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