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