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