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