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