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