Marijuana Breathalyzer Company | Contact Us

First Name *

Last Name *

Business Email Address *

Phone Number *

Reason for Inquiry * Reason for Inquiry

Company or Organization Type *

Industry *

Company or Organization Name *

Website/URL *

Company Size

How many employees do you have? *

Approximate number of clients: *

Size of Sales Team *

Number of uniformed officers *

Where are you located?

Country *

State *

Province/Territory *

State/Territory *

City *

Reseller

What markets/industries do you serve? (Select all that apply.) *

Annual Revenue (USD) *

I would like to join the Wait List for the HOUND MARIJUANA BREATHALYZER *

Yes

No

Location Questions

In what countries are your operations located? (Select all that apply.) *

In what provinces/territories are your operations located? (Select all that apply.)

In what states are your operations located? (Select all that apply.) *

In what states/territories are your operations located? (Select all that apply.) *

In which countries would you be using the HOUND BREATHALYZER for your marijuana drug testing? (Select all that apply.) *

In which states would you be using the HOUND BREATHALYZER for your marijuana drug testing? (Select all that apply.) *

In what provinces/territories would you be using the HOUND BREATHALYZER for your marijuana drug testing? (Select all that apply.)

In what states/territories would you be using the HOUND BREATHALYZER for your marijuana drug testing? (Select all that apply.) *

Collection Services Questions

Do you currently perform drug testing collections? *

How many collection sites do you operate? *

If you perform drug test collections, describe your offering. (Select all that apply.) *

We provide collection and testing services at our location(s).

We provide onsite collection services for our clients.

We don't perform drug test collections.

Approximate annual volume of tests collected *

Do you perform other occupational health services? If so, please select which ones from the following:

Law Enforcement Questions

Type of jurisdiction * Type of jurisdiction

What is your title/position? *

Do you purchase through the GSA schedule? *

What roadside alcohol meter/evidentiary breath test(s) do you currently use? *

What is the approximate number of roadside tests performed annually? *

Who is the decision-maker regarding purchasing and protocols in your department?

Decision Maker’s First Name *

Decision Maker’s Last Name *

Decision Maker’s Title *

Decision Maker’s Email *

Testing Details

Do you currently drug test your employees? *

What reasons for testing do you perform currently? (Select all that apply.) *

Pre-Employment

Random

Post-Accident

Reasonable Suspicion

What testing technology do you use? (Select all that apply.) *

Approximate annual volume of tests ordered: *

Do you collect drug test samples onsite or use an offsite collection facility? * Do you collect drug test samples onsite or use an offsite collection facility?

Who is your collection agency? *

Do you use a Third Party Administrator and/or Background Screening company for your drug testing program? *

Who is your Third Party Administrator/Background Screening Company? *

How important is it for your provider to be able to offer the Hound Labs solution as part of their ordering/reporting platform? *

Investor

Investment Type *

Media

Type of Interview * Type of Interview

Name of Publication/Journal/Station *

Deadline *

Topic *

Direct Phone Number *

Communications

Would you like to opt in to Hound Labs communications?

Yes

How did you hear about the HOUND BREATHALYZER? * How did you hear about the HOUND BREATHALYZER?

Additional Info

By signing up for the Wait List, you agree to receive regular email updates. You may unsubscribe at any time, but doing so will remove you from the Wait List.

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