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