Date and time__________________ Location_________________________
Investigators present_______________________________________________
Occupants present________________________________________________
Physical Conditions of Site
1= very much 2= somewhat 3= average 4= not much 5= not at all
Is the location in good shape? 1 2 3 4 5
Any of the following conditions apparent in the location?
Drafty windows 1 2 3 4 5
Creaky floors 1 2 3 4 5
Noisy pipes 1 2 3 4 5
Outside traffic 1 2 3 4 5
Dusty 1 2 3 4 5
The walls are made of: drywall, paneling, wood, wall paper,
The floors are: wood, tile, linolium, hardwood, carpeted, rugged
Describe the outside area__________________________________________
Circle all that are present:
Vents, mirrors, plants, fireplace, antiques, faulty wires, old model tv sets, occult items, pets, candles/inscense, smokers
Describe the lighting____________________________________________
Weather__________________________________________________
Impression of researcher (accounts, sightings, etc)
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