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