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