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