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