Private Therapeutic Polygraph Suitability Questionnaire | The Centre for Forensic Neuroscience

Your role

Select the perspective that best describes how you are using this tool.

I am completing this as a:

CSBD client / examinee Partner / spouse

You will not be asked to provide detailed disclosures, names, allegations, or graphic information. The aim is to identify whether consultation may be appropriate and what may need clarifying first.

Please select a role before continuing.

Consent, voluntariness and device privacy

These statements help identify whether completing and keeping a summary is appropriate for your situation.

Consent and voluntariness

I am completing this freely. I am not being threatened, punished, coerced or pressured. I understand I can stop at any time. I will only share the summary if I choose to.

Device privacy

I am using a private device I understand downloaded summaries may remain on this device I understand printed copies may be seen by others

Purpose and possible examination pathway

Choose the pathway you are considering. Select "unsure" if this needs professional guidance.

As the CSBD client or examinee, use this section to consider readiness, voluntariness, therapeutic support and whether the purpose of the polygraph examination is clearly understood.

As a partner or spouse, answer as far as you understand. If the pathway or purpose has not been explained clearly, this should be identified for discussion rather than treated as your assessment of the client's clinical suitability.

Which examination type seems most relevant?

Disclosure Polygraph Specific-Issue Polygraph Maintenance / Monitoring Polygraph Unsure / needs guidance

Please select a pathway before continuing.

Main reason for considering a polygraph

Accountability Clarification Treatment planning Relationship decision-making Reassurance No clear purpose

Therapeutic framework

Therapist involvement present Therapist involvement recommended No therapist involvement

Disclosure readiness

Disclosure examinations usually require careful therapeutic preparation and specific agreed disclosure areas.

As the CSBD client or examinee, select the preparation that is already in place before consultation, including whether the disclosure is stable and therapeutically supported.

As far as you understand, select what has been explained to you. "I do not know" is a neutral response that identifies a topic to clarify before proceeding.

Which statements apply?

Specific-issue readiness

Specific-issue examinations require narrow, behaviour-specific questions that can be answered clearly.

As the CSBD client or examinee, consider whether the issue is defined enough for consultation and whether the question can be framed around specific behaviour.

As far as you understand, consider whether the concern has been explained in a narrow and behaviour-specific way. If not, this is an area to clarify in consultation.

Which statements apply?

Readiness indicators

Concern is behaviour-specific Time period is reasonably clear. Question can be answered yes/no. Multiple issues are not being combined

May need further discussion

Questions not defined Multiple issues need narrowing I would want clarification about whether this can be reduced to a clear yes/no question I would want clarification about whether multiple issues are being combined

Maintenance / monitoring readiness

Monitoring examinations should sit within a recovery framework with agreed behavioural boundaries.

As the CSBD client or examinee, select the recovery framework, behavioural boundaries and therapeutic support that are already in place.

As far as you understand, identify what has been explained to you. You do not need to know clinical details; unanswered points can be noted for discussion.

Which statements apply?

Expectations and limits

Results should be interpreted cautiously and in therapeutic context.

As the CSBD client or examinee, this section checks that participation is voluntary, the purpose is therapeutic and the limits of a polygraph examination are understood.

As a partner or spouse, these items identify expectations, safeguarding concerns and areas that may need explanation before proceeding. They do not determine the client's suitability.

Which statements apply?

Stability, coercion and safeguarding

This questionnaire is not monitored. If there is immediate risk of harm, call 999, attend A&E, contact NHS 111, your local crisis team, or Samaritans on 116 123.

Current risk or pressure indicators

This summary is generated from browser data only. It is not a diagnosis, treatment decision, legal advice, safeguarding assessment, polygraph opinion, confirmation of truthfulness, or substitute for therapy, clinical assessment, safeguarding review, or professional judgement.

This result is intended to support discussion with a qualified examiner and, where relevant, a therapist. It is not a decision by itself and should not be used to pressure participation or replace professional judgement.