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