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