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