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