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