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