This questionnaire can only be opened from a current examinee access link.
Who should complete it
The proposed examinee should complete this questionnaire personally using their private access link.
Where someone else is arranging or paying for the examination, the private link should be sent to the proposed examinee so they can answer the health, medication, voluntariness and safeguarding questions directly.
Information boundaries
The person paying for the examination will not automatically receive the examinee's detailed answers.
The client may be informed only of the operational outcome of the review, such as whether the examination can proceed, requires clarification, should be modified or has been declined.
Post-retainer professional review
Confidential Professional Suitability Questionnaire
This confidential form helps Dr Keith Ashcroft review whether a proposed polygraph examination can proceed, needs changes, should be postponed or should be declined.
Please answer only what is relevant to voluntary participation, health or medication, wellbeing, communication, safeguarding and the proposed examination scope.
It is not an emergency service. If anyone is at immediate risk, contact emergency services or the appropriate safeguarding authority now. Do not include graphic details, medical records or unnecessary information about third parties.
Questionnaire received
Your confidential professional suitability questionnaire has been submitted for review.
- Booking reference:
- Submission reference:
- Submission time:
Submission does not confirm that the proposed examination will proceed. You will be contacted if clarification is required or once the professional review has been completed.
Do not resubmit the questionnaire unless requested.
This form is not monitored as an emergency or safeguarding service.