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