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