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