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