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