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