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