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