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