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