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