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