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