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