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