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