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