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