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