PCL-5 WEEKLY (103)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT PCL-5 WEEKLY
LAST UPDATE 2022-12-05 23:31:46
ENTRY CHECKSUM 534938174
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},