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