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