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