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