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