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