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