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