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