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