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