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If you
would like for us to complete a formal confidential no-cost
investigation, please fill out the following online form or
contact us at
igtlafayette@yahoo.com |
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Contact
Information |
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Name:
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Email Address:
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Telephone:
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Street Address:
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City:
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State:
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Zip Code:
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Occupant
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How many occupants live at the location:
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Are any occupants currently on medications:
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Yes
No
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Do any of the occupants drink alcohol heavily:
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Yes
No
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Are any occupants using illegal substances:
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Yes
No
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Any occupants interested in the occult: (ouija, séances, psychics, spells):
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Yes
No
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Occupants names and ages:
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Occupations:
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Religious beliefs:
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Are you or anyone in the household experiencing nightmares or trouble sleeping?
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Yes
No
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Any occupants currently seeing a psychiatrist:
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Yes
No
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Property
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How long have you lived at the location:
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How many previous owners have lived at the location (if known):
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History of the site (if known): (tragedies, deaths, previous complaints):
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Has there been any recent remodeling (if so, explain the nature of the remodel):
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Phenomena
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Have any religious clergy been consulted:
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Yes
No
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Has the location been blessed?
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Yes
No
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Have there been any other witnesses besides the occupants:
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Yes
No
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Has there been any media involvement:
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Yes
No
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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 you or other members of the household experienced:
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Unexplained sounds (footsteps, knocking, banging)
Unusual odors (perfumes, flowers, sulfur, excrememnt)
Uncommon cold or hot spots
Unexplained voices (whispering, yelling, crying, laughter)
Movement of objects
Levitations
Plumbing problems (leaks, flooding)
Disturbances with electrical appliances (TV, lights, doorbells)
Physical attacks
Unusual pet behavior
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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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Yes
No
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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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Additional Information or comments:
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