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  (Please note that this survey closely resembles your Birkman Pre-Test, but it IS slightly different. We need to know how your self-perceptions may have changed from baseline after completing Birkman testing and training, so if you would please be sure to take this Post-Test as well, we would be greatly appreciative. Thank you!)
   
  Please use the following Likert Scale to complete the following survey questions: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, and 5=Strongly Agree
   
1.
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Level of agreement:          
   
2.
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Level of agreement:          
   
3.
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Level of agreement:          
   
4.
*
 
      
Level of agreement:          
   
5.
*
 
      
Level of agreement:          
   
6.
*
 
      
Level of agreement:          
   
7.
*
 
      
Level of agreement:          
   
8.
*
 
      
Level of agreement:          
   
9.
(This question is optional)
 
      
Level of agreement:          
   
10.
(This question is optional; Please answer only if you chose to answer the preceding question)
 
   
11.
*
 
   
12.
*
 
   
13.
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14.
*
 
   
15.
*
 
   
16.
*
 
   
  Please provide the following demographic information
   
17.
*
 
   
18.
*
 
   
19.
*
 
   
20.
*
 
   
21.
*
 
   
22.
*
 

    
   
 
 
 
 Done   

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