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