We are unable to help anyone under the age of 18 and will require the consent of a parent or guardian.
Please check the email address given is correct.
For example: Staffordshire.
We need your postcode to undertake a Geopathic and enviromental EMF survey. We do not need your full address at this stage.
For example: Hearing noises, anomaly on photograph etc.
It maybe easier to list in numbered order, for example:1. Heard bang upstairs, no reason was found.
How do you consider your wellbeing? Are you under the supervison of any health care professional?
An approx date is fine.
This can be a family member or close friend.
Or leave blank.
Are you aware of any history of the building or any local history to the location?
If you have any further information which may help us please use this box.
You are able to upload up to four images and small files such as movies (max 10MB per file) Only send us orignal and unedited images and movies.
If yes, please provide more information in the text box to the right.