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