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