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