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