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