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