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