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