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