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