ENTRY SPECIFICATION |
{"name": "PCL-5 WEEKLY",
past week</u>. The options include not at all, a little bit, moderately, quite a
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q7861", "type": "ChoiceQuestion", "required": true, "inline": true,
"text": "7. Avoiding external reminders of the stressful experience (for example, people,
places, conversations, activities, objects, or situations)?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>"
the options to indicate how much you have been bothered by that problem <u>in the
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
},
]},
{"id": "q7862", "type": "ChoiceQuestion", "required": true, "inline": true,
"text": "8. Trouble remembering important parts of the stressful experience?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "q7855", "type": "ChoiceQuestion", "required": true, "inline": true,
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q7863", "type": "ChoiceQuestion", "required": true, "inline": true,
"text": "9. Having strong negative beliefs about yourself, other people, or the world (for
example, having thoughts such as: I am bad, there is something seriously wrong
with me, no one can be trusted, the world is completely dangerous)?",
"text": "1. Repeated, disturbing, and unwanted memories of the stressful experience?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q7864", "type": "ChoiceQuestion", "required": true, "inline": true,
"text": "10. Blaming yourself or someone else for the stressful experience or what
happened after it?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
past week</u>. The options include not at all, a little bit, moderately, quite a
to a very stressful experience. Please read each problem and then select one of
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q7865", "type": "ChoiceQuestion", "required": true, "inline": true,
the options to indicate how much you have been bothered by that problem <u>in the
"text": "11. Having strong negative feelings such as fear, horror, anger, guilt, or shame?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
past week</u>. The options include not at all, a little bit, moderately, quite a
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q7866", "type": "ChoiceQuestion", "required": true, "inline": true,
"text": "12. Loss of interest in activities that you used to enjoy?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q7867", "type": "ChoiceQuestion", "required": true, "inline": true,
"copyright": "Copyright 2015, National Center for PTSD",
"columns": 1,
"text": "13. Feeling distant or cut off from other people?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
"choices":[
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q7868", "type": "ChoiceQuestion", "required": true, "inline": true,
"text": "14. Trouble experiencing positive feelings (for example, being unable to feel
happiness or have loving feelings for people close to you)?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "q7869", "type": "ChoiceQuestion", "required": true, "inline": true,
"text": "15. Irritable behavior, angry outbursts, or acting aggressively?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q7870", "type": "ChoiceQuestion", "required": true, "inline": true,
"text": "16. Taking too many risks or doing things that could cause you harm?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
{"id": "q7871", "type": "ChoiceQuestion", "required": true, "inline": true,
"text": "17. Being \u0022super alert\u0022 or watchful or on guard?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
]},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q7872", "type": "ChoiceQuestion", "required": true, "inline": true,
"text": "18. Feeling jumpy or easily startled?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
{"id": "q7856", "type": "ChoiceQuestion", "required": true, "inline": true,
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
"text": "2. Repeated, disturbing dreams of the stressful experience?",
{"id": "q7873", "type": "ChoiceQuestion", "required": true, "inline": true,
"text": "19. Having difficulty concentrating?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
"restartDays": 2,
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q7874", "type": "ChoiceQuestion", "required": true, "inline": true,
"text": "20. Trouble falling or staying asleep?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
to a very stressful experience. Please read each problem and then select one of
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]}]
the options to indicate how much you have been bothered by that problem <u>in the
}
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
"printTitle": "PTSD Checklist from DSM-5 Weekly",
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q7857", "type": "ChoiceQuestion", "required": true, "inline": true,
"text": "3. Suddenly feeling or acting as if the stressful experience were actually
happening again (as if you were actually back there reliving it)?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
past week</u>. The options include not at all, a little bit, moderately, quite a
"content":[
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q7858", "type": "ChoiceQuestion", "required": true, "inline": true,
{"id": "i2367", "type": "IntroText",
"text": "4. Feeling very upset when something reminded you of the stressful experience?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
"text": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
{"id": "q7859", "type": "ChoiceQuestion", "required": true, "inline": true,
"text": "5. Having strong physical reactions when something reminded you of the stressful
experience (for example, heart pounding, trouble breathing, sweating)?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
to a very stressful experience. Please read each problem and then select one of
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
{"id": "c3767", "text": "1. A little bit", "quickKey": 1},
{"id": "c3768", "text": "2. Moderately", "quickKey": 2},
{"id": "c3769", "text": "3. Quite a bit", "quickKey": 3},
{"id": "c3770", "text": "4. Extremely", "quickKey": 4}
]},
the options to indicate how much you have been bothered by that problem <u>in the
{"id": "q7860", "type": "ChoiceQuestion", "required": true, "inline": true,
"text": "6. Avoiding memories, thoughts, or feelings related to the stressful experience?",
"intro": "<strong>Instructions:</strong> Below is a list of problems that people sometimes have in response
to a very stressful experience. Please read each problem and then select one of
the options to indicate how much you have been bothered by that problem <u>in the
past week</u>. The options include not at all, a little bit, moderately, quite a
bit, and extremely. <br /><br /><strong>In the past week, how much were you bothered by:</strong>",
"columns": 1,
"choices":[
{"id": "c3766", "text": "0. Not at all", "quickKey": 0},
|