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