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