| ENTRY SPECIFICATION |
{"name": "IMRS",
the answer that fits you best."
{"id": "c3996", "text": "1. My symptoms really bother me a lot ", "quickKey": 1},
{"id": "c3997", "text": "2. My symptoms bother me quite a bit ", "quickKey": 2},
{"id": "c3998", "text": "3. My symptoms bother me somewhat ", "quickKey": 3},
{"id": "c3999", "text": "4. My symptoms bother me very little ", "quickKey": 4},
{"id": "c4000", "text": "5. My symptoms don't bother me at all ", "quickKey": 5}
]},
{"id": "q8341", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "7. Impairment of functioning: How much do your symptoms get in the way of you
doing things that you would like to or need to do? ",
"intro": "Please take a few minutes to fill out this survey. We are interested in the way
},
things are for you, so there is no right or wrong answer. If you are not sure
about a question, just answer it as best as you can. Just select the number of
the answer that fits you best.",
"columns": 1,
"choices":[
{"id": "c4001", "text": "1. My symptoms really get in my way a lot ", "quickKey": 1},
{"id": "c4002", "text": "2. My symptoms get in my way quite a bit ", "quickKey": 2},
{"id": "c4003", "text": "3. My symptoms get in my way somewhat ", "quickKey": 3},
{"id": "c4004", "text": "4. My symptoms get in my way very little ", "quickKey": 4},
{"id": "c4005", "text": "5. My symptoms don't get in my way at all ", "quickKey": 5}
{"id": "q8335", "type": "ChoiceQuestion", "required": true, "inline": false,
]},
{"id": "q8342", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "8. Relapse prevention planning: Which of the following would best describe what
you know and what you have done in order not to have a relapse? ",
"intro": "Please take a few minutes to fill out this survey. We are interested in the way
things are for you, so there is no right or wrong answer. If you are not sure
about a question, just answer it as best as you can. Just select the number of
the answer that fits you best.",
"columns": 1,
"choices":[
"text": "1. Progress towards personal goals: In the past 3 months, I have come up with...",
{"id": "c4006", "text": "1. I don't know how to prevent relapses ", "quickKey": 1},
{"id": "c4007", "text": "2. I know a little, but I haven't made a relapse prevention plan ", "quickKey": 2},
{"id": "c4008", "text": "3. I know 1 or 2 things I can do, but I don't have a written plan ", "quickKey": 3},
{"id": "c4009", "text": "4. I have several things that I can do, but I don't have a written plan ", "quickKey": 4},
{"id": "c4010", "text": "5. I have a written plan that I have shared with others ", "quickKey": 5}
]},
{"id": "q8343", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "9. Relapse of symptoms: When is the last time you had a relapse of symptoms (that
is, when your symptoms have gotten much worse)? ",
"intro": "Please take a few minutes to fill out this survey. We are interested in the way
"intro": "Please take a few minutes to fill out this survey. We are interested in the way
things are for you, so there is no right or wrong answer. If you are not sure
about a question, just answer it as best as you can. Just select the number of
the answer that fits you best.",
"columns": 1,
"choices":[
{"id": "c4011", "text": "1. Within the last month ", "quickKey": 1},
{"id": "c4012", "text": "2. In the past 2 to 3 months ", "quickKey": 2},
{"id": "c4013", "text": "3. In the past 4 to 6 months ", "quickKey": 3},
{"id": "c4014", "text": "4. In the past 7 to 12 months ", "quickKey": 4},
{"id": "c4015", "text": "5. I haven't had a relapse in the past year ", "quickKey": 5}
things are for you, so there is no right or wrong answer. If you are not sure
]},
{"id": "q8344", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "10. Psychiatric hospitalizations: When is the last time you have been
hospitalized for mental health or substance abuse reasons? ",
"intro": "Please take a few minutes to fill out this survey. We are interested in the way
things are for you, so there is no right or wrong answer. If you are not sure
about a question, just answer it as best as you can. Just select the number of
the answer that fits you best.",
"columns": 1,
"choices":[
about a question, just answer it as best as you can. Just select the number of
{"id": "c4016", "text": "1. Within the last month ", "quickKey": 1},
{"id": "c4017", "text": "2. In the past 2 to 3 months ", "quickKey": 2},
{"id": "c4018", "text": "3. In the past 4 to 6 months ", "quickKey": 3},
{"id": "c4019", "text": "4. In the past 7 to 12 months ", "quickKey": 4},
{"id": "c4020", "text": "5. I haven't been hospitalized for mental health or substance abuse reasons in
the past year. ", "quickKey": 5}
]},
{"id": "q8345", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "11. Coping: How well do feel like you are coping with your mental or emotional
illness from day to day? ",
the answer that fits you best.",
"intro": "Please take a few minutes to fill out this survey. We are interested in the way
things are for you, so there is no right or wrong answer. If you are not sure
about a question, just answer it as best as you can. Just select the number of
the answer that fits you best.",
"columns": 1,
"choices":[
{"id": "c4021", "text": "1. Not well at all ", "quickKey": 1},
{"id": "c4022", "text": "2. Not very well ", "quickKey": 2},
{"id": "c4023", "text": "3. Alright ", "quickKey": 3},
{"id": "c4024", "text": "4. Well", "quickKey": 4},
"columns": 1,
{"id": "c4025", "text": "5. Very well ", "quickKey": 5}
]},
{"id": "q8346", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "12. Involvement with self-help activities: How involved are you in consumer run
services, peer support groups, Alcoholics Anonymous, drop-in centers, WRAP
(Wellness Recovery Action Plan), or other similar self-help programs? ",
"intro": "Please take a few minutes to fill out this survey. We are interested in the way
things are for you, so there is no right or wrong answer. If you are not sure
about a question, just answer it as best as you can. Just select the number of
the answer that fits you best.",
"choices":[
"columns": 1,
"choices":[
{"id": "c4026", "text": "1. I don't know about any self-help activities ", "quickKey": 1},
{"id": "c4027", "text": "2. I know about some self-help activities, but I'm not interested ", "quickKey": 2},
{"id": "c4028", "text": "3. I'm interested in self-help activities but I have not participated in the past
year ", "quickKey": 3},
{"id": "c4029", "text": "4. I participate in self-help activities occasionally ", "quickKey": 4},
{"id": "c4030", "text": "5. I participate in self-help activities regularly ", "quickKey": 5}
]},
{"id": "q8347", "type": "ChoiceQuestion", "required": false, "inline": false,
"copyright": "none",
{"id": "c3971", "text": "1. No personal goals", "quickKey": 1},
"text": "13. Using medication effectively: (Don't answer this question if your doctor has
not prescribed medication for you). How often do you take your medication as
prescribed? ",
"intro": "Please take a few minutes to fill out this survey. We are interested in the way
things are for you, so there is no right or wrong answer. If you are not sure
about a question, just answer it as best as you can. Just select the number of
the answer that fits you best.",
"columns": 1,
"choices":[
{"id": "c4031", "text": "1. Never", "quickKey": 1},
{"id": "c3972", "text": "2. A personal goal, but have not done anything to finish my goal ", "quickKey": 2},
{"id": "c4032", "text": "2. Occasionally ", "quickKey": 2},
{"id": "c4033", "text": "3. About half the time ", "quickKey": 3},
{"id": "c4034", "text": "4. Most of the time ", "quickKey": 4},
{"id": "c4035", "text": "5. Every day ", "quickKey": 5}
]},
{"id": "q8348", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "14. Functioning affected by alcohol use: Drinking can interfere with functioning
when it contributes to conflict in relationships, or to money, housing and legal
concerns, to difficulty showing up at appointments or paying attention during
them, or to increased symptoms. Over the past 3 months, how much did drinking
{"id": "c3973", "text": "3. A personal goal and made it a little way towards finishing it", "quickKey": 3},
get in the way of your functioning?",
"intro": "Please take a few minutes to fill out this survey. We are interested in the way
things are for you, so there is no right or wrong answer. If you are not sure
about a question, just answer it as best as you can. Just select the number of
the answer that fits you best.",
"columns": 1,
"choices":[
{"id": "c4036", "text": "1. Alcohol use really gets in my way a lot ", "quickKey": 1},
{"id": "c4037", "text": "2. Alcohol use gets in my way quite a bit ", "quickKey": 2},
{"id": "c4038", "text": "3. Alcohol use gets in my way somewhat ", "quickKey": 3},
{"id": "c3974", "text": "4. A personal goal and have gotten pretty far in finishing my goal", "quickKey": 4},
{"id": "c4039", "text": "4. Alcohol use gets in my way very little ", "quickKey": 4},
{"id": "c4040", "text": "5. Alcohol use is not a factor in my functioning ", "quickKey": 5}
]},
{"id": "q8349", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "15. Functioning affected by drug use: Using street drugs, and misusing
prescription or over-the-counter medication can interfere with functioning when
it contributes to conflict in relationships, or to money, housing and legal
concerns, to difficulty showing up at appointments or paying attention during
them, or to increased symptoms. Over the past 3 months, how much did drug use
get in the way of your functioning? ",
{"id": "c3975", "text": "5. A personal goal and have finished it", "quickKey": 5}
"intro": "Please take a few minutes to fill out this survey. We are interested in the way
things are for you, so there is no right or wrong answer. If you are not sure
about a question, just answer it as best as you can. Just select the number of
the answer that fits you best.",
"columns": 1,
"choices":[
{"id": "c4041", "text": "1. Drug use really gets in my way a lot ", "quickKey": 1},
{"id": "c4042", "text": "2. Drug use gets in my way quite a bit ", "quickKey": 2},
{"id": "c4043", "text": "3. Drug use gets in my way somewhat ", "quickKey": 3},
{"id": "c4044", "text": "4. Drug use gets in my way very little ", "quickKey": 4},
]},
{"id": "c4045", "text": "5. Drug use is not a factor in my functioning ", "quickKey": 5}
]}]
}
{"id": "q8336", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "2. Knowledge: How much do you feel like you know about symptoms, treatment,
coping strategies (coping methods), and medication? ",
"intro": "Please take a few minutes to fill out this survey. We are interested in the way
"restartDays": 2,
things are for you, so there is no right or wrong answer. If you are not sure
about a question, just answer it as best as you can. Just select the number of
the answer that fits you best.",
"columns": 1,
"choices":[
{"id": "c3976", "text": "1. Not very much ", "quickKey": 1},
{"id": "c3977", "text": "2. A little", "quickKey": 2},
{"id": "c3978", "text": "3. Some", "quickKey": 3},
{"id": "c3979", "text": "4. Quite a bit ", "quickKey": 4},
{"id": "c3980", "text": "5. A great deal ", "quickKey": 5}
"printTitle": "Illness Management and Recovery Scales (IMRS) - Client Self-Rating",
]},
{"id": "q8337", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "3. Involvement of family and friends in my mental health treatment: How much are
family members, friends, boyfriend/girlfriend, and other people who are
important to you (outside your mental health agency) involved in your mental
health treatment? ",
"intro": "Please take a few minutes to fill out this survey. We are interested in the way
things are for you, so there is no right or wrong answer. If you are not sure
about a question, just answer it as best as you can. Just select the number of
the answer that fits you best.",
"content":[
"columns": 1,
"choices":[
{"id": "c3981", "text": "1. Not at all", "quickKey": 1},
{"id": "c3982", "text": "2. Only when there is a serious problem ", "quickKey": 2},
{"id": "c3983", "text": "3. Sometimes, like when things are starting to go badly ", "quickKey": 3},
{"id": "c3984", "text": "4. Much of the time ", "quickKey": 4},
{"id": "c3985", "text": "5. A lot of the time and they really help me with my mental health ", "quickKey": 5}
]},
{"id": "q8338", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "4. Contact with people outside of my family: In a normal week, how many times do
{"id": "i2391", "type": "IntroText",
you talk to someone outside of your family (like a friend, co-worker, classmate,
roommate, etc.) ",
"intro": "Please take a few minutes to fill out this survey. We are interested in the way
things are for you, so there is no right or wrong answer. If you are not sure
about a question, just answer it as best as you can. Just select the number of
the answer that fits you best.",
"columns": 1,
"choices":[
{"id": "c3986", "text": "1. 0 times/week ", "quickKey": 1},
{"id": "c3987", "text": "2. 1-2 times/week ", "quickKey": 2},
"text": "Please take a few minutes to fill out this survey. We are interested in the way
{"id": "c3988", "text": "3. 3-4 times/week ", "quickKey": 3},
{"id": "c3989", "text": "4. 6-7 times/week ", "quickKey": 4},
{"id": "c3990", "text": "5. 8 or more times/week ", "quickKey": 5}
]},
{"id": "q8339", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "5. Time in structured roles: How much time do you spend working, volunteering,
being a student, being a parent, taking care of someone else or someone else's
house or apartment? That is, how much time do you spend in doing activities for
or with another person that are expected of you? (This would not include
selfcare or personal home maintenance.) ",
things are for you, so there is no right or wrong answer. If you are not sure
"intro": "Please take a few minutes to fill out this survey. We are interested in the way
things are for you, so there is no right or wrong answer. If you are not sure
about a question, just answer it as best as you can. Just select the number of
the answer that fits you best.",
"columns": 1,
"choices":[
{"id": "c3991", "text": "1. 2 hours or less/week ", "quickKey": 1},
{"id": "c3992", "text": "2. 3-5 hours/week ", "quickKey": 2},
{"id": "c3993", "text": "3. 6-15 hours/week ", "quickKey": 3},
{"id": "c3994", "text": "4. 16-30 hours/week ", "quickKey": 4},
about a question, just answer it as best as you can. Just select the number of
{"id": "c3995", "text": "5. More than 30 hours/week ", "quickKey": 5}
]},
{"id": "q8340", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "6. Symptom distress: How much do your symptoms bother you? ",
"intro": "Please take a few minutes to fill out this survey. We are interested in the way
things are for you, so there is no right or wrong answer. If you are not sure
about a question, just answer it as best as you can. Just select the number of
the answer that fits you best.",
"columns": 1,
"choices":[
|
