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