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