BSCMarketing.com Employee Testing Click Here for FAX Orders Billing Information Name  Company  Mailing  Address   City  State  Zip Code  Phone Fax E-mail Date Payment  Master Card  Visa  Discover  American Express Card Number Expiration Date Name on Card How did you hear about us? Instructions: Below is a list of words. Enter a number in each box that BEST represents your Personality Moods and Talent Traits at WORK. Take your time and be as honest as possible. If you do not understand a word, please ask. 1 = Seldom     2 = In Between     3 = Very Much So EXAMPLE: We can all be shy at times. If you are shy MOST of the time, you are a 3. If you are SELDOM shy, enter a 1. If somewhere in between, enter a 2.  Artistic  Persuasive  Attention Getter  Stubborn  Motivator  Organizes Well  Thrifty  Analytical  Neat & Tidy  Calm  Quiet  Adaptable  Talkative  Makes Friends  Fashionable  Competitive  Self Reliant  Goal Setter  Detailed  Serious  Humble  Contented  Consistent  Witty  Unpredictable  Spontaneous  Volunteer  Confident  Demanding  Workaholic  Listener  Creative  Skeptical  Worrier  Shy  Obedient  Life of the Party  Excitable  Messy  Independent  Strong Willed  Unemotional  Perfectionist  Sensitive  Moody  Patient  Tolerant  Compromising  Trusting  Sociable  Restless  Decisive  Aggressive  A Leader  Persistent  Logical  Fussy  Compassionate  Even Tempered  Sarcastic How do you wish to receive the results?    E-mail    FAX    Mailing Address BSCMarketing.com 303 S. Byrkit St.  Mishawaka, IN 46544 Voice: 574-257-7777  Fax: 574-257-0895 Toll-Free: 877-272-3111 Email: Sales@BSCMarketing.com Copyright© 1997 - 2000 PortionPac Chemical Corp., All rights reserved. PortionPac® and the "Pac" Family" names and images are the intellectual property of PortionPac Chemical Corp.