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