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