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