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