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