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