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