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