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