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