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