Instructions First Name: * Last Name: * Email Address: * Home Phone: Position: Organization: Status: Employee Applicant

Please make a selection from each of the following items.
Location:	Canada United Kingdom United States Other
Gender:	Female Male
Ethnic Origin:	Asian Black Hispanic Native American White Other
Educational Level:	High School Degree Associate Degree Bachelor's Degree Post-Graduate Degree Doctorate Degree
Age:	Under 25 Years Old 25 - 34 35 - 44 45 - 54 55 - 64 Over 64 Years Old
Employment/Occupation:	Unemployed/Student Skilled trade or craft Office support/clerical Outside sales Inside sales/support Technical (e.g. IT, technician) Professional (e.g. CPA, architect, doctor) Supervisory management Upper management Self-employed (e.g. consultant, coach)

Part A Read down each column and place a check mark beside those words you believe describe yourself.
	Self-confident Organized Determined Outgoing Uncritical Relaxed Talkative Punctual Funny Absent-minded Efficient Reflective Orderly Independent Patient High-strung Sentimental Optimistic Emotional Self-starter Questioning Contented Curious Attractive Demanding Passionate Exacting Steady Charming Creative Accepting Opportunistic Stylish Competitive Supportive Disciplined Impressionable Accurate Inquisitive Casual Adventurous Accommodating Moody Unconventional Enthusiastic Lively Ambitious Sociable Forgiving Perceptive Easygoing Unhurried Intelligent Self-assured Thorough Enterprising Impulsive Impetuous Sensitive Influential Controlled Satisfied Humorous Original Good-mixer Obedient Decisive Animated Loyal Clever Popular Diplomatic Calm Leisurely Methodical Composed Venturesome Individualistic Skilled Ingenious Distractible Tolerant Innovative Meticulous Resourceful Cooperative Self-reliant Trusting Precise Persuasive Conscientious Confrontational Inventive Imaginative Lenient Dedicated Cheerful Spontaneous Happy Temperamental Driving Dynamic Tough-minded Tidy Soft-hearted Entertaining Bright Encouraging

Part B Read down each column and place a check mark beside those words you believe describe how you should behave in your present job. If currently unemployed, your most recent position.
	Influential Precise Demanding Persuasive Tidy Calm Popular Punctual Optimistic Impressionable Thorough Humorous Disciplined Independent Methodical High-strung Emotional Funny Sentimental Ambitious Curious Contented Questioning Animated Determined Trusting Dedicated Satisfied Lively Original Accepting Opportunistic Cheerful Decisive Supportive Orderly Absent-minded Accurate Intelligent Easygoing Individualistic Composed Moody Venturesome Happy Charming Self-starter Sociable Soft-hearted Perceptive Casual Leisurely Inquisitive Confrontational Efficient Entertaining Impulsive Encouraging Spontaneous Self-confident Diplomatic Steady Reflective Creative Good-mixer Loyal Competitive Attractive Obedient Clever Talkative Controlled Relaxed Unhurried Patient Accommodating Unconventional Adventurous Cooperative Imaginative Distractible Lenient Bright Conscientious Self-reliant Skilled Resourceful Passionate Organized Outgoing Meticulous Self-assured Inventive Ingenious Tolerant Exacting Stylish Sensitive Enthusiastic Dynamic Driving Temperamental Tough-minded Uncritical Forgiving Enterprising Innovative Impetuous