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