Please provide the following contact information:

Name
Best time to be reached
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

What type of paranormal manifestations have you experienced in your home or place of business? Please check what you have experienced below.

Cold Spots
Hot Spots
Feelings of Being Watched
Objects moved or missing for awhile then reappearing
Visual Manifestation
Audible Sounds (speaking, growling, moans, screaming, taping)
Shadow Figures
Physical Encounters (touching, pushing, scratching, hitting)
Static/Electric Shock
Sleep Disturbances
Other

Does your home have a history of paranormal activity or a history of something traumatic that took place in your home or place of business?

Yes No

If yes, please explain.

What is your religion or practicing faith? Please highlight which one that applies to you.

Catholic
Jewish
Hindu
Christian
Muslim
Pagan
Other

Are you searching for a cleansing, blessing, confirmation, or exorcism?

Yes No

Are you presently mourning the loss of a loved one?

Yes No

Are you under psychiatric care of any kind?

Yes No

How many people live in your home including pets and what type of pets?

Do you currently or have you ever played with a Ouija Board?

Yes No

If yes, please tell us how long you have used the Ouija Board.