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