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