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