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