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