R & I Screening Test
I-1: A, B, 5, 3, 1, D, 2, 4, E, 1, 5, 3, F, 4, 2, T-2
I-2: H, , , F, , , , G*, G, , , , I, , , T-1
1. Relevant Do you know anyone who is engaged in espionage or
sabotage?
2. Relevant Do you plan to commit espionage or sabotage against
the United States?
3. Relevant Have you ever been involved in Communist, Fascist,
or Terrorist activity?
4. Relevant Have you ever given, discussed, or sold classified
materials to unauthorized persons?
5. Relevant Have you ever had any secret contacts with foreign
governments or agencies?
II-1: G, 9, 10, 7, C, 6, 8, H, 7, 10, 9, E, 8, 6, T-3
II-2: B, , , , J, , , E, , , , F, , , T-2, VIQ, C-2
6. Relevant Have you ever committed a serious crime?
7. Relevant Have you deliberately omitted any employments or
schools?
8. Relevant Have you ever been involved with any illegal drugs or
narcotics?
9. Relevant Have you deliberately falsified any part of your
security form?
10. Relevant Have you failed to disclose any medical conditions?
A. Norm/Irr Is your first name ?
B. Norm/Irr Is your middle name ?
C. Norm/Irr Is your last name ?
D. Norm/Irr Were you born in the city of ?
E. Norm/Irr Were you born in the state of ?
F. Norm/Irr Were you born in the month of ?
G. Norm/Irr Were you born in the year of ?
Rev. Norm Were you born in the year or (wrong year)?
H. Norm/Irr Are you stationed at Ft. McClellan?
I. Norm/Irr Are you presently in the state of Alabama?
J. Norm/Irr Is your father's first name ?
T-1 Overall Truth Have you truthfully answered all the questions
on the test?
T-2 Overall Truth Have you falsely answered any of the questions
on the test?
T-3 Overall Truth Have you deliberately withheld any pertinent
information during this interview?
VIQ Now, I am going to ask you a very important
question, one which has not been reviewed....
C-1 Control Do you remember my name?
C-2 Control Do you think you passed this test?
C-3 Control Have you ever taken anything which did not belong to
you?
C-4 Control In the last six months have you told a deliberate
lie?
OT Other than what you told me....
FX Have you revealed the fullest extent of....
TBK To the best of your knowledge....
WH Are you withholding any additional information about....
RW Question has been reworded but scope has not changed.
DH Are you deliberately hiding from me any additional involvement
regarding...
8a Sub-questions of any question, i.e., specific form of drug
usage.
II-1
1. G Were you born in the year of ?
2. 7 Have you deliberately omitted any employments or schools?
3. 10 Have you failed to disclose any medical conditions?
4. 9 Have you deliberately falsified any part of your security
form?
5. C Is your last name ?
6. 6 Have you ever committed a serious crime?
7. 8 Have you ever been involved with illegal drugs or narcotics?
8. H Are you stationed at Ft. McClellan?
9. 7 Have you deliberately omitted any employment or schools?
10. 10 Have you failed to disclose any medical conditions?
11. 9 Have you deliberately falsified any part of your security
form?
12. E Were you born in the state of ?
13. 8 Have you ever been involved with illegal drugs or narcotics?
14. 6 Have you ever committed a serious crime?
15. T-3 Have you deliberately withheld any pertinent information
during this interview?
II-2
1. B Is your middle name ?
2. 10 Have you failed to disclose any medical conditions?
3. 9 Have you deliberately falsified any part of your security
form?
4. 8 Have you ever been involved with illegal drugs or
narcotics?
5. J Is your father's first name ?
6. 7 Have you deliberately omitted any employments or schools?
7. 6 Have you ever committed a serious crime?
8. E Were you born in the state of ?
9. 8 Have you ever been involved with illegal drugs or
narcotics?
10. 6 Have you ever committed a serious crime?
11. 10 Have you failed to disclose any medical conditions?
12. F Were you born in the month of ?
13. 9 Have you deliberately falsified any part of your security
form?
14. 7 Have you deliberately omitted any employments or schools?
15. T-2 Have you falsely answered any of the questions on the
test?
16. VIQ Now, I am going to ask you a very important question, one
which has not been reviewed...
17. C-2 Do you think you passed this test?
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