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