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