Questionnaire

North Nottinghamshire Paranormal Group (NNPG)

Pre-Case Questionnaire (PCQ)

Address of property relating to reported activity:

Address *

Town/City *

County *

Postcode *

Is this property: *RentedPrivately Owned

As you have indicated that this is a rental property, is the owner aware of the issues affecting the property? *YesNoWe will never divulge any information about your case with your Landlord/Landlady without your express permission.

How many people are being affected in the property, and what are there gender(s) and age(s)? *0 / 300

In your own words, please give a brief overview of any activity experienced: *0 / 1200

Has anybody mentioned above felt physically threatened by any of the activity? *YesNo

Does anybody mentioned above suffer from, or has been diagnosed with by a General Practitioner, any form of mental health issues including depression? *YesNo

As you have stated "Yes", please provide details: *0 / 600

To your knowledge, has anybody past or present been involved in any seance, Ouija (Spirit) Board usage, use of a medium or participated in any occult activity upon the property? *YesNoUnknown

As you have stated "Yes", please provide details: *0 / 600

To the best of your knowledge, has there ever occurred an event that resulted in the loss of life upon the property? *YesNoUnknown

As you have stated "Yes", please provide as much detail as you are comfortable with: *0 / 1200

As you have stated that you experience smells, please describe what it is you smell: *This can be, for example, a smell of perfume that nobody wears; cigar smoke when nobody smokes or the smell of decay, etc.0 / 600

Does any of the activity that you experience within the property appear to be child-like in nature? *YesNo

Please give more details: *0 / 600

Have any apparitions been seen within the property? *YesNo

Roughly, how many times have they been seen? *

Has this manifested as a male or female form? *MaleFemaleInidentifiable

Has this manifested as a child or adult? *ChildAdultInidentifiable

Does the activity occur at any particular time of the day/night, or does it appear to be random? *Particular timeRandom

Please indicate the time(s) activity occurs: *0 / 300

Is the activity experienced generally within one area of the property, or within various areas? *One areaVarious

Is the activity limited to within the property, or does it also affect surrounding areas? *WithinWithin and surrounding areasSurrounding areas only

Have you ever had any third-party (i.e. investigative group, medium, Priest or Vicar, demonologist, etc) onto the property to conduct an investigation or a 'white' ritual (i.e. a house cleansing or blessing, an exorcism, etc)? *YesNo

Please give as much detail as possible and what was the outcome? *0 / 1200

If you are a business, is the activity affecting staff, customers, suppliers or contractors? *YesNoNot applicable

Please give details on whom and how they are being affected: *0 / 1200

Please use the space below to tell us anything else you feel is relevant to your case and we may not have covered in this questionnaire:0 / 1200

Finally, please can you tell us what you hope to achieve from contacting NNPG in regards to your case. What answers do you seek? What actions would you like taken? *0 / 1200

Disclaimer and Consent - Please read!

Unfortunately, not all enquiries made to NNPG are serious. Many do not believe in the paranormal and contact us purely as a hoax to try and catch us out. None have been successful in doing so thus far. We respect everybody's views and beliefs - please respect ours. We take what we do very seriously, especially where potential harm to the living from an entity is possible. By wasting our time, people potentially put others, who genuinely need our help, at risk. Please bear this in mind when submitting this questionnaire. NNPG operates a 'name and shame' policy within the paranormal community for those who insist on hoaxing claims of paranormal activity. As part of what we do, NNPG would like to share certain details of your case with other groups and organisations within the paranormal field. This may include sharing a brief history of the location, historical activity noted and any evidence captured within an investigation. This may include on our website and within social media groups specific to the study of the paranormal. Your case may also be registered, and documented, with ASSAP (Association for the Scientific Study of Anomalous Phenomena). We do NOT share personal or private data.

Please indicate if you are happy for us to: *Share case information by nameShare case information anonymouslyDo not share any case data

Donations

Yes - I am interested in making a donation to NNPG.

To be completed by the person submitting the PCQ form:

First Name *

Last Name *

Relationship in regards to the case: *0 / 100

Email Address *

Phone

Date of submission *