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