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