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