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