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