SIP-AD-START (129)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT SIP-AD-START
LAST UPDATE 2022-04-08 13:42:26
ENTRY CHECKSUM 3253106851
ENTRY SPECIFICATION
{"name": "SIP-AD-START", 
 (Never, Once or a few times, Once or twice a week, Daily or almost daily)."
   {"id": "i2418", "type": "IntroText", 
    "text": "I have taken foolish risks when I have been drinking or using drugs."
    }, 
   {"id": "q8506", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "5a. Ever:", 
    "intro": "I have taken foolish risks when I have been drinking or using drugs.", 
    "columns": 1, 
    "choices":[
     {"id": "c5019", "text": "0. No", "quickKey": 0}, 
     {"id": "c5020", "text": "1. Yes", "quickKey": 1}
    }, 
   ]}, 
   {"id": "q8507", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "5b. In the past 30 days:", 
    "columns": 1, 
    "choices":[
     {"id": "c5021", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5022", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5023", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5024", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "q8528", "type": "StringQuestion", "required": false, "inline": true, 
   {"id": "i2419", "type": "IntroText", 
    "text": "When drinking or using drugs, I have done impulsive things that I regretted
 later."
    }, 
   {"id": "q8508", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "6a. Ever:", 
    "intro": "When drinking or using drugs, I have done impulsive things that I regretted
 later.", 
    "columns": 1, 
    "choices":[
    "text": " Session number:", 
     {"id": "c5019", "text": "0. No", "quickKey": 0}, 
     {"id": "c5020", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q8509", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "6b. In the past 30 days:", 
    "columns": 1, 
    "choices":[
     {"id": "c5021", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5022", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5023", "text": "2. Once or twice a week", "quickKey": 2}, 
    "intro": "Here are a number of events that people sometimes experience in relation to their
     {"id": "c5024", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "i2420", "type": "IntroText", 
    "text": "I have been harmed by my drinking or drug use."
    }, 
   {"id": "q8510", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "7a. Ever:", 
    "intro": "I have been harmed by my drinking or drug use.", 
    "columns": 1, 
    "choices":[
 use of alcohol and other drugs. Read each one carefully and then a) indicate if
     {"id": "c5019", "text": "0. No", "quickKey": 0}, 
     {"id": "c5020", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q8511", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "7b. In the past 30 days:", 
    "columns": 1, 
    "choices":[
     {"id": "c5021", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5022", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5023", "text": "2. Once or twice a week", "quickKey": 2}, 
 each one has happened to you EVER (No or Yes) in your lifetime, and b) rate how
     {"id": "c5024", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "i2421", "type": "IntroText", 
    "text": "I have had money problems because of my drinking or drug use."
    }, 
   {"id": "q8512", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "8a. Ever:", 
    "intro": "I have had money problems because of my drinking or drug use.", 
    "columns": 1, 
    "choices":[
 often each has happened IN THE PAST 30 DAYS by marking the appropriate column
     {"id": "c5019", "text": "0. No", "quickKey": 0}, 
     {"id": "c5020", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q8513", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "8b. In the past 30 days:", 
    "columns": 1, 
    "choices":[
     {"id": "c5021", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5022", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5023", "text": "2. Once or twice a week", "quickKey": 2}, 
 (Never, Once or a few times, Once or twice a week, Daily or almost daily).", 
     {"id": "c5024", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "i2423", "type": "IntroText", 
    "text": "My physical appearance has been harmed by my drinking or drug use."
    }, 
   {"id": "q8514", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "9a. Ever:", 
    "intro": "My physical appearance has been harmed by my drinking or drug use.", 
    "columns": 1, 
    "choices":[
    "controlWidth": 50}, 
     {"id": "c5019", "text": "0. No", "quickKey": 0}, 
     {"id": "c5020", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q8515", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "9b. In the past 30 days:", 
    "columns": 1, 
    "choices":[
     {"id": "c5021", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5022", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5023", "text": "2. Once or twice a week", "quickKey": 2}, 
 "restartDays": 2, 
   {"id": "i2414", "type": "IntroText", 
     {"id": "c5024", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "i2424", "type": "IntroText", 
    "text": "My family has been hurt by my drinking or drug use."
    }, 
   {"id": "q8516", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "10a. Ever:", 
    "intro": "My family has been hurt by my drinking or drug use.", 
    "columns": 1, 
    "choices":[
    "text": "I have been unhappy because of my drinking or drug use."
     {"id": "c5019", "text": "0. No", "quickKey": 0}, 
     {"id": "c5020", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q8517", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "10b. In the past 30 days:", 
    "columns": 1, 
    "choices":[
     {"id": "c5021", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5022", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5023", "text": "2. Once or twice a week", "quickKey": 2}, 
    }, 
     {"id": "c5024", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "i2425", "type": "IntroText", 
    "text": "A friendship or close relationship has been damaged by my drinking or drug use."
    }, 
   {"id": "q8518", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "11a. Ever:", 
    "intro": "A friendship or close relationship has been damaged by my drinking or drug use.", 
    "columns": 1, 
    "choices":[
   {"id": "q8498", "type": "ChoiceQuestion", "required": true, "inline": false, 
     {"id": "c5019", "text": "0. No", "quickKey": 0}, 
     {"id": "c5020", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q8519", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "11b. In the past 30 days:", 
    "columns": 1, 
    "choices":[
     {"id": "c5021", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5022", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5023", "text": "2. Once or twice a week", "quickKey": 2}, 
    "text": "1a. Ever:", 
     {"id": "c5024", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "i2426", "type": "IntroText", 
    "text": "My drinking or drug use has gotten in the way of my growth as a person."
    }, 
   {"id": "q8520", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "12a. Ever:", 
    "intro": "My drinking or drug use has gotten in the way of my growth as a person.", 
    "columns": 1, 
    "choices":[
    "intro": "I have been unhappy because of my drinking or drug use.", 
     {"id": "c5019", "text": "0. No", "quickKey": 0}, 
     {"id": "c5020", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q8521", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "12b. In the past 30 days:", 
    "columns": 1, 
    "choices":[
     {"id": "c5021", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5022", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5023", "text": "2. Once or twice a week", "quickKey": 2}, 
    "columns": 1, 
     {"id": "c5024", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "i2427", "type": "IntroText", 
    "text": "My drinking or drug use has damaged my social life, popularity, and reputation."
    }, 
   {"id": "q8522", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "13a. Ever:", 
    "intro": "My drinking or drug use has damaged my social life, popularity, and reputation.", 
    "columns": 1, 
    "choices":[
    "choices":[
     {"id": "c5019", "text": "0. No", "quickKey": 0}, 
     {"id": "c5020", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q8523", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "13b. In the past 30 days:", 
    "columns": 1, 
    "choices":[
     {"id": "c5021", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5022", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5023", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5019", "text": "0. No", "quickKey": 0}, 
     {"id": "c5024", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "i2428", "type": "IntroText", 
    "text": "I have spent too much or lost a lot of money because of my drinking or drug use."
    }, 
   {"id": "q8524", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "14a. Ever:", 
    "intro": "I have spent too much or lost a lot of money because of my drinking or drug use.", 
    "columns": 1, 
    "choices":[
     {"id": "c5020", "text": "1. Yes", "quickKey": 1}
     {"id": "c5019", "text": "0. No", "quickKey": 0}, 
     {"id": "c5020", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q8525", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "14b. In the past 30 days:", 
    "columns": 1, 
    "choices":[
     {"id": "c5021", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5022", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5023", "text": "2. Once or twice a week", "quickKey": 2}, 
 "printTitle": " SHORT INVENTORY OF PROBLEMS - AD (SIP-AD-START)",
   ]}, 
     {"id": "c5024", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
   {"id": "i2429", "type": "IntroText", 
    "text": "I have had an accident while using or under the influence of alcohol or drugs."
    }, 
   {"id": "q8526", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "15a. Ever:", 
    "intro": "I have had an accident while using or under the influence of alcohol or drugs.", 
    "columns": 1, 
    "choices":[
   {"id": "q8499", "type": "ChoiceQuestion", "required": true, "inline": false, 
     {"id": "c5019", "text": "0. No", "quickKey": 0}, 
     {"id": "c5020", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q8527", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "15b. In the past 30 days:", 
    "columns": 1, 
    "choices":[
     {"id": "c5021", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5022", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5023", "text": "2. Once or twice a week", "quickKey": 2}, 
    "text": "1b. In the past 30 days:", 
     {"id": "c5024", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}], 
 "rules":[
   {"question": "q8498", "operator": "EQ", "value": "c5019", 
    "skips":["q8499"]}, 
   {"question": "q8500", "operator": "EQ", "value": "c5019", 
    "skips":["q8501"]}, 
   {"question": "q8502", "operator": "EQ", "value": "c5019", 
    "skips":["q8503"]}, 
   {"question": "q8504", "operator": "EQ", "value": "c5019", 
    "columns": 1, 
    "skips":["q8505"]}, 
   {"question": "q8506", "operator": "EQ", "value": "c5019", 
    "skips":["q8507"]}, 
   {"question": "q8508", "operator": "EQ", "value": "c5019", 
    "skips":["q8509"]}, 
   {"question": "q8510", "operator": "EQ", "value": "c5019", 
    "skips":["q8511"]}, 
   {"question": "q8512", "operator": "EQ", "value": "c5019", 
    "skips":["q8513"]}, 
   {"question": "q8514", "operator": "EQ", "value": "c5019", 
    "choices":[
    "skips":["q8515"]}, 
   {"question": "q8516", "operator": "EQ", "value": "c5019", 
    "skips":["q8517"]}, 
   {"question": "q8518", "operator": "EQ", "value": "c5019", 
    "skips":["q8519"]}, 
   {"question": "q8520", "operator": "EQ", "value": "c5019", 
    "skips":["q8521"]}, 
   {"question": "q8522", "operator": "EQ", "value": "c5019", 
    "skips":["q8523"]}, 
   {"question": "q8524", "operator": "EQ", "value": "c5019", 
     {"id": "c5021", "text": "0. Never", "quickKey": 0}, 
    "skips":["q8525"]}, 
   {"question": "q8526", "operator": "EQ", "value": "c5019", 
    "skips":["q8527"]}]
}
     {"id": "c5022", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5023", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5024", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
 "content":[
   {"id": "i2415", "type": "IntroText", 
    "text": "Because of my drinking or drug use I have not eaten."
    }, 
   {"id": "q8500", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "2a. Ever:", 
    "intro": "Because of my drinking or drug use I have not eaten.", 
    "columns": 1, 
    "choices":[
     {"id": "c5019", "text": "0. No", "quickKey": 0}, 
     {"id": "c5020", "text": "1. Yes", "quickKey": 1}
   {"id": "i2431", "type": "IntroText", 
   ]}, 
   {"id": "q8501", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "2b. In the past 30 days:", 
    "columns": 1, 
    "choices":[
     {"id": "c5021", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5022", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5023", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5024", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
    "text": "Here are a number of events that people sometimes experience in relation to their
   {"id": "i2416", "type": "IntroText", 
    "text": "I have failed to do what was expected of me because of my drinking or drug use."
    }, 
   {"id": "q8502", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "3a. Ever:", 
    "intro": "I have failed to do what was expected of me because of my drinking or drug use.", 
    "columns": 1, 
    "choices":[
     {"id": "c5019", "text": "0. No", "quickKey": 0}, 
     {"id": "c5020", "text": "1. Yes", "quickKey": 1}
 use of alcohol and other drugs. Read each one carefully and then a) indicate if
   ]}, 
   {"id": "q8503", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "3b. In the past 30 days:", 
    "columns": 1, 
    "choices":[
     {"id": "c5021", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5022", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5023", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5024", "text": "3. Daily or almost daily", "quickKey": 3}
   ]}, 
 each one has happened to you EVER (No or Yes) in your lifetime, and b) rate how
   {"id": "i2417", "type": "IntroText", 
    "text": "I have felt guilty or ashamed because of my drinking or drug use."
    }, 
   {"id": "q8504", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "4a. Ever:", 
    "intro": "I have felt guilty or ashamed because of my drinking or drug use.", 
    "columns": 1, 
    "choices":[
     {"id": "c5019", "text": "0. No", "quickKey": 0}, 
     {"id": "c5020", "text": "1. Yes", "quickKey": 1}
 often each has happened IN THE PAST 30 DAYS by marking the appropriate column
   ]}, 
   {"id": "q8505", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "4b. In the past 30 days:", 
    "columns": 1, 
    "choices":[
     {"id": "c5021", "text": "0. Never", "quickKey": 0}, 
     {"id": "c5022", "text": "1. Once or a few times", "quickKey": 1}, 
     {"id": "c5023", "text": "2. Once or twice a week", "quickKey": 2}, 
     {"id": "c5024", "text": "3. Daily or almost daily", "quickKey": 3}
   ]},