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