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