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