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