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