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