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