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