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