| ENTRY SPECIFICATION |
{"name": "PROMIS29",
"text": "1. Physical Functioning: Are you able to do chores such as vacuuming or yard
"text": "9. Depression: IN THE PAST 7 DAYS I felt worthless.",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3942", "text": "1. Never", "quickKey": 1},
{"id": "c3943", "text": "2. Rarely", "quickKey": 2},
{"id": "c3944", "text": "3. Sometimes", "quickKey": 3},
{"id": "c3945", "text": "4. Often", "quickKey": 4},
{"id": "c3946", "text": "5. Always", "quickKey": 5}
]},
work?",
{"id": "q8299", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "10. Depression: IN THE PAST 7 DAYS I felt helpless.",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3942", "text": "1. Never", "quickKey": 1},
{"id": "c3943", "text": "2. Rarely", "quickKey": 2},
{"id": "c3944", "text": "3. Sometimes", "quickKey": 3},
{"id": "c3945", "text": "4. Often", "quickKey": 4},
{"id": "c3946", "text": "5. Always", "quickKey": 5}
"intro": "For each question or statement below, please mark one answer.",
]},
{"id": "q8300", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "11. Depression: IN THE PAST 7 DAYS I felt depressed.",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3942", "text": "1. Never", "quickKey": 1},
{"id": "c3943", "text": "2. Rarely", "quickKey": 2},
{"id": "c3944", "text": "3. Sometimes", "quickKey": 3},
{"id": "c3945", "text": "4. Often", "quickKey": 4},
"columns": 1,
{"id": "c3946", "text": "5. Always", "quickKey": 5}
]},
{"id": "q8301", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "12. Depression: IN THE PAST 7 DAYS I felt hopeless.",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3942", "text": "1. Never", "quickKey": 1},
{"id": "c3943", "text": "2. Rarely", "quickKey": 2},
{"id": "c3944", "text": "3. Sometimes", "quickKey": 3},
"choices":[
{"id": "c3945", "text": "4. Often", "quickKey": 4},
{"id": "c3946", "text": "5. Always", "quickKey": 5}
]},
{"id": "q8302", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "13. Fatigue: DURING THE PAST 7 DAYS I feel fatigued.",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3947", "text": "1. Not at all", "quickKey": 1},
{"id": "c3948", "text": "2. A little bit", "quickKey": 2},
{"id": "c3937", "text": "1. Without any difficulty", "quickKey": 1},
{"id": "c3949", "text": "3. Somewhat", "quickKey": 3},
{"id": "c3950", "text": "4. Quite a bit", "quickKey": 4},
{"id": "c3951", "text": "5. Very much", "quickKey": 5}
]},
{"id": "q8303", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "14. Fatigue: DURING THE PAST 7 DAYS I have trouble STARTING things because I am
tired.",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3938", "text": "2. With a little difficulty", "quickKey": 2},
{"id": "c3947", "text": "1. Not at all", "quickKey": 1},
{"id": "c3948", "text": "2. A little bit", "quickKey": 2},
{"id": "c3949", "text": "3. Somewhat", "quickKey": 3},
{"id": "c3950", "text": "4. Quite a bit", "quickKey": 4},
{"id": "c3951", "text": "5. Very much", "quickKey": 5}
]},
{"id": "q8304", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "15. Fatigue: IN THE PAST 7 DAYS - How run down did you feel on average?",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
{"id": "c3939", "text": "3. With some difficulty", "quickKey": 3},
"choices":[
{"id": "c3947", "text": "1. Not at all", "quickKey": 1},
{"id": "c3948", "text": "2. A little bit", "quickKey": 2},
{"id": "c3949", "text": "3. Somewhat", "quickKey": 3},
{"id": "c3950", "text": "4. Quite a bit", "quickKey": 4},
{"id": "c3951", "text": "5. Very much", "quickKey": 5}
]},
{"id": "q8305", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "16. Fatigue: IN THE PAST 7 DAYS - How fatigued were you on average?",
"intro": "For each question or statement below, please mark one answer.",
{"id": "c3940", "text": "4. With much difficulty", "quickKey": 4},
"columns": 1,
"choices":[
{"id": "c3947", "text": "1. Not at all", "quickKey": 1},
{"id": "c3948", "text": "2. A little bit", "quickKey": 2},
{"id": "c3949", "text": "3. Somewhat", "quickKey": 3},
{"id": "c3950", "text": "4. Quite a bit", "quickKey": 4},
{"id": "c3951", "text": "5. Very much", "quickKey": 5}
]},
{"id": "q8306", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "17. Sleep Disturbance: IN THE PAST 7 DAYS my sleep quality was,",
{"id": "c3941", "text": "5. Unable to do", "quickKey": 5}
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3952", "text": "1. Very poor", "quickKey": 1},
{"id": "c3953", "text": "2. Poor", "quickKey": 2},
{"id": "c3954", "text": "3. Fair", "quickKey": 3},
{"id": "c3955", "text": "4. Good", "quickKey": 4},
{"id": "c3956", "text": "5. Very good", "quickKey": 5}
]},
{"id": "q8307", "type": "ChoiceQuestion", "required": true, "inline": false,
"copyright": " 2008-2016 PROMIS Health Organization and PROMIS Cooperative Group",
]},
"text": "18. Sleep Disturbance: IN THE PAST 7 DAYS my sleep was refreshing,",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c4060", "text": "1. Not at all", "quickKey": 1},
{"id": "c4061", "text": "2. A little bit", "quickKey": 2},
{"id": "c4062", "text": "3. Somewhat", "quickKey": 3},
{"id": "c4063", "text": "4. Quite a bit", "quickKey": 4},
{"id": "c4064", "text": "5. Very much", "quickKey": 5}
]},
{"id": "q8291", "type": "ChoiceQuestion", "required": true, "inline": false,
{"id": "q8308", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "19. Sleep Disturbance: IN THE PAST 7 DAYS I had a problem with sleep,",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3947", "text": "1. Not at all", "quickKey": 1},
{"id": "c3948", "text": "2. A little bit", "quickKey": 2},
{"id": "c3949", "text": "3. Somewhat", "quickKey": 3},
{"id": "c3950", "text": "4. Quite a bit", "quickKey": 4},
{"id": "c3951", "text": "5. Very much", "quickKey": 5}
"text": "2. Physical Functioning: Are you able to go up and down stairs at a normal pace?",
]},
{"id": "q8309", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "20. Sleep Disturbance: IN THE PAST 7 DAYS I had difficulty falling asleep,",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3947", "text": "1. Not at all", "quickKey": 1},
{"id": "c3948", "text": "2. A little bit", "quickKey": 2},
{"id": "c3949", "text": "3. Somewhat", "quickKey": 3},
{"id": "c3950", "text": "4. Quite a bit", "quickKey": 4},
"intro": "For each question or statement below, please mark one answer.",
{"id": "c3951", "text": "5. Very much", "quickKey": 5}
]},
{"id": "q8310", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "21. Satisfaction with Social Role: IN THE PAST 7 DAYS I am satisfied with how
much work I can do (include work at home).",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3947", "text": "1. Not at all", "quickKey": 1},
{"id": "c3948", "text": "2. A little bit", "quickKey": 2},
"columns": 1,
{"id": "c3949", "text": "3. Somewhat", "quickKey": 3},
{"id": "c3950", "text": "4. Quite a bit", "quickKey": 4},
{"id": "c3951", "text": "5. Very much", "quickKey": 5}
]},
{"id": "q8311", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "22. Satisfaction with Social Role: IN THE PAST 7 DAYS I am satisfied with my
ability to work (include work at home).",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
"choices":[
{"id": "c3947", "text": "1. Not at all", "quickKey": 1},
{"id": "c3948", "text": "2. A little bit", "quickKey": 2},
{"id": "c3949", "text": "3. Somewhat", "quickKey": 3},
{"id": "c3950", "text": "4. Quite a bit", "quickKey": 4},
{"id": "c3951", "text": "5. Very much", "quickKey": 5}
]},
{"id": "q8312", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "23. Satisfaction with Social Role: IN THE PAST 7 DAYS I am satisfied with my
ability to do regular personal and household responsibilities.",
"intro": "For each question or statement below, please mark one answer.",
{"id": "c3937", "text": "1. Without any difficulty", "quickKey": 1},
"columns": 1,
"choices":[
{"id": "c3947", "text": "1. Not at all", "quickKey": 1},
{"id": "c3948", "text": "2. A little bit", "quickKey": 2},
{"id": "c3949", "text": "3. Somewhat", "quickKey": 3},
{"id": "c3950", "text": "4. Quite a bit", "quickKey": 4},
{"id": "c3951", "text": "5. Very much", "quickKey": 5}
]},
{"id": "q8313", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "24. Satisfaction with Social Role: IN THE PAST 7 DAYS I am satisfied with my
{"id": "c3938", "text": "2. With a little difficulty", "quickKey": 2},
ability to perform my daily routines.",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3947", "text": "1. Not at all", "quickKey": 1},
{"id": "c3948", "text": "2. A little bit", "quickKey": 2},
{"id": "c3949", "text": "3. Somewhat", "quickKey": 3},
{"id": "c3950", "text": "4. Quite a bit", "quickKey": 4},
{"id": "c3951", "text": "5. Very much", "quickKey": 5}
]},
{"id": "c3939", "text": "3. With some difficulty", "quickKey": 3},
{"id": "q8314", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "25. Pain Interference: IN THE PAST 7 DAYS - How much did pain interfere in your
day to day activities?",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3947", "text": "1. Not at all", "quickKey": 1},
{"id": "c3948", "text": "2. A little bit", "quickKey": 2},
{"id": "c3949", "text": "3. Somewhat", "quickKey": 3},
{"id": "c3950", "text": "4. Quite a bit", "quickKey": 4},
{"id": "c3940", "text": "4. With much difficulty", "quickKey": 4},
{"id": "c3951", "text": "5. Very much", "quickKey": 5}
]},
{"id": "q8315", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "26. Pain Interference: IN THE PAST 7 DAYS - How much did pain interfere with your
work around the house?",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3947", "text": "1. Not at all", "quickKey": 1},
{"id": "c3948", "text": "2. A little bit", "quickKey": 2},
"restartDays": 2,
{"id": "c3941", "text": "5. Unable to do", "quickKey": 5}
{"id": "c3949", "text": "3. Somewhat", "quickKey": 3},
{"id": "c3950", "text": "4. Quite a bit", "quickKey": 4},
{"id": "c3951", "text": "5. Very much", "quickKey": 5}
]},
{"id": "q8316", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "27. Pain Interference: IN THE PAST 7 DAYS - How much did pain interfere with your
ability to participate in social activities?",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
]},
{"id": "c3947", "text": "1. Not at all", "quickKey": 1},
{"id": "c3948", "text": "2. A little bit", "quickKey": 2},
{"id": "c3949", "text": "3. Somewhat", "quickKey": 3},
{"id": "c3950", "text": "4. Quite a bit", "quickKey": 4},
{"id": "c3951", "text": "5. Very much", "quickKey": 5}
]},
{"id": "q8317", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "28. Pain Interference: IN THE PAST 7 DAYS - How much did pain interfere with your
household chores?",
"intro": "For each question or statement below, please mark one answer.",
{"id": "q8292", "type": "ChoiceQuestion", "required": true, "inline": false,
"columns": 1,
"choices":[
{"id": "c3947", "text": "1. Not at all", "quickKey": 1},
{"id": "c3948", "text": "2. A little bit", "quickKey": 2},
{"id": "c3949", "text": "3. Somewhat", "quickKey": 3},
{"id": "c3950", "text": "4. Quite a bit", "quickKey": 4},
{"id": "c3951", "text": "5. Very much", "quickKey": 5}
]},
{"id": "q8318", "type": "SliderQuestion", "required": true,
"text": "29. Pain Intensity: How would you rate your pain on average? ",
"text": "3. Physical Functioning: Are you able to go for a walk of at least 15 minutes?",
"intro": "For each question or statement below, please mark one answer.",
"min": 0, "max": 10,
"legend":["No Pain", "Worst Imaginable Pain"]}]
}
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3937", "text": "1. Without any difficulty", "quickKey": 1},
{"id": "c3938", "text": "2. With a little difficulty", "quickKey": 2},
{"id": "c3939", "text": "3. With some difficulty", "quickKey": 3},
"printTitle": "Patient Reported Outcome Measurement Information System (PROMIS) 29 Profile v2.0",
{"id": "c3940", "text": "4. With much difficulty", "quickKey": 4},
{"id": "c3941", "text": "5. Unable to do", "quickKey": 5}
]},
{"id": "q8293", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "4. Physical Functioning: Are you able to run errands and shop?",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3937", "text": "1. Without any difficulty", "quickKey": 1},
{"id": "c3938", "text": "2. With a little difficulty", "quickKey": 2},
"content":[
{"id": "c3939", "text": "3. With some difficulty", "quickKey": 3},
{"id": "c3940", "text": "4. With much difficulty", "quickKey": 4},
{"id": "c3941", "text": "5. Unable to do", "quickKey": 5}
]},
{"id": "q8294", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "5. Anxiety: IN THE PAST 7 DAYS I felt fearful.",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3942", "text": "1. Never", "quickKey": 1},
{"id": "i2386", "type": "IntroText",
{"id": "c3943", "text": "2. Rarely", "quickKey": 2},
{"id": "c3944", "text": "3. Sometimes", "quickKey": 3},
{"id": "c3945", "text": "4. Often", "quickKey": 4},
{"id": "c3946", "text": "5. Always", "quickKey": 5}
]},
{"id": "q8295", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "6. Anxiety: IN THE PAST 7 DAYS I found it hard to focus on anything other than my
anxiety.",
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"text": "For each question or statement below, please mark one answer."
"choices":[
{"id": "c3942", "text": "1. Never", "quickKey": 1},
{"id": "c3943", "text": "2. Rarely", "quickKey": 2},
{"id": "c3944", "text": "3. Sometimes", "quickKey": 3},
{"id": "c3945", "text": "4. Often", "quickKey": 4},
{"id": "c3946", "text": "5. Always", "quickKey": 5}
]},
{"id": "q8296", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "7. Anxiety: IN THE PAST 7 DAYS my worries overwhelmed me.",
"intro": "For each question or statement below, please mark one answer.",
},
"columns": 1,
"choices":[
{"id": "c3942", "text": "1. Never", "quickKey": 1},
{"id": "c3943", "text": "2. Rarely", "quickKey": 2},
{"id": "c3944", "text": "3. Sometimes", "quickKey": 3},
{"id": "c3945", "text": "4. Often", "quickKey": 4},
{"id": "c3946", "text": "5. Always", "quickKey": 5}
]},
{"id": "q8297", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "8. Anxiety: IN THE PAST 7 DAYS I felt uneasy.",
{"id": "q8290", "type": "ChoiceQuestion", "required": true, "inline": false,
"intro": "For each question or statement below, please mark one answer.",
"columns": 1,
"choices":[
{"id": "c3942", "text": "1. Never", "quickKey": 1},
{"id": "c3943", "text": "2. Rarely", "quickKey": 2},
{"id": "c3944", "text": "3. Sometimes", "quickKey": 3},
{"id": "c3945", "text": "4. Often", "quickKey": 4},
{"id": "c3946", "text": "5. Always", "quickKey": 5}
]},
{"id": "q8298", "type": "ChoiceQuestion", "required": true, "inline": false,
|
