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