This information is required to assess investigation eligibility, ensure investigator safety, and support ECPS research and case analysis. Submission of this questionnaire does not guarantee that an investigation will be approved or conducted.
This section collects identifying and demographic information necessary for case screening, investigator safety planning, and research analysis. All information is kept confidential and used in accordance with ECPS data handling policies. Completion of this section is required for consideration.
The following questions are optional and are used solely for aggregated research, historical context analysis, and investigator preparation. Responses are not used to approve or deny an investigation and may be skipped without penalty.
Select all that apply.
/
This section collects factual information about the property to support investigation planning, environmental assessment, and research analysis. Please answer as accurately as possible.
This question applies only to rented properties.
An estimate is acceptable if the exact year is unknown.
Do not include basements or below-ground levels.
Select the option that best describes the primary foundation of the structure.
Select all that apply.
Include unfinished or inaccessible spaces.
Select all that apply.
An estimate is acceptable (e.g., “within the last 5 years”).
/
This section collects information about the primary resident completing this questionnaire. Information is kept confidential and used only for screening, safety planning, and research purposes.
Please list current occupation or primary role (e.g., teacher, software engineer, retired, etc.).
Complete this section only if applicable. If fewer household members live in the residence, leave this section blank and click Next.
Please list additional household members not captured above (names, ages, occupations, and relationships).
/
This section helps us understand how the residence is used on a day-to-day basis.
Select all that apply.
This section asks about experiences the household has perceived as unusual or unexplained. Responses are self-reported and used to guide investigation planning and contextual analysis.
There are no right or wrong answers.
Select all that apply.
/
/
/
/
/
Select all that apply.
/
/
Examples include blessings, cleansings, prayers, rituals, ceremonies, or similar practices.
Select all that apply.
Estimates are acceptable.
Select all that apply.
Approximate timeframe is acceptable.
/
/
/
/
The following questions are optional and are asked to help provide appropriate context, ensure investigator safety, and guide follow-up discussions. Responses are confidential and are not used to diagnose, label, or dismiss reported experiences.
/
We may be unable to proceed with an investigation if these requirements are not met. These questions help ensure investigator safety, legal compliance, and operational feasibility.
/
The following questions are intended to establish clear expectations, ensure safety, and define the scope and limitations of the investigation. These acknowledgments help protect both the client and investigators and ensure a respectful, professional process.
Paranormal investigations focus on documenting reported experiences and environmental conditions. Outcomes may be inconclusive, and the absence of evidence does not invalidate personal experiences.
Investigative methods prioritize observation, documentation, and safety.
Investigators may request quiet periods, room restrictions, or limited movement during certain phases if applicable.
Investigators will not pressure participants to continue discussions they find distressing.
Thank you for taking the time to complete our intake questionnaire. We appreciate your willingness to share your experiences with us.
Your responses will be reviewed by the Eastern Connecticut Paranormal Society as part of our case screening process. While submission does not guarantee an investigation, it helps us determine how we may be able to assist you moving forward.
If we need any additional information, a team member will reach out. Thank you for your patience and for trusting us with your story.
This form was created for FREE using Youform.