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