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