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