There is no option to set this to moderator approval for reviews. Anyone can post anything and it shows up directly on my page. offensive or not.
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Hello there, @GetDiesel_Nutrition 
Thanks a lot for the feedback!
You’re right, unfortunately, it’s impossible to pre-moderate the reviews collected via widget now. I am really sorry!
In most cases, offensive or negative reviews tend to have low ratings and you can set a filter to only show reviews with at least 4 or 5 stars.
We know it’s not the perfect solution, but it’s the best option we have for now.
However, we’re definitely not overlooking this! Pre-moderation is on our radar, and we’re hoping to consider this idea down the line. The more support we get for this idea, the sooner we can prioritize it!
We’ll keep you updated 
With all in one reviews is there a way that only genuine customers can leave reviews, maybe by a link sent to them with a password. Or a confirm email address.
Just so no randomer starts leaving stupid comments, like a rival company, I know they can be deleted but I’d rather it worked in a confirmed sort of way.
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Greetings, @user10155
Thanks a lot for the feedback!
We already have such a request on the Wishlist and I’ve added your comment there too. If this idea gets more votes, we’ll try to consider it in the future updates