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