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