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