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