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