1) What is your first and last name?
2) What is your age?
3) What City do you live in? (we will ask for your address in our reply to this questionnaire)
4) What is your email address? (we will ask for your phone in our reply to this questionnaire)
5a) What type of location do you live in?
5b)Is this the location you wish us to investigate?
No
 yes
5c) If "no" then please indicate the type of location, and your relationship to this location below.
6) How long have you been present at the location you are asking us to investigate?
7a) How many occupants are there in this location? (If this is a private home, please
provide an accurate count of the number of adults/ children, and provide their ages)
7b) If this is a business then try and provide, as well as you can, the amount of adults/ children
below.
# of adults
# of children
8) Are there any pets at this location? If so, please explain how many pets, and what type of
animal they are.
9) Describe, in detail, your strange experiences at the location you are asking us to investigate.
Remember to include dates, times, and areas of occurrence to the best of your ability.
10) Does anyone else at this location experience anything? Please describe below.
11) Have you ever had past paranormal experiences, at different locations? Describe them below.
12a) Do you consider yourself psychic, or sensitive?
no
yes
12b) If so, please explain the nature of your abilities below.
13a) Do you use any type of prescription drug to maintain a healthy mental state?
yes
 no
13b) If so, please explain below.
14a) Do you find yourself abusing any types of drugs (legal or illegal),
or any type of foreign substances?
yes
no
14b) If so please explain. Remember this will be kept confidential.
15) Do you believe in paranormal phenomena?
yes
no
16a) Do you, or have you in the past, had any dealings with the occult?( played with a
Ouija board, been part of a seance, or attempted to practice witchcraft) Is so please
explain below, otherwise enter "no."
16b) Where any of these dealings performed in the location you are asking us
to investigate?
yes
no
CSGR Investigation Questionnaire
If you or someone you know are experiencing a haunting, and would like CSGR to investigate,
then please fill out and submit the questionnaire below.  The contents of your questionnaire will
be kept confidential, even if an investigation is not performed.  We ask that only those truly
interested fill out this form. Please be truthful, and as descriptive as possible. Thank you.