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