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Basics Health Medication Wellbeing Communication Safeguarding Additional Review Outcome
Your answers remain private

Your detailed answers remain private unless you choose to share them through a subsequent enquiry. Only the overall screening outcome is used to guide the next stage of contact. All answers are processed locally on your device.

Private Polygraph Pre-Screening Questionnaire

This questionnaire is a private preliminary screening aid designed to identify factors that may require further professional review before an examination is considered. Your answers are processed locally on your device and are not collected, stored, or viewed by the examiner.

This tool does not determine eligibility, diagnose suitability, provide legal advice, assess mental capacity, or replace professional judgement. Any examination remains subject to professional review, informed consent, and case-specific assessment.

What type of matter does this enquiry relate to?
Is the examinee participating voluntarily?
Do you speak and understand English well enough to take part in a detailed polygraph examination?
Can the examinee sit still for 2–3 hours?

Health & Physical Considerations

Please select any of the following that currently apply to the examinee.

Selecting an item does not necessarily mean a polygraph examination cannot take place. It may simply mean the matter should be discussed before scheduling.

Medication & Recent Substance Use

Please select any of the following that currently apply to the examinee.

Selecting an item does not necessarily mean a polygraph examination cannot take place. It may simply mean the matter should be discussed before scheduling.

Wellbeing & Emotional Readiness

Please select any of the following that currently apply to the examinee.

Selecting an item does not necessarily mean a polygraph examination cannot take place. It may simply mean the matter should be discussed before scheduling.

Has the examinee had very little sleep, extreme fatigue, or significant exhaustion within the past 24 hours?
Has the examinee experienced a recent traumatic event, crisis, bereavement, panic episode, or major emotional shock that may affect their ability to participate calmly?

Communication, Understanding & Test Clarity

These questions help identify whether the examinee can understand the process, give informed consent, follow instructions, and participate in a properly structured examination.

Does the examinee have any cognitive, learning, memory, neurodevelopmental, or communication needs that may affect understanding, concentration, or consent?
Does the examinee have any hearing, speech, sensory, or communication difficulty that may affect the pre-test interview or the wording of test questions?
Is there a clear, specific issue or allegation that can be discussed and converted into precise test questions?
Does the enquiry involve multiple separate allegations, a long or complex timeline, or several different people/issues?

Safeguarding & Immediate Safety

Important Safeguarding Notice

This screening tool is not monitored in real time and does not provide emergency, legal, clinical, or safeguarding intervention. If anyone is at immediate risk of harm, do not rely on this form. Contact emergency services or the appropriate safeguarding authority.

Please do not include unnecessary names, graphic details, or extensive allegations in any enquiry. If your enquiry involves a child, vulnerable adult, current risk, coercion, domestic abuse, or active legal, criminal justice, safeguarding, therapeutic, educational, employment, or social-care involvement, please indicate this briefly so the matter can be triaged appropriately.

These questions help identify whether a polygraph examination is appropriate at this stage. Please do not provide names, allegations, or detailed disclosures in this screening tool.

Does this enquiry involve an immediate or current risk of harm to a child, vulnerable adult, yourself, or another person?
Is anyone being pressured, threatened, coerced, or required by another person to take this polygraph examination?
Could the result of this examination be used to punish, identify, intimidate, or retaliate against another person?
Is the examinee able to make a free and informed decision about participation?
Does this enquiry involve a child or young person under 18, or a vulnerable adult?

Additional Safeguarding Questions

Because this type of enquiry may involve additional safeguarding considerations, please answer the following brief questions. Do not include detailed allegations, names, or graphic information.

Does this matter involve domestic abuse, coercive control, stalking, harassment, threats, or fear of retaliation?
Are the police, social services, safeguarding professionals, probation, solicitors, courts, schools, employers, therapists, or other professionals currently involved?
Could taking a polygraph examination make the situation less safe for anyone involved?
Is the examination being requested by someone other than the proposed examinee?
Is the proposed examinee currently in severe distress, at risk of self-harm, or unable to participate calmly and voluntarily?

Review Your Answers

Check each section before viewing the pre-screening outcome. You can go back to any section to make changes.

Safeguarding Reminder

This screening tool is not monitored in real time. If anyone is at risk of harm, contact emergency services or the appropriate safeguarding authority immediately. Please do not submit detailed allegations or unnecessary personal names in your enquiry.

This pre-screening tool is a preliminary screening aid only. It does not determine eligibility, diagnose suitability, provide legal advice, assess mental capacity, or replace professional judgement. The outcome is not a final decision on whether a polygraph examination can proceed. Any examination remains subject to professional review, informed consent, and case-specific assessment.
Privacy Notice: Your detailed answers remain private unless you choose to share them through a subsequent enquiry. Only the overall screening outcome is used to guide the next stage of contact. All answers are processed locally on your device and are not collected, stored, or viewed by the examiner.
Consent Notice

Any examination remains voluntary and cannot proceed unless the proposed examinee provides free, informed and written consent.

Continue to Confidential Enquiry

Downloading this summary is optional. You are not required to share it in order to make an enquiry. The summary is generated locally on your device and is not sent to Centre for Forensic Neuroscience unless you choose to share it.

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