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