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