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