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