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