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