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