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