| ENTRY SPECIFICATION |
{"name": "Q-LES-Q-SF",
/> Taking everything into consideration, during the past week how satisfied have
{"id": "c3921", "text": "1. Very Poor", "quickKey": 1},
{"id": "c3922", "text": "2. Poor", "quickKey": 2},
{"id": "c3923", "text": "3. Fair", "quickKey": 3},
{"id": "c3924", "text": "4. Good", "quickKey": 4},
{"id": "c3925", "text": "5. Very Good", "quickKey": 5}
]},
{"id": "i2387", "type": "IntroText",
"text": "Taking everything into consideration, during the past week how satisfied have you
been with:"
},
you been with:"
{"id": "q8217", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "7. Your leisure time activities?",
"intro": "Taking everything into consideration, during the past week how satisfied have you
been with:",
"columns": 1,
"choices":[
{"id": "c3921", "text": "1. Very Poor", "quickKey": 1},
{"id": "c3922", "text": "2. Poor", "quickKey": 2},
{"id": "c3923", "text": "3. Fair", "quickKey": 3},
{"id": "c3924", "text": "4. Good", "quickKey": 4},
},
{"id": "c3925", "text": "5. Very Good", "quickKey": 5}
]},
{"id": "i2388", "type": "IntroText",
"text": " Taking everything into consideration, during the last week how satisfied have
you been with:"
},
{"id": "q8218", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "8. Your ability to function in daily life?",
"intro": " Taking everything into consideration, during the last week how satisfied have
you been with:",
{"id": "q8211", "type": "ChoiceQuestion", "required": true, "inline": false,
"columns": 1,
"choices":[
{"id": "c3921", "text": "1. Very Poor", "quickKey": 1},
{"id": "c3922", "text": "2. Poor", "quickKey": 2},
{"id": "c3923", "text": "3. Fair", "quickKey": 3},
{"id": "c3924", "text": "4. Good", "quickKey": 4},
{"id": "c3925", "text": "5. Very Good", "quickKey": 5}
]},
{"id": "i2387", "type": "IntroText",
"text": "Taking everything into consideration, during the past week how satisfied have you
"text": "1. Your physical health?",
been with:"
},
{"id": "q8219", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "9. Your sexual drive, interest and/or performance?",
"intro": "Taking everything into consideration, during the past week how satisfied have you
been with:",
"columns": 1,
"choices":[
{"id": "c3921", "text": "1. Very Poor", "quickKey": 1},
{"id": "c3922", "text": "2. Poor", "quickKey": 2},
"intro": "INSTRUCTIONS: Read each question carefully and respond as instructed. <br /> <br
{"id": "c3923", "text": "3. Fair", "quickKey": 3},
{"id": "c3924", "text": "4. Good", "quickKey": 4},
{"id": "c3925", "text": "5. Very Good", "quickKey": 5}
]},
{"id": "i2388", "type": "IntroText",
"text": " Taking everything into consideration, during the last week how satisfied have
you been with:"
},
{"id": "q8220", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "10. Your economic status?",
/> Taking everything into consideration, during the past week how satisfied have
"intro": " Taking everything into consideration, during the last week how satisfied have
you been with:",
"columns": 1,
"choices":[
{"id": "c3921", "text": "1. Very Poor", "quickKey": 1},
{"id": "c3922", "text": "2. Poor", "quickKey": 2},
{"id": "c3923", "text": "3. Fair", "quickKey": 3},
{"id": "c3924", "text": "4. Good", "quickKey": 4},
{"id": "c3925", "text": "5. Very Good", "quickKey": 5}
]},
you been with:",
{"id": "i2387", "type": "IntroText",
"text": "Taking everything into consideration, during the past week how satisfied have you
been with:"
},
{"id": "q8221", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "11. Your living/housing situation?",
"intro": "Taking everything into consideration, during the past week how satisfied have you
been with:",
"columns": 1,
"choices":[
"columns": 1,
{"id": "c3921", "text": "1. Very Poor", "quickKey": 1},
{"id": "c3922", "text": "2. Poor", "quickKey": 2},
{"id": "c3923", "text": "3. Fair", "quickKey": 3},
{"id": "c3924", "text": "4. Good", "quickKey": 4},
{"id": "c3925", "text": "5. Very Good", "quickKey": 5}
]},
{"id": "i2388", "type": "IntroText",
"text": " Taking everything into consideration, during the last week how satisfied have
you been with:"
},
"choices":[
{"id": "q8222", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "12. Your ability to get around physically without feeling dizzy or unsteady or
falling?",
"intro": " Taking everything into consideration, during the last week how satisfied have
you been with:",
"columns": 1,
"choices":[
{"id": "c3921", "text": "1. Very Poor", "quickKey": 1},
{"id": "c3922", "text": "2. Poor", "quickKey": 2},
{"id": "c3923", "text": "3. Fair", "quickKey": 3},
"copyright": "The Q-LES-Q-SF is copyrighted by Jean Endicott, Ph.D. Permission granted to
{"id": "c3921", "text": "1. Very Poor", "quickKey": 1},
{"id": "c3924", "text": "4. Good", "quickKey": 4},
{"id": "c3925", "text": "5. Very Good", "quickKey": 5}
]},
{"id": "i2387", "type": "IntroText",
"text": "Taking everything into consideration, during the past week how satisfied have you
been with:"
},
{"id": "q8223", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "13. Your vision in terms of ability to do work or hobbies?",
"intro": "Taking everything into consideration, during the past week how satisfied have you
{"id": "c3922", "text": "2. Poor", "quickKey": 2},
been with:",
"columns": 1,
"choices":[
{"id": "c3921", "text": "1. Very Poor", "quickKey": 1},
{"id": "c3922", "text": "2. Poor", "quickKey": 2},
{"id": "c3923", "text": "3. Fair", "quickKey": 3},
{"id": "c3924", "text": "4. Good", "quickKey": 4},
{"id": "c3925", "text": "5. Very Good", "quickKey": 5}
]},
{"id": "i2388", "type": "IntroText",
{"id": "c3923", "text": "3. Fair", "quickKey": 3},
"text": " Taking everything into consideration, during the last week how satisfied have
you been with:"
},
{"id": "q8224", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "14. Your overall sense of well-being?",
"intro": " Taking everything into consideration, during the last week how satisfied have
you been with:",
"columns": 1,
"choices":[
{"id": "c3921", "text": "1. Very Poor", "quickKey": 1},
{"id": "c3924", "text": "4. Good", "quickKey": 4},
{"id": "c3922", "text": "2. Poor", "quickKey": 2},
{"id": "c3923", "text": "3. Fair", "quickKey": 3},
{"id": "c3924", "text": "4. Good", "quickKey": 4},
{"id": "c3925", "text": "5. Very Good", "quickKey": 5}
]},
{"id": "i2387", "type": "IntroText",
"text": "Taking everything into consideration, during the past week how satisfied have you
been with:"
},
{"id": "q8225", "type": "ChoiceQuestion", "required": false, "inline": false,
{"id": "c3925", "text": "5. Very Good", "quickKey": 5}
"text": "15. Your medication?",
"intro": "Taking everything into consideration, during the past week how satisfied have you
been with:",
"columns": 1,
"choices":[
{"id": "c3921", "text": "1. Very Poor", "quickKey": 1},
{"id": "c3922", "text": "2. Poor", "quickKey": 2},
{"id": "c3923", "text": "3. Fair", "quickKey": 3},
{"id": "c3924", "text": "4. Good", "quickKey": 4},
{"id": "c3925", "text": "5. Very Good", "quickKey": 5},
]},
{"id": "c3926", "text": "6. Click here if the patient is not taking any medication.", "quickKey": 6}
]},
{"id": "i2388", "type": "IntroText",
"text": " Taking everything into consideration, during the last week how satisfied have
you been with:"
},
{"id": "q8226", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "16. How would you rate your overall life satisfaction and contentment during the
past week?",
"intro": " Taking everything into consideration, during the last week how satisfied have
{"id": "i2388", "type": "IntroText",
you been with:",
"columns": 1,
"choices":[
{"id": "c3921", "text": "1. Very Poor", "quickKey": 1},
{"id": "c3922", "text": "2. Poor", "quickKey": 2},
{"id": "c3923", "text": "3. Fair", "quickKey": 3},
{"id": "c3924", "text": "4. Good", "quickKey": 4},
{"id": "c3925", "text": "5. Very Good", "quickKey": 5}
]}]
}
"text": " Taking everything into consideration, during the last week how satisfied have
you been with:"
},
electronically reproduce for clinicians use and research in non-industry
{"id": "q8212", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "2. Your mood?",
"intro": " Taking everything into consideration, during the last week how satisfied have
you been with:",
"columns": 1,
"choices":[
{"id": "c3921", "text": "1. Very Poor", "quickKey": 1},
{"id": "c3922", "text": "2. Poor", "quickKey": 2},
{"id": "c3923", "text": "3. Fair", "quickKey": 3},
{"id": "c3924", "text": "4. Good", "quickKey": 4},
studies. For other uses, contact copyright holder.",
{"id": "c3925", "text": "5. Very Good", "quickKey": 5}
]},
{"id": "i2387", "type": "IntroText",
"text": "Taking everything into consideration, during the past week how satisfied have you
been with:"
},
{"id": "q8213", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "3. Your work?",
"intro": "Taking everything into consideration, during the past week how satisfied have you
been with:",
"restartDays": 2,
"columns": 1,
"choices":[
{"id": "c3921", "text": "1. Very Poor", "quickKey": 1},
{"id": "c3922", "text": "2. Poor", "quickKey": 2},
{"id": "c3923", "text": "3. Fair", "quickKey": 3},
{"id": "c3924", "text": "4. Good", "quickKey": 4},
{"id": "c3925", "text": "5. Very Good", "quickKey": 5}
]},
{"id": "i2388", "type": "IntroText",
"text": " Taking everything into consideration, during the last week how satisfied have
"printTitle": "Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF)",
you been with:"
},
{"id": "q8214", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "4. Your household activities?",
"intro": " Taking everything into consideration, during the last week how satisfied have
you been with:",
"columns": 1,
"choices":[
{"id": "c3921", "text": "1. Very Poor", "quickKey": 1},
{"id": "c3922", "text": "2. Poor", "quickKey": 2},
"content":[
{"id": "c3923", "text": "3. Fair", "quickKey": 3},
{"id": "c3924", "text": "4. Good", "quickKey": 4},
{"id": "c3925", "text": "5. Very Good", "quickKey": 5}
]},
{"id": "i2387", "type": "IntroText",
"text": "Taking everything into consideration, during the past week how satisfied have you
been with:"
},
{"id": "q8215", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "5. Your social relationships?",
{"id": "i2382", "type": "IntroText",
"intro": "Taking everything into consideration, during the past week how satisfied have you
been with:",
"columns": 1,
"choices":[
{"id": "c3921", "text": "1. Very Poor", "quickKey": 1},
{"id": "c3922", "text": "2. Poor", "quickKey": 2},
{"id": "c3923", "text": "3. Fair", "quickKey": 3},
{"id": "c3924", "text": "4. Good", "quickKey": 4},
{"id": "c3925", "text": "5. Very Good", "quickKey": 5}
]},
"text": "INSTRUCTIONS: Read each question carefully and respond as instructed. <br /> <br
{"id": "i2388", "type": "IntroText",
"text": " Taking everything into consideration, during the last week how satisfied have
you been with:"
},
{"id": "q8216", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "6. Your family relationships?",
"intro": " Taking everything into consideration, during the last week how satisfied have
you been with:",
"columns": 1,
"choices":[
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