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