JAKS PARANORMAL

Investigation Request Questionnaire

Thank you for contacting Jaks Paranormal. Please complete this questionnaire as thoroughly as possible. The information you provide will help us better understand your experiences and determine the appropriate next steps.

Email completed questionnaires to:
jaksparanormal@gmail.com

Contact Information

Name: ___________________________________________

Phone Number: ____________________________________

Email Address: ____________________________________

Property Address: __________________________________

City/State: _______________________________________

Investigation Questionnaire

1. Who currently occupies the property?

2. Please list any pets living at the property.

3. When did the activity first begin?
Date: __________________ Time: __________________

4. Who witnessed the first occurrence?

5. Approximately how long did the first occurrence last?

6. How often does the activity occur now?

7. Do you feel threatened or unsafe because of the activity?
☐ Yes ☐ No

If yes, please explain:

8. Has anyone experienced physical contact or touching?
☐ Yes ☐ No

If yes, please describe:

9. Have you noticed any unusual sounds, odors, or other sensory experiences?

10. Have voices been heard?
☐ Yes ☐ No

If yes, what words, phrases, or messages were heard?

11. Have you experienced unusual hot or cold spots?
☐ Yes ☐ No

If yes, please describe:

12. Have pets reacted to the activity?
☐ Yes ☐ No

If yes, how?

13. Approximately how old is the building?

14. Has anyone else investigated the property?
☐ Yes ☐ No

If yes, who investigated and what were their findings?

15. How long have you lived or worked at this location?

16. Do you know how many previous owners or occupants the property has had?

17. What do you know about the history of the property?

18. Has any plumbing, electrical, structural, or remodeling work been completed recently?
☐ Yes ☐ No

If yes, please explain:

19. Has the property ever been blessed or visited by clergy?
☐ Yes ☐ No

If yes, please provide details:

20. Have you sought guidance from a pastor, priest, rabbi, spiritual advisor, or other faith leader regarding these experiences?
☐ Yes ☐ No

If yes, please explain:

21. Has anyone at the location experienced unexplained illnesses or health concerns?
☐ Yes ☐ No

If yes, please explain:

22. Has anyone experienced recurring nightmares, sleep disturbances, or unusual dreams?
☐ Yes ☐ No

If yes, please explain:

In Your Own Words

Please describe what you are experiencing. Include as much detail as possible, including what happened, when it occurred, where it occurred, who witnessed it, and why you believe it may be paranormal.

All information submitted to Jaks Paranormal is treated with professionalism, discretion, and confidentiality.

Seeking Answers. Finding Truth.