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