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