This questionnaire aims to understand better how you approach interpersonal communication situations. The questionnaire has two parts. The first part asks you to describe two people whom you know well. The second part asks you what you would say in two different interpersonal communication situations.
 
The result of this questionnaire is completely confidential. The information required below is to assist with aggregating data and returning the results.

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* 1. FACILITY NAME: Please select from the drop-down list below.

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* 2. If "Other" selected from above, please name your organization:

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* 3. LAST Name

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* 4. FIRST Name

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* 5. Email Address:

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