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