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