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