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