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