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