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