Investigation Interview Form   
(857) 247-7503
AnthonyDuda@aol.com
Time: ______________
Date: ______________
Interviewer: ___________________________      X___________________________
Permission to record interview ____Yes _____No
Witness: ________________________________    X____________________________

1. Address of site: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 
Type of residence:___________________________________________________________

2. Name of witness: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
How many witnesses have been present? (Please include name and contact information): ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 
Where did the “sighting(s)” occur?
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What was the exact/approximate time and date of the sighting(s)?
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Weather conditions at the time of the sighting(s):
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3. Mailing address (if different):
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4. Phone number: ______________________________________________________________

5. Email Address: ______________________________________________________________

6. How many occupants at location?
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7. Occupants' names and ages?
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8. Date of occupancy at the location?
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9. Occupants' occupations? 
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10. Occupants' religious beliefs:
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11. How many pets/animals? _____________________________________________________
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How did any pets/animals act during the course of day?
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How did any pets/animals act after the sighting? 
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12. Age of the site: _____________________________________________________________

13. How many previous owners? (if known):
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Is there any information on former occupants?
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14. History of site: (tragedies, deaths, previous complaints):
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15. How many rooms in the site? _________________________________________________
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Is there a garage? _______________________________________________________________
Does the dwelling have property? If so, what size?
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Is there a pond, lake or natural water source on the property?
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Are there other physical structures on the property?
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Have there been sightings on property or around/in other structures? 
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16. Has there been any recent remodeling? If so, what, when and where?
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Is there a basement?
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Does the basement flood?
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Does it follow any pattern?
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Have the dwellings pipes and/or electrical system been replaced? If so, when?
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17. Any occupants on prescribed medication (anxiety, depression, pain, etc.) If so, please list names and medications (Will be kept confidential)
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18. Any occupants using illegal drugs? (Will be kept confidential) 
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Was there use of this within 24 hours of sighting (when, what, how much): _________________
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19. Any occupants drink alcohol heavily? (Will be kept confidential): 
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Was there any use of this within 24 hours of sighting? If so, when and how much?
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20. Any occupants interested in the occult (Ouija, seances, psychics, spells? If so, who and what? 
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Have there been seances or rituals performed in the dwelling? If so, when, and by whom?
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Were there any occurrences during this time?
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21. Any occupants currently seeing a psychiatrist or in therapy? (Will be kept confidential)
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Have you ever been diagnosed as schizophrenic/bipolar? (Will be kept confidential)
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22. Any occupants with frequent or unexplained illnesses? If yes, describe: _____________
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Are you currently seeing a medical doctor for anything (this will be kept confidential)?
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Do you feel depressed or nervous?
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Do you feel that you have had abnormal amounts of stress and/or anxiety in your life?
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Do you have any known health problems?
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23. Have any religious clergy been consulted? If so, please list church: __________________
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24. Has there been any media involvement? If so, who? 
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25. Have there been any other witnesses besides the occupants? If so, please list names and relationships/contact information: 
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26. Have there been any odors? (perfume, flowers, sulfur, ammonia, excrement, etc.) If so, when, where and what? 
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27. Have there been any sounds (footsteps, knocks, banging, etc.)? If so, when, where and what? 
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28. Have there been any voices: (whispering, yelling, crying, speaking)? If so, when, where and what? 
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29. Has there been any movement of objects? If so, when, where and what?
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30. Has there been any apparition(s)? If so, when, where and what?
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Could you see through the apparition?
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Was the apparition wearing clothes? If so, what was the time period of the manner of dress?
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How long was the apparition visible?
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Were you sleeping before the sighting?
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Were you tired before the sighting?
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Did you call out for help or scream during the sighting?
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Did you recognize the apparition? Who do you think it was and why?
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Did any objects break before, during or after the sighting?
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Did you attempt to move closer to the apparition?
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Did the apparition make eye contact with you?
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Did the apparition acknowledge your presence in any way?
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What first made you notice the apparition?
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What did you think the apparition was when you saw it?
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________What do you believe happened?
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Have you ever experienced anything similar before?
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31. Have there been any uncommon cold or hot spots? If so, when, where and what?
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32. Have there been any problems with electrical appliances (TV, lights, kitchen appliances, doorbells)? If so, when, where and what? 
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33. Have there been any problems with plumbing (leaks, flooding, sinks, toilet bowls)? If so, when, where and what?
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34. Any occupants having nightmares or trouble sleeping? If so, who and when? 
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How is your sleep?
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Has your sleeping pattern changed?
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Are you getting a full night’s sleep?
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Have you had any nightmares or odd dreams lately?
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35. Has there been any physical contact? If so, who, where and what happened?
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36. Are pets affected? If so, how?
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37. Describe the first occurrence of the phenomenon; what and when happened?
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38. Who first witnessed the phenomenon?
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39. What time was the first occurrence of the phenomenon? 
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40. What is the witness's reaction during the phenomenon?  ______________________________________________________________________________
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41. Were there any other witnesses during the first event?
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42. How long is the average duration of the phenomenon? _____________________________________________________________________________
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43. How often does the phenomenon occur? _____________________________________________________________________________
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44. Do any of the occupants feel the phenomenon is threatening? If so, who and why?
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45. What do the occupants believe is happening (supernatural, natural, unsure, etc.)? 
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46. Do all of the occupants agree on what is happening? Do any think it's nonsense or not happening?
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47. In which rooms/areas do the paranormal activities occur?
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48. Does any natural occurrence proceed or trigger the paranormal activity?
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49. Have you recently brought home a secondhand item (antique shop, secondhand store, flea market)? If so, what was the item and when?
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50.  Do you have anything you would like to add that has not been asked?
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