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