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