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