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