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