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