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