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