Requester name *
Requester name
Phone *
Examinee name
Examinee name
Your relationship with the examinee *
Examinee gender *
Is the examinee over 18 years old? *
Prior polygraph tests taken? *
Requested exam date *
Requested exam date
List desired questions of which the test should provide answers
Note: final test questions will be determined by the examiner during the pre-test interview.

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We only have access to information that you voluntarily provide us with via email or other  comunication means. We will not share, or sell any of this information to anyone.

We will use your information only to respond to you, regarding the reason you contacted us. We will not share your information with any third party outside of our company.