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