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