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