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