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