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