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