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