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