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