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