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