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