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