Intr-Play DNA Profile

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First Name: *
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Last Name: *
Job Title: *
Company: *
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Address 2:
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State: *
Zip Code: *
Country: *
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The INTR•PLAY DNA Profile® is a "self analysis" designed to help describe your behavioral, decision making and motivation preferences.

Please make sure to fill in every item in Parts 1, 2, and 3 with only one answer or your profile cannot be scored. There are no "trick" questions or right/wrong answers. Do not be concerned if certain questions appear to be similar or repeated. Please do take your time to respond openly and honestly to each individual item contained in the profile.

PART 1: COMFORTABLE SITUATION

Think of a past or current situation in which you were VERY COMFORTABLE. Indicate how closely each of the following words describes your work behavior in that situation. Make sure you complete all 20 items (#1 - #20) in Part 1. (Using the scale below, mark only one number from 1 to 4 for each item:)

		Seldom	Sometimes	Frequently	Almost Always
1.	Tenacious	1	2	3	4
2.	Enthusiastic	1	2	3	4
3.	Considerate	1	2	3	4
4.	Definitive	1	2	3	4
5.	Courageous	1	2	3	4
6.	Original	1	2	3	4
7.	Concerned	1	2	3	4
8.	Detailed	1	2	3	4
9.	Assertive	1	2	3	4
10.	Spontaneous	1	2	3	4
11.	Giving	1	2	3	4
12.	Meticulous	1	2	3	4
13.	Decisive	1	2	3	4
14.	Inspirational	1	2	3	4
15.	Empathetic	1	2	3	4
16.	Exacting	1	2	3	4
17.	Fast-paced	1	2	3	4
18.	Creative	1	2	3	4
19.	People-oriented	1	2	3	4
20.	Deliberate	1	2	3	4

PART 2: UNCOMFORTABLE SITUATION

Think of a past or current work situation in which you were VERY UNCOMFORTABLE. Indicate, below, how closely each of the following words describes your work behavior in that situation. Make sure you complete all 20 items (#21 - #40) in Part 2. (Using the scale below, mark only one number from 1 to 4 for each item:)

		Seldom	Sometimes	Frequently	Almost Always
21.	Tenacious	1	2	3	4
22.	Enthusiastic	1	2	3	4
23.	Considerate	1	2	3	4
24.	Definitive	1	2	3	4
25.	Courageous	1	2	3	4
26.	Original	1	2	3	4
27.	Concerned	1	2	3	4
28.	Detailed	1	2	3	4
29.	Assertive	1	2	3	4
30.	Spontaneous	1	2	3	4
31.	Giving	1	2	3	4
32.	Meticulous	1	2	3	4
33.	Decisive	1	2	3	4
34.	Inspirational	1	2	3	4
35.	Empathetic	1	2	3	4
36.	Exacting	1	2	3	4
37.	Fast-paced	1	2	3	4
38.	Creative	1	2	3	4
39.	People-oriented	1	2	3	4
40.	Deliberate	1	2	3	4

PART 3: WORK MOTIVATORS

If you were able to create your IDEAL WORK SITUATION, how important would each of the following be to you? Make sure you complete all 40 items (#41 - #80) in Part 3. (Using the scale below, mark only one number from 1 to 7 for each item:)

Not Important

Extremely Important

41.	The opportunity to pursue my ideas with a minimum of supervision is
42.	A job where I continually lead and influence people at various levels is
43.	Giving ongoing performance feedback to others is
44.	A job where my work activities are clearly defined is
45.	Being highly skilled in a focused area versus a "jack of all trades" is
46.	A job where others continually let me know how I am doing is
47.	Working in a situation where I have to master many unknown variables is
48.	A job where others value my contribution to the organization is
49.	Having others confide in me is
50.	Being active in group meetings is
51.	A job with substantial freedom to pursue my own ideas and instincts is
52.	A job where I am expected to significantly influence the work behavior of others is
53.	Giving continual performance feedback to others is
54.	A job where work procedures are clear and unambiguous is
55.	Being in a role where I am a subject matter expert is
56.	Getting ongoing performance feedback from "higher ups" is
57.	The opportunity to deal with multiple priorities simultaneously is
58.	A job where those above me adequately recognize my value to organization is
59.	A job where I can openly discuss what is on my mind is
60.	Sharing feelings about work in a group environment is
61.	A job which allows me to do what I want, the way I want to is
62.	Taking the lead when I am with people is
63.	Continuing to keep others informed about their performance is
64.	Asking my boss for direction and structure is
65.	A job where I can continue to focus on my expertise is
66.	Getting ongoing feedback from others on how I stand is
67.	Performing many different tasks at the same time is
68.	Having colleagues openly show appreciation for the work I DO for the team is
69.	Sharing real feelings with others at work is
70.	Generating ideas in a group setting is
71.	A job where I can set my own priorities is
72.	Having the final say on things is
73.	Informing others about the outcomes of their performance is
74.	Receiving day-to-day direction and structure from my supervisor is
75.	Being highly competent in one specialized area is
76.	Having others continually give me feedback on my performance is
77.	The ongoing need for new and different work assignments is
78.	Having coworkers express their appreciation when I go above-and-beyond to help them is
79.	Establishing one-on-one relationships at work is
80.	Actively participating in work group activities and group discussions is

PART 4: DEMOGRAPHIC DATA (optional)

A.	Confidential Biographical Data:
	Please assist us in our efforts to insure that this assessment does not discriminate based on age, gender, ethnicity, etc. Your answers in this section will be used for statistical purposes only.
	Birthdate (mm/dd/yyyy):
	Sex: Male Female
	How many natural or adopted children did your parents have?
	What number in order of birth were you
	Ethnicity: (Check One)
	Black White Hispanic Asian Other

B.	Work Background:

	1.	Number of years doing identical work you are now doing
	2.	Number of years formally supervising others at work
	3.	Number of times you have changed company affiliation
	4.	Number of times you have changed career field

C.	Educational History:

			Field	Year
High School diploma or equivalency:	Yes	No
Academic Degrees from an accredited college or university:
Associate	Yes	No
Bachelors	Yes	No
Masters	Yes	No
Doctorate	Yes	No
Professional Certification	Yes	No
Other Education or Training
Other Education or Training

If you have completed every question, then click on
the "Send INTR•PLAY " button below