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