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