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