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