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