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