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