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