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