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