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• <br /> INSTRUCTIONS -STEP 2 <br /> Read each question in this booklet, and mark your answer on the special answer sheet. <br /> Each question has a number, and each possible answer to the question has a letter next to it. <br /> Select your answer to each question,then darken the bubble on the answer sheet next to the <br /> proper letter and number. <br /> Example: <br /> If your answer to question A2 was b (for "Yes"), you would mark the answer sheet as <br /> follows: <br /> A2a G <br /> b • <br /> Mark only one answer for each question, unless there is a special instruction to do otherwise. <br /> Some of the questions in this questionnaire are marked as optional.These questions are used for <br /> statistical purposes only.You do not need to answer the optional questions if you do not want to <br /> do so. <br /> IMPORTANT:Answer every question in this questionnaire as honestly as possible. Be sure <br /> to answer every question(except the ones marked as optional). If you deliberately give <br /> false or misleading answers,you may be disqualified. <br /> Keep in mind that all the answers you give may be verified by a background investigator, <br /> through checks of records and through interviews with persons acquainted with you.You <br /> may also be asked to take a polygraph examination to verify your answers. <br /> After you complete this questionnaire, you will be interviewed by a psychologist.After the interview <br /> you will be required to read and sign the following statement: <br /> RESPONDENT'S STATEMENT <br /> I hereby certify that the information provided by me in response to the questions <br /> in the Psychological History Questionnaire, and asked by the psychologist during <br /> my interview, is true and accurate. I am aware that providing false information <br /> during the application process may be grounds for my rejection during the <br /> selection process, or termination after employment if falsification is discovered <br /> later. <br /> PSS/LEPS PLLC 58 <br />