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