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