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