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