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