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