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