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