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