The PDQ-4 is designed to be used by
                                mental health professionals.

                                  However, we would like to determine if there is a need
                                for a similar program for the general public.

                           If you would be interested in such a program,
                                please to fill out the 5 questions below.  

1) Would you be interested in a completing a test on-line that would provide indications of personality problems or concerns? The results of the test would be emailed to you in about two days after they have been reviewed by a psychologist.
Yes
Maybe
No

2) What format would like the test to be in?
Computer program mailed to you on CD
Paper and pencil test
On-line assessment

3) If the evaluation was provided on-line and you would receive the results in personalized report, do you believe the price of $24.95 US would be a fair?
Price is reasonable, and I would consider buying it.
Price is unreasonble

4) Regardless of the final price and format,  how would perfer to pay for the test?
On-line with a major credit card.
Send cheque or money order by snail mail.
Send order and credit card number via email.

5) Would you like us to send you an email when the test becomes available?
         Your email address will not be released to anyone else.
Yes
No

               

Email :