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