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