____________________________________________________________________________________________________________________________________________________________
11. Has the location been blessed? ________________________________________________
12. Has there been any recent remolding?__________________________________________
______________________________________________________________________________
13. Are any of the occupants on medication? Please list the names and the reasons: ____________________________________________________________________________________________________________________________________________________________
14. Do any occupants use illegal drugs? List the names and frequency of use: ______________________________________________________________________________
15. Do any occupants drink alcohol heavily?_______________________________________
16. Are any occupants interested in the occult (Ouija board, séances, psychics, spells)? _____________________________________________________________________________
17. Have any of the occupants used a Ouija board, been part of a séances, seen a psychic, or performed any spells?________________________________________________________________________
18. Are any occupants currently seeing a psychiatrist? If so, what is the reason? ______________________________________________________________________________
19. Have any religious clergy been consulted about the activity? ______________________________________________________________________________
20. Has there been any media involvement? ________________________________________
21. Have there been any other witnesses besides the occupants? ______________________________________________________________________________
22. Have there been any odors (perfumes, flowers, sulfur, smoke, excrement): ______________________________________________________________________________
______________________________________________________________________________
23. Have there been any sounds heard (footsteps, knocks, banging)? When, where, and by who? ________________________________________________________________________
_____________________________________________________________________________
24. Have there been any voices heard (whispering, yelling, crying, speaking)? When, where, and by who?____________________________________________________________
_____________________________________________________________________________
25. Have there been any movement of objects? _____________________________________
_____________________________________________________________________________
26. Have there been any levitations? ______________________________________________
27. Have there been any uncommon cold or hot spots? Where, when, and how often do they occur? ___________________________________________________________________
______________________________________________________________________________
28. Have there been any problems with electrical appliances (tv, lights, kitchen appliances, doorbells)? ___________________________________________________________________
_____________________________________________________________________________
29. Have there been any problems with plumbing (leaks, flooding, sinks, toilet bowls): ______________________________________________________________________________
30. Are any occupants having nightmares or trouble sleeping? ______________________________________________________________________________
______________________________________________________________________________
31. Has anyone been physically touched? ____________________________________________________________________________________________________________________________________________________________
32. Are there any pets? Please let the type and names of each.
____________________________________________________________________________________________________________________________________________________________
33. Are pets affected by the activity? If so, which ones and how. ____________________________________________________________________________________________________________________________________________________________
34. When was the first occurrence of the paranormal activity? ____________________________________________________________________________________________________________________________________________________________
35. What time was the first occurrence of the phenomena: ______________________________________________________________________________
36. Who first witnessed the paranormal activity? ______________________________________________________________________________
37. What were the reactions during the paranormal activity? ______________________________________________________________________________
______________________________________________________________________________
38. How often does the paranormal activity occur? _________________________________
______________________________________________________________________________
39. How long is the durations of the paranormal activity? ____________________________________________________________________________________________________________________________________________________________
40. Have there been any other witnesses to any of the paranormal activity? List the names, relations, and what they witnessed. _______________________________________________
______________________________________________________________________________
______________________________________________________________________________
41. Do the occupants feel threatened by what is happening? ____________________________________________________________________________________________________________________________________________________________
42. What do the occupants believe is happening is paranormal in nature? ______________________________________________________________________________
______________________________________________________________________________
43. What do the occupants how to gain by having this investigation conducted?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
44. How did you first learn about us? _____________________________________________
_____________________________________________________________________________
List all non-investigators present during investigation: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Additional Comments: ______________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________
Investigation Log
Date:_________________
Name of investigator:_____________________________________________________
Name of location:________________________________________________________
Moon phase:____________________________________________________________
Solar X-Rays:___________________________________________________________
Geomagnetic Field:_______________________________________________________
Temperature:____________________________________________________________
Equipment used (check all that apply):
__ Film camera
Brand _____________________________________________________________________
Number of photos taken
_____________________________________________________________________
__ Digital camera
Brand _____________________________________________________________________
Number of photos taken
_____________________________________________________________________
__ Video camera
Brand _____________________________________________________________________
Number of minutes recorded
_____________________________________________________________________
__ Audio Recorder:
Brand _____________________________________________________________________
Number of minutes recorded
_____________________________________________________________________
__ Thermometer
__ Non-contact temperature gun
Brand
______________________________________________________________
__ Ambient temperature thermometer
Brand
_______________________________________________________________
List and temperature changes:
______________________________________________________________
______________________________________________________________
______________________________________________________________
__ EMF Detector
Brand and type
______________________________________________________________
List changes in the EMF field:
______________________________________________________________
______________________________________________________________
______________________________________________________________
__ Two-way radios
__ Dowsing Rods
__ Pendulum
List all other equipment used:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
List any experiences (include location, time, and those present).
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Additional comments:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________