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