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