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