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