SITE SURVEY REPORT SUBMISSION FORM Your name: ____________________________________________________________________ E-mail: _______________________________________________ Date site visited (dd/mm/yy): _________________________ Site name: _________________________________________________________________ Location (country, county, nearest village): ______________________________ O/S Grid ref (if known): _____________________________ Type of site: Passage tomb/Chamber tomb/Longbarrow/Chalk figure/Hill Fort/Standing stone(s)/Stone circle/Maze/Other (please state)_________________ Purpose of visit: ____________________________________________________________ Time passed since last visit (if appropriate): _______________________________ Contacted Land Spirits: Yes/ No And they said: _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ I found: Nightlight remains: Yes/ No Candlewax: Yes/ No If yes, where was it (grass, stones, was lichen affected)? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Joss sticks: Yes/ No Charcoal incense remains: Yes/ No Fire damage: Yes/ No If yes, how recent, where was it, did it seem ritual in purpose, any other details? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Soot blackening: Yes/ No Damaged lichen: Yes/ No Chipped bits: Yes/ No If yes can you give a rough location for later comparison? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Objects wedged in crevices: Yes/ No If yes what were they and how many of them? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Flowers: Yes/ No If yes were they local or hothouse? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Disturbed soil (not including molehills!): Yes/ No Food items: Yes/ No Picnic remains (eg cans, fruit peel, wrappers): Yes/ No Cigarette ends: Yes/ No Chalk markings: Yes/ No If yes how many and what did they depict? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Other markings: Yes/ No If yes what were they made with and what did they depict? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Other ritual debris: Yes/ No If yes, please give details _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ I also found (anything that I missed?): _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ What I did about it (did you contact NT or EH? Did you take anything away with you?) : _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Comments (other information - please include what information you do not want published, e.g. your name): _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ This form can be snailmailed to me at: Sam Fleming SAFE Cranfield University Silsoe Beds MK45 4DT UK Email: sam@ravenfamily.org The online form is at http://www.ravenfamily.org/sam/pag/sitevisits.html