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