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