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