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