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