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