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