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