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