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