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