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