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