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