The form below is designed to assist those who are in need of a paranormal investigation. All services provided by the Geist Research organization are free to the general public. To find out more on how we conduct our investigation, click here.

In order for us to better analyze your situation, ALL FIELDS MUST BE ANSWERED. Your privacy is important to us. The information that you are about to fill out will only be viewed by an authorized personnel.

Personal Information
First Name	Last Name
Address	City
E-mail	State --------- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Phone Number	Zip Code
Survey
How did you hear about us?
Friend	Relative
Search Engine	Other Organization
MySpace / Friendster	Other
Have you seeked helped from another paranormal organization?
----- yes no
If yes, what was the name of the organization?
Type of place being haunted? --------------- Residence Business
Number of persons currently living or working in this haunted area? (include all ages) ---------- 1 2 3 4 5 over 5
Experiences
Check the boxes according to what people have experienced.
seeing apparitions	hearing voices
cold spot	odd smells
hot spots	being touched or pushed
moving objects	dark shadows
things closing/opening	bad/violent dreams
scratches or red marks	electronic malfunctioning
To the best of your knowledge, how long has this problem been occuring? (days/months/year)
Please describe your situation with as much detail as you can provide.