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