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