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