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