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