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