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