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