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