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