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