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