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