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