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