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