OMSS Investigation Request

OMSS Investigation Request

Please be advised that all questions and answers are confidential.
Name*

First NameLast Name
E-mail*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Names and ages of occupants:
List any pets in the residence:
Have any of the occupants encountered any of the following? (Check all that apply.)

Voices (whispering, yelling, crying) Name(s) called from no apparent sourceChildren report seeing someone who isn’t thereSmells/odors (such as perfumes, flowers, sulfur, ammonia, excrement, etc.)Physical contact/being touched (shoulder, arm, hair, etc.) or tugging of clothesShadowsApparitions (specific time of day/place?) Unexplained lightsOrbsSmoky forms/mists/fog Sudden unexplained breezesHair on arms and neck standing on endStrong random thoughtsStrong feelings of being watched/followedCold or hot spotsRecent death of loved oneRecent anniversary of loved one's death, birthday, anniversary, etc.Tapping or knockingsFootsteps or other unexplained noisesMood changes, especially in one room Conversations with spiritsDoor(s) opening/closing Moving/disappearing/rearranged objects Furniture rearrangedMovement out of the corner of your eyeElectrical disturbances (frequent light bulb, burnouts, etc.)Appliances on/offPuberty of family member or emotional stress of adolescents in areaRenovations in locationProblems with appliances (TV, radio/ stereo, computer/laptop, clock/clock radio, microwave, lights, doorbell, etc.)Problems with plumbingOther
Notes from above question:
Has Religious Clergy been contacted?

YesNo
Has the location ever been blessed?

YesNo
Has there been any recent remodeling?

YesNo
Are any of the occupants on prescribed medication? (Anxiety, depression,etc.)

YesNo
Any occupants suffering from frequent unexplained illness?

YesNo
Have any of the occupants experienced nightmares or have trouble sleeping?

YesNo
If there are pets on the property, do the pets seem to follow something with their eyes or have a fearful reaction without any apparent reason?

YesNo
Is any resident of the property known to have or believed to have psychic abilities?

YesNo
Have any of the occupants dabbled in the occult? (Ouija boards, séances, psychics, spells, etc.)?

YesNo
Notes from above questions
When did occurrences start happening? What sort of phenomena are you experiencing? Who experienced it? How often do occurrences happen?
Is there any accounts of paranormal phenomena occurring at occupants’ previous residences? Does these occurrences seem to follow you or someone who lives with you?
Any history of hoaxing involved with occupant or family member? Explain.
Have you previously enlisted the help of any other individuals, teams, etc? If so, please explain:
What is it you hope to achieve with the help of our team?
Please upload any pictures, video, or audio you may have to show what you are experiencing. (Not required)

Upload a File

Cancelof
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Preferred method of contact:

PhoneTextEmail
Best time of day to contact you:

Morning (9am to 12pm)Afternoon (12pm to 5pm)Evening (5pm to 9pm)AnytimeOther
By signing below I understand that the information given in this questionnaire is true and accurate to the best of my knowledge. I also understand that this information will be used by the OMSS team to conduct their investigation. I give permission to the team to contact me to discuss and set up a paranormal investigation of our property.
Please type your full name as your e-signature.
Date

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