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