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