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