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