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