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