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