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