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