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