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