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