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