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