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