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