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