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