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