SIP-AD-30 (128)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT SIP-AD-30
LAST UPDATE 2022-04-08 13:42:04
ENTRY CHECKSUM 1954262977
ENTRY SPECIFICATION
{"name": "SIP-AD-30", 
 almost daily). If any item does not apply to you select Never."
    "columns": 1, 
    "choices":[
     {"id": "c5015", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5016", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5017", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5018", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "q8492", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "10. In the past 30 days, my family has been hurt by my drinking or drug use.", 
    "columns": 1, 
    }, 
    "choices":[
     {"id": "c5015", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5016", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5017", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5018", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "q8493", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "11. In the past 30 days, a friendship or close relationship has been damaged by
 my drinking or drug use.", 
    "columns": 1, 
   {"id": "q8529", "type": "StringQuestion", "required": false, "inline": true, 
    "choices":[
     {"id": "c5015", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5016", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5017", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5018", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "q8494", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "12. In the past 30 days, my drinking or drug use has gotten in the way of my
 growth as a person.", 
    "columns": 1, 
    "text": " Session number:", 
    "choices":[
     {"id": "c5015", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5016", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5017", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5018", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "q8495", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "13. In the past 30 days, my drinking or drug use has damaged my social life,
 popularity, and reputation.", 
    "columns": 1, 
    "intro": " Here are a number of events that people sometimes experience in relation to
    "choices":[
     {"id": "c5015", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5016", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5017", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5018", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "q8496", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "14. In the past 30 days, I have spent too much or lost a lot of money because of
 my drinking or drug use.", 
    "columns": 1, 
 their use of alcohol and other drugs. Read each one carefully and then indicate
    "choices":[
     {"id": "c5015", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5016", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5017", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5018", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "q8497", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "15. In the past 30 days, I have had an accident while using or under the
 influence of alcohol or drugs.", 
    "columns": 1, 
 how often each one has happened to you IN THE PAST 30 DAYS by selecting the
    "choices":[
     {"id": "c5015", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5016", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5017", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5018", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}]
}
 appropriate response (Never, Once or a few times, Once or twice a week, Daily or
 almost daily). If any item does not apply to you select Never.", 
    "controlWidth": 50}, 
 "restartDays": 2, 
   {"id": "q8483", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "1. In the past 30 days, I have been unhappy because of my drinking or drug use.", 
    "columns": 1, 
    "choices":[
     {"id": "c5015", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5016", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5017", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5018", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "q8484", "type": "ChoiceQuestion", "required": true, "inline": false, 
 "printTitle": "SHORT INVENTORY OF PROBLEMS - AD (SIP-AD-30)",
    "text": "2.  In the past 30 days, because of my drinking or drug use I have not eaten.", 
    "columns": 1, 
    "choices":[
     {"id": "c5015", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5016", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5017", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5018", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "q8485", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "3. In the past 30 days, I have failed to do what was expected of me because of my
 "content":[
 drinking or drug use.", 
    "columns": 1, 
    "choices":[
     {"id": "c5015", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5016", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5017", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5018", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "q8486", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "4. In the past 30 days, I have felt guilty or ashamed because of my drinking or
   {"id": "i2432", "type": "IntroText", 
 drug use.", 
    "columns": 1, 
    "choices":[
     {"id": "c5015", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5016", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5017", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5018", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "q8487", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "5. In the past 30 days, I have taken foolish risks when I have been drinking or
    "text": " Here are a number of events that people sometimes experience in relation to
 using drugs.", 
    "columns": 1, 
    "choices":[
     {"id": "c5015", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5016", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5017", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5018", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "q8488", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "6. In the past 30 days, when drinking or using drugs, I have done impulsive
 their use of alcohol and other drugs. Read each one carefully and then indicate
 things that I regretted later.", 
    "columns": 1, 
    "choices":[
     {"id": "c5015", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5016", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5017", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5018", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "q8489", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "7. In the past 30 days, I have been harmed by my drinking or drug use.", 
 how often each one has happened to you IN THE PAST 30 DAYS by selecting the
    "columns": 1, 
    "choices":[
     {"id": "c5015", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5016", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5017", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5018", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "q8490", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "8. In the past 30 days, I have had money problems because of my drinking or drug
 use.", 
 appropriate response (Never, Once or a few times, Once or twice a week, Daily or
    "columns": 1, 
    "choices":[
     {"id": "c5015", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5016", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5017", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5018", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "q8491", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "9. In the past 30 days, my physical appearance has been harmed by my drinking or
 drug use.",