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