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