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