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