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