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