If you are reporting an event with more than one unusual incident, please consider the most significant incident when answering the following questions:
Including yourself, how many witnesses are there at this event?
--- 1 2 3 4 5 or more
Are you or any of these witnesses willing to be contacted for more information?
--- Yes No
Have you reported this event to anyone else?
--- Yes No
Who did you report to?
Were you satisfied with their performance?
--- Satisfied Not Satisfied How can T.E.S.A. do better?
Who referred you? (Your source will get supporter credits)
Would you like this report to be Anonymous?
--- Yes No
Only statistical data and direct evidence will be used to inform the public.
Your personal information will not be released.
Contact Information:
First Name
Last Name
Date of Birth (YYYY-MM-DD)
Phone (###-###-####)
Is this a cellular phone?--- Yes No
Email
What is your preferred method of contact?--- Email Phone
Where did this Experience Occur? (We do not need to know where you live)
Street Number: Google Maps Street Name: City: Postal Code: Canada Look Up OR USA Look Up Province/State: Country:
Event Information:
What date did this event occur? (YYYY-MM-DD): Approximately or Exactly? --- Approximately Exactly
How old were you when this experience first happened? Calculator
What is your blood type? (We are comparing experiences to blood types) --- AB+ AB- A+ A- B+ B- O+ O- I don't Know
What time did it start? (HH:MM): AM or PM?:--- AM PM Approximately or Exactly? --- Approximately Exactly
What time did it end? (HH:MM): AM or PM?:--- AM PM Approximately or Exactly? --- Approximately Exactly
Is this an ongoing or isolated event? :--- Isolated Ongoing
Do believe this to be a positive or negative experience?--- Positive Negative
What did you hear?
What did you smell?
Did you taste anything?
Did you feel anything?
Do you have evidence?--- Yes No
What type is your best piece of evidence?--- Analogical - Drawings Circumstantial - Opiniated Demonstrative - Video or Photographs Documentary - Government Documents or Emails Other *** You will be contacted to retrieve the evidence *** *** A drawing may be requested as well. Please start preparing ahead of time. ***
*** You will be contacted and asked for a drawing. Please start preparing ahead of time. ***
Were there any injuries or damage caused to anyone or anything during this experience?
--- Yes No
What exactly was injured or damaged?
When this event happened what did you tell yourself?
After this event happened how did you feel?--- Angry Guilty Happy Proud Scared Disgusted Sad Ashamed
If more than one of these categories fits your experience, please file each experience separately. We must analyze experiences individually and avoid collecting unusable data.
What Type of Experience are you reporting?--- Abduction Aerial Phenomenon Astral Projection Apparition Crop Formation Cryptid Entity Extrasensory Perception Human Initiated Contact Orbs Possession Unexplained Livestock Death Unusual or Paranormal Activity Extreme Weather Conditions
"Abduction" is the action or an instance of forcibly taking someone away against their will.
Which of these best describes the captor?
--- Cryptid (Animal) Entity Extra-terrestrial Human Shadowy Figure
"Aerial Phenomenon" is described as an object or light seen in the sky, the appearance and/or flight dynamics of which do not suggest a logical,
Which one of these objects best describes what you saw?
--- Drone Military Craft Orb Extra-terrestrial Technology
"Astral Projection" is a term used to describe a willful out-of-body experience that assumes the existence of an "astral body" that is separate from the physical body and capable of travelling outside it throughout the universe
Which one of these actions were used to achieve this experience?
--- Awake Hypnosis Meditation Sleep Remote Viewing
"Apparition" is a term used to describe is an anomalous experience characterized by the apparent perception of either a living being or an inanimate object without there being any material stimulus for such a perception.
Which one of these words best describes what you saw?
--- Ghost Mist Shadow
"Crop Formation" is defined as an area of standing crops that has been flattened in the form of a circle or more complex pattern.
Which one of these words best explains what you saw?
--- Man Made Invention Extra-Terrestrial Design
"Cryptid" is defined as an animal or creature whose existence or survival is disputed or unsubstantiated
Which one of these groups best explains what you saw?
--- Aquatic (Fish) Avian (Bird) Canine (Dog) Feline (Cat) Primate (Ape) Reptile (Lizard)
"Entity" is defined as a physical humanoid type being of existence.
Which one of these beings best explains what you saw?
--- Extra-Terrestrial Half Human/Half Something Else Human Adult Human Child Reptile Shadow Figure
"ESP" is defined as perception that involves awareness of information about events external to the self not gained through the senses and not deducible from previous experience.
Which one of these attributes best explains what you experienced?
--- Clairvoyance (Present) Deja vu Download Near Death Experience (NDE) Precognition (Future) Retrocognition (Past)
"Human Initiated Contact" is defined as mutual, bilateral communication, initiated by humans for the purpose of establishing contact with another entity, object or matter.
Which one of these actions were used to achieve this?
--- CE5 Channeling (Mediumship) Psychokinesis (Telepathy) Séance Telepathy
"Orbs" are defined as unexplained balls of light caught in pictures or on video.
Which one of these attributes best describes the orbs you experienced?
--- Dual-tone Mono-chrome Poly-chrome
"Possession" is defined as the process by which an individual's movement or action has unknowingly or willingly been controlled by an invisible intellectual being.
Which one of these attributes best describes the experience?
--- Negative Positive
"Unexplained Livestock Death" is defined as the killing and mutilation of livestock under unusual and anomalous circumstances.
Which one of these groups best describes what you experienced?
--- Bison Cats Cows Deer Dogs Elk Goats Horses Pigs Rabbits Sheep
"Unusual/Paranormal Activity" is defined as the condition in which events happen beyond the scope of normal scientific understanding.
Which one of these groups best describes this activity?
--- Electrical Object (Moved) Paralysis Person (Moved) Sensation Smell Sound Temperature
"Extreme Weather Conditions" is defined as unexpected, unusual, severe, or unseasonal weather.
Which one of these attributes best explains what you experienced?
--- Debris Clouds Lightning Other
Is this selection exactly what you experienced or different? --- Different Exact
How did it differ from this category?
Where exactly were you inside this event location when this experience occurred?
What direction were you facing?--- North North East North West South South East South West East West
Describe the Movement:
Describe this event:
What could be a rational and logical explanation for this event?
What would you like TESA to do in response to this report?
What about yourself and this experience can be said to consider this report credible?
Why do you think this event happened to you, and how has it affected your beliefs about yourself, others, and the world with regards to safety, trust, power/control esteem, and intimacy?
What are your current religious or spiritual beliefs?
Are there any concerns you might have with sharing your experience to help others?--- Yes No
Are there other events in your life that you will be submitting after this one?--- Yes No
If necessary, would you be willing to complete other forms specific to the nature of your experience? This additional data will help TESA narrow down the variables and assist in isolating the event.--- Yes No
Would you like to subscribe to our newsletter?--- Yes No
Would you, as an individual like to be considered for future experiments and deeper studies to understand why you are connected to the phenomenon?--- Yes No
Would you like to be a guest on our Live Video Podcast "Beyond The Tin Foil Hat"?--- Yes No
Would you like someone to contact you about our exclusive YouTube experiencer membership for $2.99 CAD/Month?--- Yes No Already A TESA Member
We will remove all identifiers when using this report to assist, educate, and inform the public.
We thank you for your time and appreciate the courage to document your experience.
Would you like a copy of this report for your records? --- Yes No
What email address would you like it sent to?
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