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