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