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