Kansas Paranormal Investigators
Pre-Investigtion Witness Interview
Paranormal Investigation Witness Interview

Date _______________ Interviewer_____________________________

1. Address of Site:___________________________________________

2. Name of witness:__________________________________________

3. Mailing address if different:___________________________________

4. Phone number:____________________________________________

5. Email Address:____________________________________________

6. How many occupants at location:_______________________________

7. How many pets:____________________________________________

8. Occupants’ names and ages:__________________________________

9. Occupants’ occupation:_______________________________________

10. Occupants’ religious beliefs:__________________________________

11. Time of occupancy at the location:______________________________

12. Age of site:_______________

13. How many previous owners (if known):___________________________

14. History of site (if known):______________________________________

 ___________________________________________________________

____________________________________________________________

15. How many rooms in the site:_________________

16. Has the location been blessed if yes details:____________

17. Has there been any resent remodeling:____________________________

18. Any occupants on prescribed medications for (pain, depression, anxiety, etc):

List meds:_____________________________________________________

19. Any occupants using illegal drugs (this will be kept confidential):__________

20. Any occupants drink alcohol heavily (this will be kept confidential):_________

21. Any occupants interested in (Ouija, séances, psychics, spells):___________

22. Any occupants currently seeing a psychiatrist or in therapy:______________

23. Any occupants with frequent or unexplained illness:____________________

______________________________________________________________

24. Have any religious clergy been consulted:__________________

25. Has there been any media involved:_______________________

26. Has there been any witnesses besides the occupants (names and

 relationship):____________________________________________________

27. Have there been any orders (flowers, perfumes, sulfur, ammonia, etc):____

If so when and where:___________________________________________

28. Have there been any sounds (footsteps, knocks, banging, etc):_________

If so when and where:___________________________________________ 

29. Have there been any voices (whispering, yelling, crying, speaking):______

If so when and where:___________________________________________

30. Have there been any movement of objects:________________________

Is so when and where:__________________________________________

31. Have there been any apparitions:_______________________________

If so when and where:__________________________________________

32. Have there been any uncommon hot or cold spots:__________________

 If so when and where:__________________________________________

33. Have there been any problems with the electrical appliances (TV, lights, doorbell, etc):___________

 If so when and where:__________________________________________

34. Have there been any problems with the plumbing (leaks, flooding, toilet

bowls, sinks):_________________________________________________

If so when and where:__________________________________________


35. Any occupants having nightmares or trouble sleeping:_______________

36. Have there been any physical contact:___________________________

If so when and where:__________________________________________

37. Are pets affected:___________________________________________

38. Describe the first occurrence of phenomena:_______________________

____________________________________________________________

____________________________________________________________

39. Who first witnessed the phenomena:_____________________________

40. What time was the occurrence:__________________________________

41. What was the witness’s reaction during the phenomena:_______________

42. Were there any other witnesses during the first event:_________________

43. How long is the average duration of the phenomena:__________________

44. How often does it occur:_______________________________________

45. Do any occupants feel the phenomenaon is threatening:_________________

46. What do occupants believe is happening:__________________________

_____________________________________________________________

47. Do all the occupants agree on what is happening:____________________

48. What would you like to see accomplished from our visit:________________

_____________________________________________________________

_____________________________________________________________

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