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  2. 2005
  3. April
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Directions: On the following screens there are phrases describing people's behaviors. Please use the rating scale below to describe how accurately each statement describes you. Describe yourself as you generally are now, not as you wish to be in the future. Describe yourself as you honestly see yourself, in relation to other people you know of the same sex as you are, and roughly your same age. So that you can describe yourself in an honest manner, your responses will be kept in absolute confidence. Please read each statement carefully, and then fill in the bubble that corresponds to the number on the scale.





INFORMED CONSENT

Researcher: Kelly Carper

Research Supervisor: Jerry Palmer, Ph. D.

Title: Developing a Public Domain Integrity Test for Pre-employment Screening


I am a graduate student at Eastern Kentucky University conducting a research study in which you will be required to identify the extent to which you exhibit certain traits and behaviors. Your participation should take no longer than 1 hour.

Your participation in this research is voluntary and you have the right to refuse to answer any question or withdraw yourself from the research at anytime without notice or penalty. All responses will be anonymous.

An explanation of the study will be given upon your completion or withdraw from the study. If you wish to participate in this study and all of your questions have been answered you may proceed by clicking on the continue button.
 
 
Directions: Below, there are phrases describing people's behaviors. Please use the rating scale below to describe how accurately each statement describes you. Describe yourself as you generally are now, not as you wish to be in the future. Describe yourself as you honestly see yourself, in relation to other people you know of the same sex as you are, and roughly your same age. So that you can describe yourself in an honest manner, your responses will be kept in absolute confidence. Please read each statement carefully, and then fill in the bubble that corresponds to the number on the scale.

1 = Very Inaccurate

5 = Very Accurate

1 2 3 4 5
I start conversations.
I have little to say.
I like harmony in my life.
I like to visit new places.
I react intensely.
I make rash decisions.
I let others finish what they are saying.
I make a mess of things.
I keep my promises.
I like to be alone.
1 2 3 4 5
I make people feel at ease.
I can't do without the company of others.
I spend more than I can afford.
I am open to change.
I love to eat.
I like changes.
I pretend to be concerned for others.
I enjoy watching dance performances.
I believe that my success depends on ability rather than luck.
I am able to control my cravings.
1 2 3 4 5
I cheat to get ahead.
I demand attention.
I use others for my own ends.
I live in a world of my own.
I boast about my virtues.
I am often in a bad mood.
I give up hope.
I prefer variety to routine.
I am able to cooperate with others.
I can take strong measures.
1 2 3 4 5
I worry about things.
I believe that people seldom tell you the whole truth.
I investigate all possibilities.
I love to think up new ways of doing things.
I often forget to put things back in their proper place.
I pay attention to details.
I turn my back on others.
I know what I am doing.
I lose my temper.
I like order.
1 2 3 4 5
I do the opposite of what is asked.
I overestimate my achievements.
I believe that unfortunate events occur because of bad luck.
I conform to others' opinions.
I do dangerous things.
I would go hang gliding or bungee jumping.
I often eat too much.
I respect authority.
I take time out for others.
I need the approval of others.
1 2 3 4 5
I carry out my plans.
I talk to a lot of different people at parties.
I can't be bothered with other's needs.
I waste my time.
I take advantage of others.
I know limits.
I misuse power.
I suspect hidden motives in others.
I complain.
I get stressed out easily.
1 2 3 4 5
I can't stand confrontations.
I stick to the rules.
I care about justice.
I shirk (get out of) my duties.
I seldom get mad.
I reflect on things before acting.
I am polite to strangers.
I act comfortably with others.
I spend time reflecting on things.
I love to come up with objections.
1 2 3 4 5
I dare to say anything.
I believe that I am better than others.
I act wild and crazy.
I like concerts.
I like to begin new things.
I get chores and tasks done right away.
I am easily annoyed.
I blurt out whatever comes into my mind.
I believe in the power of fate.
I splurge.
1 2 3 4 5
I would make a high-risk investment.
I wait for my turn.
I change my mood a lot.
I try to forgive and forget.
I believe that the world is controlled by a few powerful people.
I believe that the end justifies the means.
I rush into things.
I use swear words.
I talk about sex.
I obstruct others' plans.
1 2 3 4 5
I try to maintain a pleasant atmosphere.
I am what I appear to be.
I know why I do things.
I enjoy going to art museums.
I leave my belongings lying around.
I disregard rules.
I return extra change when a cashier makes a mistake.
I am willing to try anything once.
I love action.
I believe that people are essentially evil.
1 2 3 4 5
I say inappropriate things.
I use flattery to get ahead.
I have a soft heart.
I am afraid of providing criticism.
I make demands on others.
I keep myself well groomed.
I believe in human goodness.
I know how to get around the rules.
I follow a schedule.
I stay in touch with old acquaintances.
1 2 3 4 5
I would cheat on my taxes.
I am preoccupied with myself.
I like music.
I try to impress others.
I believe some people are born lucky.
I keep my emotions under control.
I like to sleep on things before acting.
I see beauty in things that others might not notice.
I have a rich vocabulary.
I try to fool others.
1 2 3 4 5
I disregard the opinions of others.
I tell the truth.
I am prepared.
I like to gossip.
I stand behind my actions.
I insult people.
I act at the expense of others.
I feel othersÂ’ emotions.
I know immediately what to do.
I seek adventure.
1 2 3 4 5
I am likely to show off if I get the chance.
I know that anyone who tries can get a job.
I prefer to do things by myself.
I overindulge.
I want to prove myself.
I talk mainly about myself.
I think that all will be well.
I talk even when I know I shouldn't.
I act according to my conscience.
I jump into things without thinking.
1 2 3 4 5
I would take things that aren't mine.
I like to act on a whim.
I have excellent ideas.
I interfere in other people's business.
I have difficulty understanding abstract ideas.
I have a good imagination.
I admit it when I make a mistake.
I think of others first.
I am guided by my moods.
I often make a fuss.
 
 
Directions: Select the response that most accurately represents your behavior during the last 3 years, as compared to your peer group.
If you are not currently working, answer the questions in relation to the last job that you held.

1 = Never

2 = Rarely

3 = Occasionally

4 = Frequently

5 = Always

1 2 3 4 5
a. I have used drugs at work
b. I have used alcohol at work.
c. I have stolen from an employer.
d. I have called in sick to work when I was really not sick.
e. I have carried a weapon to work.
f. I have lied about reasons for arriving to work late.
g. I have skipped college classes.
h. I have stolen money from strangers, family, or friends.
i. I have been arrested for drunk driving.
j. I have been convicted of a felony.
1 2 3 4 5
k. I have been arrested for a non-alcohol related offense.
l. I have gotten into a physical fight.
m. I have been convicted of a misdemeanor.
n. I have been arrested for public drunkenness.
o. I use illegal drugs.
p. I skip classes.
 
 
 
 
   
 
 
 
4. Gender:
Male Female
 
 
 
How many credit hours are you taking this semester?
   
 
 
 
What was your grade point average last semester? (if this is your first semester, put n/a in the blank)
   
 
 
 
Academic Major:
   
 
 
8. 
Status (check one):
 
Senior
 
Junior
 
Sophomore
 
Freshman
 
Please contact [email protected] if you have any questions regarding this survey.
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