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