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