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