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