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