| ENTRY SPECIFICATION |
{"name": "ACE",
you, insult you, put you down, or humiliate you? <br /> or Act in a way that
made you afraid that you might be physically hurt?",
"intro": "While you were growing up, during the first 18 years of life:",
"columns": 1,
"choices":[
{"id": "c4959", "text": "0. No", "quickKey": 0},
{"id": "c4958", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q8461", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "2. Did a parent or other adult in the household often or very often....Push,
"restartDays": 2,
grab, slap, or throw something at you? or Ever hit you <br /> so hard that you
had marks or were injured?",
"columns": 1,
"choices":[
{"id": "c4959", "text": "0. No", "quickKey": 0},
{"id": "c4958", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q8462", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "3. Did an adult person at least 5 years older than you ever...Touch or fondle
you or have you touch their body in a sexual way? <br /> or Attempt or
"printTitle": "Adverse Childhood Experiences (ACE)",
actually have oral, anal, or vaginal intercourse with you?",
"columns": 1,
"choices":[
{"id": "c4959", "text": "0. No", "quickKey": 0},
{"id": "c4958", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q8463", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "4. Did you often or very often feel that...No one in your family loved you or
thought you were important or special? or Your family <br /> didn't look out
for each other, feel close to each other, or support each other?",
"content":[
"columns": 1,
"choices":[
{"id": "c4959", "text": "0. No", "quickKey": 0},
{"id": "c4958", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q8464", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "5. Did you often or very often feel that...You didn't have enough to eat, had to
wear dirty clothes, and had no one to protect you? <br /> or Your parents
were too drunk or high to take care of you or take you to the doctor if you
needed it?",
{"id": "i2410", "type": "IntroText",
"columns": 1,
"choices":[
{"id": "c4959", "text": "0. No", "quickKey": 0},
{"id": "c4958", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q8465", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "6. Were your parents ever separated or divorced?",
"columns": 1,
"choices":[
{"id": "c4959", "text": "0. No", "quickKey": 0},
"text": "While you were growing up, during the first 18 years of life:"
{"id": "c4958", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q8466", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "7. Was your mother or stepmother: Often or very often pushed, grabbed, slapped,
or had something thrown at her? or Sometimes, <br /> often, or very often
kicked, bitten, hit with a fist, or hit with something hard? or Ever repeatedly
hit at least a few minutes or <br /> threatened with a gun or knife?",
"columns": 1,
"choices":[
{"id": "c4959", "text": "0. No", "quickKey": 0},
},
{"id": "c4958", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q8467", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "8. Did you live with anyone who was a problem drinker or alcoholic or who used
street drugs?",
"columns": 1,
"choices":[
{"id": "c4959", "text": "0. No", "quickKey": 0},
{"id": "c4958", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q8460", "type": "ChoiceQuestion", "required": true, "inline": false,
{"id": "q8468", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "9. Was a household member depressed or mentally ill, or did a household member
attempt suicide?",
"columns": 1,
"choices":[
{"id": "c4959", "text": "0. No", "quickKey": 0},
{"id": "c4958", "text": "1. Yes", "quickKey": 1}
]},
{"id": "q8469", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "10. Did a household member go to prison? ",
"text": "1. Did a parent or other adult in the household often or very often...Swear at
"columns": 1,
"choices":[
{"id": "c4959", "text": "0. No", "quickKey": 0},
{"id": "c4958", "text": "1. Yes", "quickKey": 1}
]}]
}
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