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