A few quick but important notes:
I do not meet with anonymous people due to the sensitive nature of the services that are being offered.
If you can't trust me with your real name, I don't want to be in a room with you alone.
This form is to verify that you are who you say that you are and no other reason.
The responses from this form are encrypted and protected by 2-factor authentication.
Your information will never be shared or retained, responses will be deleted upon verification.