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