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