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