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