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