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