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