Kansas Paranormal Investigators
Pre-Investigtion Witness Interview
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 recent 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 odors? (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. Has 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?________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
NOTES:
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 recent 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 odors? (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. Has 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?________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
NOTES:
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