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