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