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Date
Month
Day
Year
Testing Location Preference
Home
Work
Other
What is the primary reason for DNA test? (Check all that apply)
Do you require results for legal purposes or personal information only?
Legal
Personal
How would you like to receive your results?
Are there specific confidentiality concerns we should be aware of?
Yes (please specify)
No
Have you had DNA testing before?
Yes
No
Do you have any questions or concerns about the testing process?
Yes (please specify)
No
Do you consent to provide the necessary biological sample for DNA testing?
Yes
No
I understand and agree that my personal and testing information will be handled in compliance with privacy laws and company policies.
Yes
No
Are there any domestic concerns we should be aware of ?
Yes
No

Consultation Questionnaire

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