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