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