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