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