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