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