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