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