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