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