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