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