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