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