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