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