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