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