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