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