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