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Page 3
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Has anyone ever used a Ouija board, attended a seance, or otherwise dabbled in the occult? If so, please explain. *
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Every have any problems with sleep, particularly consistently waking up about the same time at night? *
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Any recurring strange dreams or nightmares? *
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Does the house ever seem darker inside than it should be, i.e when the curtains and blinds are open and it's sunny outside? *
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Have you ever felt like you're being watched, or not alone when you are? If so, please explain. *
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Have you ever got a sense of something in the house sending out vibes of love and kindness? *
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Have you ever got a sense of something in the house sending out vibes of despair or sadness? *
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Have you ever got a sense of something in the house sending out vibes of anger or malevolence? *
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Ever dream of the property before the first time you saw it? *
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Noticed more illness or more severity in illness since occupying the property? *
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The reason we are asking the next 3 questions is not to cast doubt on the reality of the phenomena that has been witnessed, but because there could be a concrete link between mental health issues and genuine phenomena. Anyone in the house ever consulted a *
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If so, was there a diagnosis? *
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If so, is anyone on any mental health medications? *
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Is anyone in the house on any type of prescribed medication? *
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Page 4
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The next 3 questions are once again not to cast doubt on anything you've experienced, but because drugs can depress the CNS, and are often a way to cope with stress. Does anyone in the house drink? *
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Do you feel like you're drinking more since moving in or since the activity started? *
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Have you ever used street drugs? *
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Anyone have any serious chronic illnesses? *
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Have you felt a change in mood or attitude since the activity began? *
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Have you felt more tired since the activity began? *
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Would you consider yourself to be religious or spiritual people? *
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Noticed any sounds that would be associated with animals, growls or grunts, scratching or clawing sounds? *
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Are you ever stressed over finances? *
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How stressful would you say your life is? *
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Noticed anything unusual with electric appliances since occupying the property? (lights bulbs always burning out, things turning themselves on and off, etc.) *
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Ever notice and unusual foul odors, such as the smell of fecal matter or decaying flesh? *
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Ever notice any unusual pleasant odors, such as the smell of roses or oranges? *
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Ever notice any other unusual odors, tobacco, perfume, medicinal smells? *
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Ever hear any unusual sounds in the house, footsteps, voices, or children? Explain. *
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If you've ever heard voices in the house, did you recognize them, or did they tell you who they were? *
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Ever hear any tapping or knocking sounds? *
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Page 6
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Has anything you haven't been able to see touched you? If so, was it like being brushed against or having a hand laid on you, or hugged, pushed, slapped or shoved? *
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Has anything that you haven't been able to see touched you in an inappropriate place? *
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Do you have any enemies that you know of? *
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Ever had a seizure or blackout? *
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Do you speak any foreign languages? If so, how well? *
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Have you ever been levitated or seen any objects levitated? What was it? *
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Have you see any objects moving by themselves? Is so, what were they? *
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Please name types and number of pets in your household. *
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Have you noticed an odd behavior from your pets? *
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Do a majority of the odd occurrences happen to anyone in particular? *
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Have any odd occurrences happened when only one person was on the property? *
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Does the activity seem to occur at any sort of regular interval, same time of day, same day of the week or month, full moon, certain holiday, etc? *
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Are there any graves on the property? *
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Are there any old wells on the property? *
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Have you ever found anything unusual buried on the property? *
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Have you noticed any unusual scratches or any other markings on the walls or furniture? *
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