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