| ENTRY SPECIFICATION |
{"name": "BBHI-2",
REQUIRED)",
{"id": "c4092", "text": " 8"},
{"id": "c4093", "text": " 9"},
{"id": "c4094", "text": " 10"}
]},
{"id": "q8230", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "4. Arms or hands?",
"intro": "This survey will help your caregiver better understand how you feel. There are no
right or wrong answers. This survey usually takes about 10 minutes to
complete.<br /><br /> This part contains questions concerning your level of pain
during the past month.<br /> <br /> Use the following to describe your level of
"columns": 1,
pain:<br /> <br /> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br /> No Pain
Worst Pain You<br />
Could Imagine",
"columns": 11,
"choices":[
{"id": "c3927", "text": " 0"},
{"id": "c3928", "text": " 1"},
{"id": "c4086", "text": " 2"},
{"id": "c4087", "text": " 3"},
{"id": "c4088", "text": " 4"},
"choices":[
{"id": "c4089", "text": " 5"},
{"id": "c4090", "text": " 6"},
{"id": "c4091", "text": " 7"},
{"id": "c4092", "text": " 8"},
{"id": "c4093", "text": " 9"},
{"id": "c4094", "text": " 10"}
]},
{"id": "q8231", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "5. Chest?",
"intro": "This survey will help your caregiver better understand how you feel. There are no
{"id": "c4125", "text": "1. Head/Headache", "quickKey": 1},
right or wrong answers. This survey usually takes about 10 minutes to
complete.<br /><br /> This part contains questions concerning your level of pain
during the past month.<br /> <br /> Use the following to describe your level of
pain:<br /> <br /> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br /> No Pain
Worst Pain You<br />
Could Imagine",
"columns": 11,
"choices":[
{"id": "c3927", "text": " 0"},
{"id": "c3928", "text": " 1"},
{"id": "c4126", "text": "2. Neck", "quickKey": 2},
{"id": "c4086", "text": " 2"},
{"id": "c4087", "text": " 3"},
{"id": "c4088", "text": " 4"},
{"id": "c4089", "text": " 5"},
{"id": "c4090", "text": " 6"},
{"id": "c4091", "text": " 7"},
{"id": "c4092", "text": " 8"},
{"id": "c4093", "text": " 9"},
{"id": "c4094", "text": " 10"}
]},
{"id": "c4127", "text": "3. Upper Body", "quickKey": 3},
{"id": "q8232", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "6. Abdomen or stomach?",
"intro": "This survey will help your caregiver better understand how you feel. There are no
right or wrong answers. This survey usually takes about 10 minutes to
complete.<br /><br /> This part contains questions concerning your level of pain
during the past month.<br /> <br /> Use the following to describe your level of
pain:<br /> <br /> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br /> No Pain
Worst Pain You<br />
Could Imagine",
"columns": 11,
{"id": "c4128", "text": "4. Back/Lower Body", "quickKey": 4},
"choices":[
{"id": "c3927", "text": " 0"},
{"id": "c3928", "text": " 1"},
{"id": "c4086", "text": " 2"},
{"id": "c4087", "text": " 3"},
{"id": "c4088", "text": " 4"},
{"id": "c4089", "text": " 5"},
{"id": "c4090", "text": " 6"},
{"id": "c4091", "text": " 7"},
{"id": "c4092", "text": " 8"},
{"id": "c4129", "text": "5. Legs/Feet", "quickKey": 5}
{"id": "c4093", "text": " 9"},
{"id": "c4094", "text": " 10"}
]},
{"id": "q8233", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "7. Middle back?",
"intro": "This survey will help your caregiver better understand how you feel. There are no
right or wrong answers. This survey usually takes about 10 minutes to
complete.<br /><br /> This part contains questions concerning your level of pain
during the past month.<br /> <br /> Use the following to describe your level of
pain:<br /> <br /> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br /> No Pain
]},
Worst Pain You<br />
Could Imagine",
"columns": 11,
"choices":[
{"id": "c3927", "text": " 0"},
{"id": "c3928", "text": " 1"},
{"id": "c4086", "text": " 2"},
{"id": "c4087", "text": " 3"},
{"id": "c4088", "text": " 4"},
{"id": "c4089", "text": " 5"},
{"id": "i2383", "type": "IntroText",
{"id": "c4090", "text": " 6"},
{"id": "c4091", "text": " 7"},
{"id": "c4092", "text": " 8"},
{"id": "c4093", "text": " 9"},
{"id": "c4094", "text": " 10"}
]},
{"id": "q8234", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "8. Lower back?",
"intro": "This survey will help your caregiver better understand how you feel. There are no
right or wrong answers. This survey usually takes about 10 minutes to
"copyright": "Copyright 2002 NCS Pearson, Inc. All rights reserved. Pearson, the PSI Design,
"text": "This survey will help your caregiver better understand how you feel. There are no
complete.<br /><br /> This part contains questions concerning your level of pain
during the past month.<br /> <br /> Use the following to describe your level of
pain:<br /> <br /> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br /> No Pain
Worst Pain You<br />
Could Imagine",
"columns": 11,
"choices":[
{"id": "c3927", "text": " 0"},
{"id": "c3928", "text": " 1"},
{"id": "c4086", "text": " 2"},
right or wrong answers. This survey usually takes about 10 minutes to
{"id": "c4087", "text": " 3"},
{"id": "c4088", "text": " 4"},
{"id": "c4089", "text": " 5"},
{"id": "c4090", "text": " 6"},
{"id": "c4091", "text": " 7"},
{"id": "c4092", "text": " 8"},
{"id": "c4093", "text": " 9"},
{"id": "c4094", "text": " 10"}
]},
{"id": "q8235", "type": "ChoiceQuestion", "required": false, "inline": true,
complete.<br /><br /> This part contains questions concerning your level of pain
"text": "9. Genital area?",
"intro": "This survey will help your caregiver better understand how you feel. There are no
right or wrong answers. This survey usually takes about 10 minutes to
complete.<br /><br /> This part contains questions concerning your level of pain
during the past month.<br /> <br /> Use the following to describe your level of
pain:<br /> <br /> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br /> No Pain
Worst Pain You<br />
Could Imagine",
"columns": 11,
"choices":[
during the past month.<br /> <br /> Use the following to describe your level of
{"id": "c3927", "text": " 0"},
{"id": "c3928", "text": " 1"},
{"id": "c4086", "text": " 2"},
{"id": "c4087", "text": " 3"},
{"id": "c4088", "text": " 4"},
{"id": "c4089", "text": " 5"},
{"id": "c4090", "text": " 6"},
{"id": "c4091", "text": " 7"},
{"id": "c4092", "text": " 8"},
{"id": "c4093", "text": " 9"},
pain:<br /> <br /> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br /> No Pain
{"id": "c4094", "text": " 10"}
]},
{"id": "q8236", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "10. Legs or feet?",
"intro": "This survey will help your caregiver better understand how you feel. There are no
right or wrong answers. This survey usually takes about 10 minutes to
complete.<br /><br /> This part contains questions concerning your level of pain
during the past month.<br /> <br /> Use the following to describe your level of
pain:<br /> <br /> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br /> No Pain
Worst Pain You<br />
&
Could Imagine",
"columns": 11,
"choices":[
{"id": "c3927", "text": " 0"},
{"id": "c3928", "text": " 1"},
{"id": "c4086", "text": " 2"},
{"id": "c4087", "text": " 3"},
{"id": "c4088", "text": " 4"},
{"id": "c4089", "text": " 5"},
{"id": "c4090", "text": " 6"},
nbsp; &nb
{"id": "c4091", "text": " 7"},
{"id": "c4092", "text": " 8"},
{"id": "c4093", "text": " 9"},
{"id": "c4094", "text": " 10"}
]},
{"id": "q8237", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "11. Taking into account all parts of your body that hurt, what was your overall
highest level of pain during the past month?",
"intro": "This survey will help your caregiver better understand how you feel. There are no
right or wrong answers. This survey usually takes about 10 minutes to
sp;
complete.<br /><br /> This part contains questions concerning your level of pain
during the past month.<br /> <br /> Use the following to describe your level of
pain:<br /> <br /> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br /> No Pain
Worst Pain You<br />
Could Imagine",
"columns": 11,
"choices":[
{"id": "c3927", "text": " 0"},
{"id": "c3928", "text": " 1"},
{"id": "c4086", "text": " 2"},
Worst Pain You<br />
{"id": "c4087", "text": " 3"},
{"id": "c4088", "text": " 4"},
{"id": "c4089", "text": " 5"},
{"id": "c4090", "text": " 6"},
{"id": "c4091", "text": " 7"},
{"id": "c4092", "text": " 8"},
{"id": "c4093", "text": " 9"},
{"id": "c4094", "text": " 10"}
]},
{"id": "q8238", "type": "ChoiceQuestion", "required": false, "inline": true,
&n
"text": "12. Taking into account all parts of your body that hurt, what was your overall
lowest level of pain during the past month?",
"intro": "This survey will help your caregiver better understand how you feel. There are no
right or wrong answers. This survey usually takes about 10 minutes to
complete.<br /><br /> This part contains questions concerning your level of pain
during the past month.<br /> <br /> Use the following to describe your level of
pain:<br /> <br /> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br /> No Pain
Worst Pain You<br />
Could Imagine",
"columns": 11,
PsychCorp, and BBHI are trademarks in the US and/or other countries, of Pearson
bsp; &nbs
"choices":[
{"id": "c3927", "text": " 0"},
{"id": "c3928", "text": " 1"},
{"id": "c4086", "text": " 2"},
{"id": "c4087", "text": " 3"},
{"id": "c4088", "text": " 4"},
{"id": "c4089", "text": " 5"},
{"id": "c4090", "text": " 6"},
{"id": "c4091", "text": " 7"},
{"id": "c4092", "text": " 8"},
p;
{"id": "c4093", "text": " 9"},
{"id": "c4094", "text": " 10"}
]},
{"id": "q8239", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "13. Taking into account all parts of your body that hurt, what is your overall
level of pain right now?",
"intro": "This survey will help your caregiver better understand how you feel. There are no
right or wrong answers. This survey usually takes about 10 minutes to
complete.<br /><br /> This part contains questions concerning your level of pain
during the past month.<br /> <br /> Use the following to describe your level of
pain:<br /> <br /> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br /> No Pain
Worst Pain You<br />
Could Imagine",
"columns": 11,
"choices":[
{"id": "c3927", "text": " 0"},
{"id": "c3928", "text": " 1"},
{"id": "c4086", "text": " 2"},
{"id": "c4087", "text": " 3"},
{"id": "c4088", "text": " 4"},
Could Imagine"
{"id": "c4089", "text": " 5"},
{"id": "c4090", "text": " 6"},
{"id": "c4091", "text": " 7"},
{"id": "c4092", "text": " 8"},
{"id": "c4093", "text": " 9"},
{"id": "c4094", "text": " 10"}
]},
{"id": "q8240", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "14. Taking into account all parts of your body that hurt, what level of pain
could you tolerate and still work and get on with your life?",
},
"intro": "This survey will help your caregiver better understand how you feel. There are no
right or wrong answers. This survey usually takes about 10 minutes to
complete.<br /><br /> This part contains questions concerning your level of pain
during the past month.<br /> <br /> Use the following to describe your level of
pain:<br /> <br /> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br /> No Pain
Worst Pain You<br />
Could Imagine",
"columns": 11,
"choices":[
{"id": "c3927", "text": " 0"},
{"id": "q8227", "type": "ChoiceQuestion", "required": false, "inline": true,
{"id": "c3928", "text": " 1"},
{"id": "c4086", "text": " 2"},
{"id": "c4087", "text": " 3"},
{"id": "c4088", "text": " 4"},
{"id": "c4089", "text": " 5"},
{"id": "c4090", "text": " 6"},
{"id": "c4091", "text": " 7"},
{"id": "c4092", "text": " 8"},
{"id": "c4093", "text": " 9"},
{"id": "c4094", "text": " 10"}
"text": "1. Head (headache pain)?",
]},
{"id": "i2384", "type": "IntroText",
"text": "This part contains a list of symptoms that people sometimes have. For each
symptom, decide how much of a problem it has been for you in the past month."
},
{"id": "q8241", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "15. Feeling exhausted but being unable to sleep?",
"intro": "This part contains a list of symptoms that people sometimes have. For each
symptom, decide how much of a problem it has been for you in the past month.",
"columns": 1,
"intro": "This survey will help your caregiver better understand how you feel. There are no
"choices":[
{"id": "c3929", "text": "1. No Problem if the symptom has not been a concern for you", "quickKey": 1},
{"id": "c3930", "text": "2. Small Problem if the symptom has caused you occasional or mild concern", "quickKey": 2},
{"id": "c3931", "text": "3. Moderate Problem if the symptom has caused you periodic or significant concern", "quickKey": 3},
{"id": "c3932", "text": "4. Big Problem if the symptom has caused you frequent or great concern", "quickKey": 4}
]},
{"id": "q8242", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "16. Irritability?",
"intro": "This part contains a list of symptoms that people sometimes have. For each
symptom, decide how much of a problem it has been for you in the past month.",
right or wrong answers. This survey usually takes about 10 minutes to
"columns": 1,
"choices":[
{"id": "c3929", "text": "1. No Problem if the symptom has not been a concern for you", "quickKey": 1},
{"id": "c3930", "text": "2. Small Problem if the symptom has caused you occasional or mild concern", "quickKey": 2},
{"id": "c3931", "text": "3. Moderate Problem if the symptom has caused you periodic or significant concern", "quickKey": 3},
{"id": "c3932", "text": "4. Big Problem if the symptom has caused you frequent or great concern", "quickKey": 4}
]},
{"id": "q8243", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "17. Shakiness or jitters?",
"intro": "This part contains a list of symptoms that people sometimes have. For each
complete.<br /><br /> This part contains questions concerning your level of pain
symptom, decide how much of a problem it has been for you in the past month.",
"columns": 1,
"choices":[
{"id": "c3929", "text": "1. No Problem if the symptom has not been a concern for you", "quickKey": 1},
{"id": "c3930", "text": "2. Small Problem if the symptom has caused you occasional or mild concern", "quickKey": 2},
{"id": "c3931", "text": "3. Moderate Problem if the symptom has caused you periodic or significant concern", "quickKey": 3},
{"id": "c3932", "text": "4. Big Problem if the symptom has caused you frequent or great concern", "quickKey": 4}
]},
{"id": "q8244", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "18. Being unable to relax?",
Education, Inc., or its affiliates.",
during the past month.<br /> <br /> Use the following to describe your level of
"intro": "This part contains a list of symptoms that people sometimes have. For each
symptom, decide how much of a problem it has been for you in the past month.",
"columns": 1,
"choices":[
{"id": "c3929", "text": "1. No Problem if the symptom has not been a concern for you", "quickKey": 1},
{"id": "c3930", "text": "2. Small Problem if the symptom has caused you occasional or mild concern", "quickKey": 2},
{"id": "c3931", "text": "3. Moderate Problem if the symptom has caused you periodic or significant concern", "quickKey": 3},
{"id": "c3932", "text": "4. Big Problem if the symptom has caused you frequent or great concern", "quickKey": 4}
]},
{"id": "q8245", "type": "ChoiceQuestion", "required": false, "inline": false,
pain:<br /> <br /> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br /> No Pain
"text": "19. Feeling that nothing seems real?",
"intro": "This part contains a list of symptoms that people sometimes have. For each
symptom, decide how much of a problem it has been for you in the past month.",
"columns": 1,
"choices":[
{"id": "c3929", "text": "1. No Problem if the symptom has not been a concern for you", "quickKey": 1},
{"id": "c3930", "text": "2. Small Problem if the symptom has caused you occasional or mild concern", "quickKey": 2},
{"id": "c3931", "text": "3. Moderate Problem if the symptom has caused you periodic or significant concern", "quickKey": 3},
{"id": "c3932", "text": "4. Big Problem if the symptom has caused you frequent or great concern", "quickKey": 4}
]},
Worst Pain You<br />
{"id": "q8246", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "20. Lump in throat/difficulty swallowing?",
"intro": "This part contains a list of symptoms that people sometimes have. For each
symptom, decide how much of a problem it has been for you in the past month.",
"columns": 1,
"choices":[
{"id": "c3929", "text": "1. No Problem if the symptom has not been a concern for you", "quickKey": 1},
{"id": "c3930", "text": "2. Small Problem if the symptom has caused you occasional or mild concern", "quickKey": 2},
{"id": "c3931", "text": "3. Moderate Problem if the symptom has caused you periodic or significant concern", "quickKey": 3},
{"id": "c3932", "text": "4. Big Problem if the symptom has caused you frequent or great concern", "quickKey": 4}
Could Imagine",
]},
{"id": "q8247", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "21. Pounding or racing heart when not exerting yourself?",
"intro": "This part contains a list of symptoms that people sometimes have. For each
symptom, decide how much of a problem it has been for you in the past month.",
"columns": 1,
"choices":[
{"id": "c3929", "text": "1. No Problem if the symptom has not been a concern for you", "quickKey": 1},
{"id": "c3930", "text": "2. Small Problem if the symptom has caused you occasional or mild concern", "quickKey": 2},
{"id": "c3931", "text": "3. Moderate Problem if the symptom has caused you periodic or significant concern", "quickKey": 3},
"columns": 11,
{"id": "c3932", "text": "4. Big Problem if the symptom has caused you frequent or great concern", "quickKey": 4}
]},
{"id": "q8248", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "22. Hearing voices that other people don't hear?",
"intro": "This part contains a list of symptoms that people sometimes have. For each
symptom, decide how much of a problem it has been for you in the past month.",
"columns": 1,
"choices":[
{"id": "c3929", "text": "1. No Problem if the symptom has not been a concern for you", "quickKey": 1},
{"id": "c3930", "text": "2. Small Problem if the symptom has caused you occasional or mild concern", "quickKey": 2},
"choices":[
{"id": "c3931", "text": "3. Moderate Problem if the symptom has caused you periodic or significant concern", "quickKey": 3},
{"id": "c3932", "text": "4. Big Problem if the symptom has caused you frequent or great concern", "quickKey": 4}
]},
{"id": "q8249", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "23. Feeling bloated or gassy?",
"intro": "This part contains a list of symptoms that people sometimes have. For each
symptom, decide how much of a problem it has been for you in the past month.",
"columns": 1,
"choices":[
{"id": "c3929", "text": "1. No Problem if the symptom has not been a concern for you", "quickKey": 1},
{"id": "c3927", "text": " 0"},
{"id": "c3930", "text": "2. Small Problem if the symptom has caused you occasional or mild concern", "quickKey": 2},
{"id": "c3931", "text": "3. Moderate Problem if the symptom has caused you periodic or significant concern", "quickKey": 3},
{"id": "c3932", "text": "4. Big Problem if the symptom has caused you frequent or great concern", "quickKey": 4}
]},
{"id": "q8250", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "24. Lack of interest in sex?",
"intro": "This part contains a list of symptoms that people sometimes have. For each
symptom, decide how much of a problem it has been for you in the past month.",
"columns": 1,
"choices":[
{"id": "c3928", "text": " 1"},
{"id": "c3929", "text": "1. No Problem if the symptom has not been a concern for you", "quickKey": 1},
{"id": "c3930", "text": "2. Small Problem if the symptom has caused you occasional or mild concern", "quickKey": 2},
{"id": "c3931", "text": "3. Moderate Problem if the symptom has caused you periodic or significant concern", "quickKey": 3},
{"id": "c3932", "text": "4. Big Problem if the symptom has caused you frequent or great concern", "quickKey": 4}
]},
{"id": "q8251", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "25. Difficulty concentrating?",
"intro": "This part contains a list of symptoms that people sometimes have. For each
symptom, decide how much of a problem it has been for you in the past month.",
"columns": 1,
{"id": "c4086", "text": " 2"},
"choices":[
{"id": "c3929", "text": "1. No Problem if the symptom has not been a concern for you", "quickKey": 1},
{"id": "c3930", "text": "2. Small Problem if the symptom has caused you occasional or mild concern", "quickKey": 2},
{"id": "c3931", "text": "3. Moderate Problem if the symptom has caused you periodic or significant concern", "quickKey": 3},
{"id": "c3932", "text": "4. Big Problem if the symptom has caused you frequent or great concern", "quickKey": 4}
]},
{"id": "i2385", "type": "IntroText",
"text": "This part consists of a number of statements. Read each statement and decide how
it applies to you."
},
{"id": "c4087", "text": " 3"},
{"id": "q8252", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "26. I am satisfied with the medical care I am receiving.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
"restartDays": 2,
{"id": "c4088", "text": " 4"},
]},
{"id": "q8253", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "27. I am barely able to keep up with my work.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c4089", "text": " 5"},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8254", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "28. I worry about becoming dependent on prescription medication.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c4090", "text": " 6"},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8255", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "29. I walk and move very carefully so I won't cause myself pain.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c4091", "text": " 7"},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8256", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "30. Things have been terrible at home lately.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c4092", "text": " 8"},
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8257", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "31. I've had no problems with sleeping.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
{"id": "c4093", "text": " 9"},
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8258", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "32. I am not disabled.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
{"id": "c4094", "text": " 10"}
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8259", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "33. I have never abused alcohol or drugs.",
"intro": "This part consists of a number of statements. Read each statement and decide how
]},
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8260", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "34. I can't work.",
{"id": "q8228", "type": "ChoiceQuestion", "required": false, "inline": true,
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8261", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "2. Jaw or face?",
"text": "35. Somebody owes me for all of my pain and suffering.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
"printTitle": "Brief Battery for Health Improvement 2 (BBHI-2)",
"intro": "This survey will help your caregiver better understand how you feel. There are no
{"id": "q8262", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "36. Pain would not stop me from doing my favorite things.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
right or wrong answers. This survey usually takes about 10 minutes to
]},
{"id": "q8263", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "37. I am very angry with one or more of my doctors.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
complete.<br /><br /> This part contains questions concerning your level of pain
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8264", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "38. My physical problems really don't bother me that much.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
during the past month.<br /> <br /> Use the following to describe your level of
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8265", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "39. I protect my health by staying at home.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
pain:<br /> <br /> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br /> No Pain
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8266", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "40. My pain never changes.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
Worst Pain You<br />
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8267", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "41. I feel well enough to work.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
Could Imagine",
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8268", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "42. I'm afraid that my poor health will ruin my most important relationships.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 11,
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8269", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "43. There are many jobs that I am capable of doing.",
"intro": "This part consists of a number of statements. Read each statement and decide how
"choices":[
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8270", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "44. My life is full and satisfying.",
{"id": "c3927", "text": " 0"},
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8271", "type": "ChoiceQuestion", "required": false, "inline": false,
"content":[
{"id": "c3928", "text": " 1"},
"text": "45. I am afraid of pushing myself too hard.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "c4086", "text": " 2"},
{"id": "q8272", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "46. With my kind of problems, there's little hope of getting better.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
{"id": "c4087", "text": " 3"},
]},
{"id": "q8273", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "47. This has been one of the worst times of my life.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c4088", "text": " 4"},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8274", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "48. I get so restless at times that I can't stand still.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c4089", "text": " 5"},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8275", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "49. My life used to be much better than it is now.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c4090", "text": " 6"},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8276", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "50. I am allergic to the glass found in jars.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c4091", "text": " 7"},
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8277", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "51. I am afraid that my physical problems might kill me.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
{"id": "c4092", "text": " 8"},
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8278", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "52. Lately, I have been thinking about suicide a lot.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
{"id": "c4093", "text": " 9"},
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8279", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "53. I am content with my life.",
"intro": "This part consists of a number of statements. Read each statement and decide how
{"id": "c4094", "text": " 10"}
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8280", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "54. I fear being struck down by an attack of some illness.",
{"id": "q8402", "type": "ChoiceQuestion", "required": true, "inline": false,
]},
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8281", "type": "ChoiceQuestion", "required": false, "inline": false,
{"id": "q8229", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "55. My life seems like one defeat after another.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
"text": "3. Neck or shoulders?",
{"id": "q8282", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "56. My health problems really aren't that serious.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
"intro": "This survey will help your caregiver better understand how you feel. There are no
]},
{"id": "q8283", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "57. When I think about my physical problems, I get depressed.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
right or wrong answers. This survey usually takes about 10 minutes to
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8284", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "58. My life shouldn't be this hard.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
complete.<br /><br /> This part contains questions concerning your level of pain
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8285", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "59. I often get depressed; it's like I fall in a hole and can't get out.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
during the past month.<br /> <br /> Use the following to describe your level of
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8286", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "60. I have many severe problems that come and go.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
"choices":[
pain:<br /> <br /> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br /> No Pain
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8287", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "61. There are many things I won't do for fear of hurting myself.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
"columns": 1,
Worst Pain You<br />
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8288", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "62. Recently my life has been a nightmare.",
"intro": "This part consists of a number of statements. Read each statement and decide how
it applies to you.",
Could Imagine",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]},
{"id": "q8289", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "63. I'm often afraid that something bad will happen to me.",
"intro": "This part consists of a number of statements. Read each statement and decide how
"text": "0. Please select the primary area where you have pain: (this question is
"columns": 11,
it applies to you.",
"columns": 1,
"choices":[
{"id": "c3933", "text": "1. Strongly Disagree if the statement is not at all true", "quickKey": 1},
{"id": "c3934", "text": "2. Disagree if the statement is mostly not true", "quickKey": 2},
{"id": "c3935", "text": "3. Agree if the statement is mostly true", "quickKey": 3},
{"id": "c3936", "text": "4. Strongly Agree if the statement is very true", "quickKey": 4}
]}]
}
"choices":[
{"id": "c3927", "text": " 0"},
{"id": "c3928", "text": " 1"},
{"id": "c4086", "text": " 2"},
{"id": "c4087", "text": " 3"},
{"id": "c4088", "text": " 4"},
{"id": "c4089", "text": " 5"},
{"id": "c4090", "text": " 6"},
{"id": "c4091", "text": " 7"},
|
