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