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