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