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