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