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