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