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