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PDP Survey (Series 400)

Please complete this form and click the "Submit Form" button,


Items in Red are REQUIRED

Your Full Name:  
E-Mail Address:  
Phone Contacts
 Please list all available phone numbers
and then select your primary number
Home Phone:  
Work Phone:  
Cell Phone:  
Your Mailing Address:  
City, State & Zip:  
Who were you instructed
to submit your assessment to?

What Organization has requested
you fill out this assessment?
If current employer, please fill out below
Your Current Employer:  
Your Current Title:  
If new/prospective employer, please fill out below
Organization &
Position Applying for:
Interviewing Manager
& Department:
(if applicable)  
Human Resources
Representative:
(if applicable)  

Section #1

DIRECTIONS: Mark the response which best describes HOW YOU FEEL YOU REALLY ARE on a scale from 1 to 5,
with 1 being NO or LEAST and 5 being YES or MOST.

Answers 1
NO
Never		 2
Almost
Never		 3
Sometimes
Maybe		 4
Almost
Always		 5
YES
Always
Trustworthy 1 2 3 4 5
Gentle 1 2 3 4 5
Spirited 1 2 3 4 5
Understanding 1 2 3 4 5
Individualistic 1 2 3 4 5
Esteemed 1 2 3 4 5
Earnest 1 2 3 4 5
Compassionate 1 2 3 4 5
Convincing 1 2 3 4 5
Bold 1 2 3 4 5
Precise 1 2 3 4 5
Adaptable 1 2 3 4 5
Organized 1 2 3 4 5
Aggressive 1 2 3 4 5
Shy 1 2 3 4 5
Answers 1
NO
Never		 2
Almost
Never		 3
Sometimes
Maybe		 4
Almost
Always		 5
YES
Always
Compelling 1 2 3 4 5
Calm 1 2 3 4 5
Daring 1 2 3 4 5
Spontaneous 1 2 3 4 5
Outgoing 1 2 3 4 5
Fussy 1 2 3 4 5
Talkative 1 2 3 4 5
Demanding 1 2 3 4 5
Industrious 1 2 3 4 5
Generous 1 2 3 4 5
Careful 1 2 3 4 5
Pleasant 1 2 3 4 5
Conventional 1 2 3 4 5
Warm 1 2 3 4 5
Efficient 1 2 3 4 5

Section #2

*IMPORTANT!* Please read carefully before continuing.

DIRECTIONS: Mark the response which best describes HOW OTHERS EXPECT YOU TO BE OR ACT on a scale from 1 to 5, with 1 being NO or LEAST and 5 being YES or MOST.

Answers 1
NO
Never		 2
Almost
Never		 3
Sometimes
Maybe		 4
Almost
Always		 5
YES
Always
Stable 1 2 3 4 5
Sympathetic 1 2 3 4 5
Persistent 1 2 3 4 5
Agreeable 1 2 3 4 5
Lively 1 2 3 4 5
Dedicated 1 2 3 4 5
Charming 1 2 3 4 5
Complicated 1 2 3 4 5
Self-Assured 1 2 3 4 5
Cheerful 1 2 3 4 5
Dependent 1 2 3 4 5
Nice 1 2 3 4 5
Congenial 1 2 3 4 5
Adventurous 1 2 3 4 5
Enthusiastic 1 2 3 4 5
Answers 1
NO
Never		 2
Almost
Never		 3
Sometimes
Maybe		 4
Almost
Always		 5
YES
Always
Tolerant 1 2 3 4 5
Fearless 1 2 3 4 5
Optimistic 1 2 3 4 5
Charitable 1 2 3 4 5
Brave 1 2 3 4 5
Persuasive 1 2 3 4 5
Loyal 1 2 3 4 5
Deliberate 1 2 3 4 5
Outstanding 1 2 3 4 5
Impulsive 1 2 3 4 5
Controlling 1 2 3 4 5
Soft-Hearted 1 2 3 4 5
Systematic 1 2 3 4 5
Good-Natured 1 2 3 4 5
Analytical 1 2 3 4 5

Thank you for taking the time to fill out this form.


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