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