Have any religious clergy been consulted: |
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Has the location been blessed: |
Yes
No |
Have there been any other witnesses besides the occupants: |
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Has there been any media involvement: |
Yes
No |
Have there been any sounds: (footsteps, knocks, banging) |
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Have there been any odors: (perfumes, flowers, sulfur,
excrement) |
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Have there been any uncommon cold or hot spots: |
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Have there been any voices: (whispering, yelling, crying,
speaking) |
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Has there been any movement of objects: |
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Have there been any levitations: |
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Have there been any problems with plumbing: (leaks, flooding,
sinks, toilet bowls) |
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Have there been any problems with electrical appliances: (TV,
lights, kitchen appliances, doorbells) |
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Have there been any physical attacks: |
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Are pets affected: |
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When was the first occurrence of the phenomena: |
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What was the witnesses reaction during the phenomena: |
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How long was the duration of the phenomena: |
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Who first witnessed the phenomena: |
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Were there any other witnesses: |
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What time was the first occurrence of the phenomena: |
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How often does the phenomena occur: |
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Do the occupants feel the phenomena is threatening: |
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What do the occupants believe is happening: (is it supernatural) |
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Do all of the occupants agree on what is happening or do they
think it’s nonsense: |
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