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