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