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