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