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