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