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